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通过免疫营养干预提高头颈部鳞状细胞癌患者的CD4+/CD8+ T细胞比率并加速恢复。

Enhancing CD4+/CD8+ T cell ratio and accelerating recovery in HNSCC patients through immunonutrition intervention.

作者信息

Lin Xijun, Deng Lanlan, Liang Faya, Han Ping, Lin Peiliang, Huang Xiaoming

机构信息

Department of Otolaryngology-Head and Neck Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, 510120, China.

出版信息

Discov Oncol. 2024 Dec 18;15(1):784. doi: 10.1007/s12672-024-01598-6.

Abstract

OBJECTIVE

Malnutrition is a common issue in patients with head and neck squamous cell carcinoma (HNSCC), leading to compromised immune function and diminished treatment efficacy. This is particularly concerning for therapies targeting the PD-1 pathway, which are pivotal in cancer treatment. The aim of this retrospective study was to explore the potential benefits of immunonutrition in improving immune responses and clinical outcomes for these patients.

METHODS

In the study, 49 individuals diagnosed with HNSCC were enrolled and divided into two groups: one group received specialized immunonutrition support designed to enhance immune function, while the other group received standard nutritional care. The researchers assessed immune function by evaluating CD4+ and CD8+ T cell counts, which are critical indicators of immune health. Additionally, clinical outcomes were monitored, focusing on infection rates and the duration of hospital stays.

RESULTS

Patients who received immunonutrition showed a significant improvement in immune function, as indicated by higher levels of CD4+ and CD8+ T cells. Furthermore, these patients experienced shorter recovery times and lower infection rates compared to those receiving standard nutrition.

CONCLUSION

These findings suggest that immunonutrition may play a vital role in enhancing the effectiveness of cancer therapies, including PD-1 inhibitors. By supporting immune health, immunonutrition could potentially improve patient outcomes and quality of life during and after treatment. This study underscores the importance of integrating nutritional support into cancer care, particularly for patients with HNSCC. As the field of oncology continues to evolve, incorporating strategies that address nutritional deficiencies could be key to optimizing treatment efficacy and improving overall survival rates.

摘要

目的

营养不良是头颈部鳞状细胞癌(HNSCC)患者的常见问题,会导致免疫功能受损和治疗效果降低。这对于靶向PD-1通路的疗法而言尤其值得关注,因为这些疗法在癌症治疗中至关重要。这项回顾性研究的目的是探讨免疫营养在改善这些患者的免疫反应和临床结局方面的潜在益处。

方法

在该研究中,49名被诊断为HNSCC的患者被纳入并分为两组:一组接受旨在增强免疫功能的专门免疫营养支持,而另一组接受标准营养护理。研究人员通过评估CD4+和CD8+T细胞计数来评估免疫功能,这是免疫健康的关键指标。此外,还监测了临床结局,重点关注感染率和住院时间。

结果

接受免疫营养的患者免疫功能有显著改善,表现为CD4+和CD8+T细胞水平更高。此外,与接受标准营养的患者相比,这些患者的恢复时间更短,感染率更低。

结论

这些发现表明,免疫营养可能在增强包括PD-1抑制剂在内的癌症治疗效果方面发挥重要作用。通过支持免疫健康,免疫营养可能会改善患者在治疗期间及之后的结局和生活质量。这项研究强调了将营养支持纳入癌症护理的重要性,特别是对于HNSCC患者。随着肿瘤学领域的不断发展,采用解决营养缺乏问题的策略可能是优化治疗效果和提高总体生存率的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e748/11655759/ba36b33be2b1/12672_2024_1598_Fig1_HTML.jpg

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