Saiz Garcia F, Rodriguez Valverde V
Bull Cancer. 1981;68(1):32-9.
Several markers of humoral and cellular immunity were studied in 49 untreated patients with malignancies of different anatomical locations, histological types and clinical stages. The proportion of EAC rosettes, levels of immunoglobulins as well as levels of the C3 and C4 components of the complement system were within the normal range (p.n.s.). The proportion of T lymphocytes, measured by the classical E rosette method at 4 degrees C, was significantly decreased in the whole group when compared with a control population (mean 46,27 +/- 12,34, p less than 0.0005), regardless of the anatomical origin of the tumor. In patients with lung cancer (45,52 +/- 10,37), those with the epidermoid type (51 +/- 9,45) had a reduced number of E rosettes when compared with controls (58,87 +/- 5,53 p less than 0.005) but they were still greater in number than in the other histological types (43,16 +/ 9,97 p less than 0.025). We found no relationship between the proportion of E rosettes and the clinical stage. The number of T lymphocytes with E rosettes after incubation at 30 degrees C was within normal limits in most patients, except in those cases with lung cancer at an early clinical stage (23,94 +/- 5,85 p less than 0.005). Our findings would support the hypothesis of a deficiency in cellular immunity in patients with malignancies, which could favour the progression of the disease.
对49例未经治疗的不同解剖部位、组织学类型和临床分期的恶性肿瘤患者的体液免疫和细胞免疫的几种标志物进行了研究。EAC玫瑰花结比例、免疫球蛋白水平以及补体系统C3和C4成分水平均在正常范围内(无显著性差异)。与对照组相比,采用经典E玫瑰花结法在4℃测量的T淋巴细胞比例在整个研究组中显著降低(平均值为46.27±12.34,p<0.0005),无论肿瘤的解剖学起源如何。肺癌患者(45.52±10.37)中,与对照组(58.87±5.53,p<0.005)相比,表皮样癌类型患者(51±9.45)的E玫瑰花结数量减少,但仍多于其他组织学类型(43.16±9.97,p<0.025)。我们发现E玫瑰花结比例与临床分期之间无相关性。在30℃孵育后具有E玫瑰花结的T淋巴细胞数量在大多数患者中在正常范围内,但临床早期肺癌患者除外(23.94±5.85,p<0.005)。我们的研究结果支持恶性肿瘤患者存在细胞免疫缺陷的假说,这可能有利于疾病的进展。