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癌症前体及其受卡介苗的调控

Cancer precursors and their control by BCG.

作者信息

Rosenthal S R

出版信息

Dev Biol Stand. 1986;58 ( Pt A):401-16.

PMID:3596046
Abstract

I am proposing a theory which states that stimulation of the immune system at birth detects and destroys embryonic cells or components thereof, including subcellular pattern defects, molecular structure defects and so forth which may be the source of malignancy not only in infancy but throughout life. The facts are that: Fetal rests or stigmata thereof remain in many of the organs of the body--the liver, the kidney, the spleen, the brain and so forth. These rests are usually absorbed by the end of the first year of life, but recent evidence indicates that stigmata of this fetal tissue may remain throughout one's entire life and be precursors of cancer. In animals and in humans, the antigens from malignant neoplasms crossreact with anti-fetal antibodies. Many tumors express fetal antigens and secrete fetal products. Alpha-feto-protein was found in adult cancer of the liver; carcino-embryonic antigen (CEA) has been reported in cancer of the colon-rectum; fetal alkaline phosphatase has been found in many adult cancers. Fetal tissue injected into animals will immunize these animals against certain transplanted tumors. Recently, in a lecture at Salk Institute, Sir Peter Medawar, Nobel Prize winner in medicine and until recently the head of the British Medical Research Council, described the use of quasi-fetal tissue as helpful in treating cancer of the adult. The infant's immune system is not fully developed. In fact, one can transfuse an infant without typing because he has built no antibodies to the blood types in early infancy. It has been shown in individuals of any age who are immune-deficient, either by heredity or acquired that the rate of malignancy may be as high as 10,000 times that of the general population. The immune system controls cancer development to a great extent. Published data suggests that the immune system detects and destroys embryonic cells or components thereof that may be a locus for cancer development. Our studies demonstrated that in some 85,353 BCG vaccinated newborns followed over a period of 20 years, there was an overall 74 percent reduction in the death rate from all forms of cancer when compared to a similar group not vaccinated. The differences were highly significant statistically. At an International Symposium, "BCG Vaccination Against Cancer and Leukemia" held in Chicago October 4-6, 1982, papers were presented from the U.S.A. (83), Austria (7), and Israel (54) which support the thesis of a lowering of mortality from cancer and leukemia in infants vaccinated at birth with BCG.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

我提出一种理论,该理论认为出生时对免疫系统的刺激可检测并破坏胚胎细胞或其组成部分,包括亚细胞模式缺陷、分子结构缺陷等,这些可能不仅是婴儿期,而且是终生恶性肿瘤的来源。事实如下:胎儿残留物或其痕迹存在于身体的许多器官中——肝脏、肾脏、脾脏、大脑等。这些残留物通常在生命的第一年末被吸收,但最近的证据表明,这种胎儿组织的痕迹可能终生存在,并成为癌症的前兆。在动物和人类中,恶性肿瘤的抗原与抗胎儿抗体发生交叉反应。许多肿瘤表达胎儿抗原并分泌胎儿产物。在成人肝癌中发现了甲胎蛋白;在直肠癌中报告了癌胚抗原(CEA);在许多成人癌症中发现了胎儿碱性磷酸酶。将胎儿组织注射到动物体内会使这些动物对某些移植肿瘤产生免疫。最近,诺贝尔奖获得者、英国医学研究理事会前负责人彼得·梅达瓦尔爵士在索尔克研究所的一次讲座中描述了使用准胎儿组织有助于治疗成人癌症。婴儿的免疫系统尚未完全发育。事实上,由于婴儿在婴儿早期尚未产生针对血型的抗体,所以可以不对婴儿进行血型鉴定就进行输血。研究表明,在任何年龄因遗传或后天因素导致免疫缺陷的个体中,恶性肿瘤的发生率可能比普通人群高10000倍。免疫系统在很大程度上控制着癌症的发展。已发表的数据表明,免疫系统可检测并破坏可能是癌症发展位点的胚胎细胞或其组成部分。我们的研究表明,在约85353名接种卡介苗的新生儿中随访20年,与未接种的类似组相比,所有形式癌症的死亡率总体降低了74%。这些差异在统计学上具有高度显著性。在1982年10月4日至6日于芝加哥举行的“卡介苗接种预防癌症和白血病”国际研讨会上,来自美国(83篇)、奥地利(7篇)和以色列(54篇)的论文支持了出生时接种卡介苗的婴儿癌症和白血病死亡率降低这一论点。(摘要截取自400字)

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