Gupta S, Cunningham-Rundles S
J Natl Cancer Inst. 1982 Dec;69(6):1261-4.
Peripheral blood and regional lymph node mononuclear cells from 43 untreated patients with breast cancer were analyzed for the proportions of total T-cells and T-cells with receptors for the Fc portion of IgM (T mu), IgG (T gamma), or IgA (T alpha). Proportions of total T-cells and T mu cells both in peripheral blood and lymph nodes from breast cancer patients were comparable to those from health controls. The proportion of T gamma cells, however, was significantly (P less than 0.01) increased in the peripheral blood and lymph nodes from breast cancer patients as compared to that from controls. The proportion of T alpha in the peripheral blood was comparable; however, when compared to the number of T alpha cells in control lymph nodes, T alpha cells were increased (P less than 0.025) in the regional lymph nodes from patients with breast cancer. When data on the proportions of T-cells and T-cell subsets were analyzed according to the presence or absence of metastatic disease in the regional lymph nodes, the proportion of T gamma cells was significantly (P less than 0.025) higher in the peripheral blood from patients with metastatic disease than in patients with nonmetastatic disease. This study demonstrates an abnormality of T-cell subsets in the peripheral blood and the regional lymph nodes from patients with breast cancer. The significance of these observations is discussed.
对43例未经治疗的乳腺癌患者的外周血和区域淋巴结单核细胞进行分析,以检测总T细胞以及具有IgM(Tμ)、IgG(Tγ)或IgA(Tα)Fc段受体的T细胞的比例。乳腺癌患者外周血和淋巴结中的总T细胞和Tμ细胞比例与健康对照者相当。然而,与对照组相比,乳腺癌患者外周血和淋巴结中的Tγ细胞比例显著升高(P<0.01)。外周血中Tα的比例相当;然而,与对照淋巴结中的Tα细胞数量相比,乳腺癌患者区域淋巴结中的Tα细胞数量增加(P<0.025)。当根据区域淋巴结中是否存在转移性疾病分析T细胞和T细胞亚群比例的数据时,有转移性疾病患者外周血中的Tγ细胞比例显著高于无转移性疾病患者(P<0.025)。本研究证明乳腺癌患者外周血和区域淋巴结中T细胞亚群存在异常。讨论了这些观察结果的意义。