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[乳腺癌中代谢和免疫指标的比较]

[Comparison of metabolic and immunologic indices in breast cancer].

作者信息

Poroshina T E, Fedorov S N, Ostroumova M N, Dil'man V M

出版信息

Vopr Onkol. 1980;26(8):24-7.

PMID:7415045
Abstract

A correlation was made between the complex of metabolic indices (the concentration of free fatty acids, cholesterol, beta-lipoproteids and triglycerids in blood) and the complex of immunological indices (the number of T-lymphocytes, blastogenic reaction of lymphocytes, lysosomal and phagocytic activity of macrophages) in healthy females of two age groups and in breast cancer patients. There were examined 20 healthy females aged 18-29, 19 healthy females aged 40-78 and 37 primary breast cancer patients, and also 30 patients being in the state of remission after the radical treatment, their age was analogous to that of the second control age group. It was stated that healthy females with age show a parallel worsening of metabolic and immunological indices (the correlation coefficient being equal to -0.57 and -0.56 accordingly (P less than 0.01 and P less than 0.02) that corresponds to the phenomenon of metabolic immunodepression. The same phenomenon is observed in breast cancer patients at the stage of clinical remission (r = 0.42, P = 0.02). Contrary, in primary patients despite analogously decreased immunity the correlation coefficient was -0.23. Consequently, the mechanism of immunosuppressive effect of the tumor seems not to be related to the changed concentration in blood of the indices under study.

摘要

对两个年龄组的健康女性以及乳腺癌患者的代谢指标复合体(血液中游离脂肪酸、胆固醇、β-脂蛋白和甘油三酯的浓度)与免疫指标复合体(T淋巴细胞数量、淋巴细胞的增殖反应、巨噬细胞的溶酶体和吞噬活性)之间进行了相关性研究。研究了20名年龄在18 - 29岁的健康女性、19名年龄在40 - 78岁的健康女性以及37名原发性乳腺癌患者,还有30名在根治性治疗后处于缓解状态的患者,他们的年龄与第二个对照年龄组相似。结果表明,随着年龄增长,健康女性的代谢和免疫指标会同时恶化(相关系数分别为 -0.57和 -0.56(P < 0.01和P < 0.02)),这与代谢性免疫抑制现象相符。在临床缓解期的乳腺癌患者中也观察到了同样的现象(r = 0.42,P = 0.02)。相反,在原发性患者中,尽管免疫力同样下降,相关系数为 -0.23。因此,肿瘤的免疫抑制作用机制似乎与所研究指标在血液中的浓度变化无关。

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