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[氯化溶菌酶对子宫颈癌患者免疫反应的影响]

[Effects of lysozyme chloride on immune responses of patients with uterine cervical cancer].

作者信息

Yamaoka K, Yoshioka T

出版信息

Gan To Kagaku Ryoho. 1983 Aug;10(8):1803-9.

PMID:6882004
Abstract

The effects of lysozyme chloride (LY) and mainly on immunocompetence of patients with uterine cervical cancer were investigated partly in comparison with the historical control group. Patients were classified into non-surgery group (the LY group: 11 cases, the control group: 13 cases) and surgery group (the LY group: 6 cases, the control group: 7 cases). LY administration at a daily dose of 270 mg per os was started at the same time as the initiation of radiotherapy, and continued for three months after the therapy. 1) In non-surgery group composed of advanced cancer patients, a significant restorative effect of LY on a decrease in peripheral lymphocyte count induced by irradiation was observed. In surgery group composed of early stage of cancer patients, the restorative effect of LY was apparently mild. 2) The changes of other immunological parameters in the LY group such as lymphocyte blastogenic response to PHA, T, B-cell numbers and T-cell percent comparatively were well correlated with that of peripheral lymphocyte count in the LY group. 3) LY treatment resulted in a significant suppression of post-radiative decrease in leucocytes count in non-surgery group. 4) LY treatment tended to bring about the improvement of depressed state of trophicity and liver function especially of advanced cancer patients. From these results, it was suggested that LY might act as a kind of immunomodulator, and lead to the potentiation of depressed immunological status of advanced uterine cervical cancer patients. It was therefore expected that adjuvant LY treatment could contribute to the advantageous clinical effects in the treatment of cancer patients.

摘要

部分研究了氯化溶菌酶(LY)对子宫颈癌患者免疫能力的影响,并与历史对照组进行了比较。患者分为非手术组(LY组:11例,对照组:13例)和手术组(LY组:6例,对照组:7例)。从放疗开始时起,每天口服270毫克LY,并在治疗后持续三个月。1)在由晚期癌症患者组成的非手术组中,观察到LY对放疗引起的外周淋巴细胞计数下降有显著的恢复作用。在由早期癌症患者组成的手术组中,LY的恢复作用明显较弱。2)LY组中其他免疫参数的变化,如对PHA的淋巴细胞增殖反应、T细胞和B细胞数量以及T细胞百分比,与LY组外周淋巴细胞计数的变化相对较好地相关。3)LY治疗导致非手术组放疗后白细胞计数的显著下降受到抑制。4)LY治疗倾向于改善尤其是晚期癌症患者的营养状态和肝功能的抑制状态。从这些结果来看,提示LY可能作为一种免疫调节剂,导致晚期子宫颈癌患者免疫状态的增强。因此,预计辅助LY治疗可有助于癌症患者治疗中的有利临床效果。

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