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关于膀胱内卡介苗的作用方式:卡介苗激活的杀伤细胞的体外特性

On the mode of action of intravesical bacillus Calmette-Guérin: in vitro characterization of BCG-activated killer cells.

作者信息

Böhle A, Thanhäuser A, Ulmer A J, Mattern T, Ernst M, Flad H D, Jocham D

机构信息

Department of Urology, Medical University of Lübeck, Germany.

出版信息

Urol Res. 1994;22(3):185-90. doi: 10.1007/BF00571848.

DOI:10.1007/BF00571848
PMID:7527607
Abstract

Previously we had shown that, upon activation with viable bacillus Calmette-Guérin (BCG), peripheral blood mononuclear cells (PBMNC) could be rendered cytotoxic against otherwise insensitive natural killer (NK)-resistant bladder cancer cell lines. This phenomenon had been termed the BCG-activated killer (BAK) cell phenomenon. By means of depletion and enrichment procedures of mononuclear cell subpopulations derived from BCG-activated PBMNC we further characterized the cytolytic BAK effector cells functionally in an in vitro cytotoxicity assay against the bladder carcinoma cell line BT-A and phenotypically in their pathway of activation. Neither macrophages nor CD4+ T-helper/inducer cells exerted cytotoxic BAK activity. This cytotoxicity was restricted to the CD8+CD56+ subpopulation of T-cytotoxic/NK cells. Furthermore, activation of BAK cells via interferon gamma (IFN-gamma) was evidenced by the complete inhibition of BAK cell generation with an IFN-gamma antibody.

摘要

此前我们已经表明,在用活卡介苗(BCG)激活后,外周血单个核细胞(PBMNC)可对原本不敏感的自然杀伤(NK)抗性膀胱癌细胞系产生细胞毒性。这种现象被称为卡介苗激活杀伤(BAK)细胞现象。通过对卡介苗激活的PBMNC衍生的单个核细胞亚群进行去除和富集程序,我们在针对膀胱癌细胞系BT-A的体外细胞毒性试验中进一步从功能上对溶细胞性BAK效应细胞进行了表征,并在其激活途径上从表型上进行了表征。巨噬细胞和CD4 + T辅助/诱导细胞均未发挥细胞毒性BAK活性。这种细胞毒性仅限于细胞毒性/T杀伤性NK细胞的CD8 + CD56 +亚群。此外,通过用γ干扰素(IFN-γ)抗体完全抑制BAK细胞生成,证明了通过IFN-γ激活BAK细胞。

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本文引用的文献

1
Dissecting the immunobiological effects of Bacillus Calmette-Guérin (BCG) in vitro: evidence of a distinct BCG-activated killer (BAK) cell phenomenon.体外剖析卡介苗(BCG)的免疫生物学效应:一种独特的卡介苗激活杀伤(BAK)细胞现象的证据。
J Urol. 1993 Dec;150(6):1932-7. doi: 10.1016/s0022-5347(17)35941-4.
2
The immunomodulatory effects of urine from patients with superficial bladder cancer receiving intravesical evans BCG therapy.接受膀胱内埃文斯卡介苗治疗的浅表性膀胱癌患者尿液的免疫调节作用。
Cancer Immunol Immunother. 1993;36(1):25-30. doi: 10.1007/BF01789127.
3
Natural cell-mediated cytotoxicity in normal human peripheral blood lymphocytes and its in vitro boosting with BCG.
正常人外周血淋巴细胞的天然细胞介导细胞毒性及其卡介苗的体外增强作用。
Cancer Immunol Immunother. 1983;15(1):17-22. doi: 10.1007/BF00199456.
4
Intracellular fate of Mycobacterium leprae in normal and activated mouse macrophages.麻风分枝杆菌在正常和活化小鼠巨噬细胞内的命运
Infect Immun. 1987 Mar;55(3):680-5. doi: 10.1128/iai.55.3.680-685.1987.
5
Local immune responses after intravesical BCG treatment for carcinoma in situ.膀胱内卡介苗治疗原位癌后的局部免疫反应。
Br J Urol. 1987 Dec;60(6):543-8. doi: 10.1111/j.1464-410x.1987.tb05039.x.
6
The immunopathology of sequential tumor biopsies in patients treated with interleukin-2. Correlation of response with T-cell infiltration and HLA-DR expression.接受白细胞介素-2治疗患者的序贯肿瘤活检免疫病理学。反应与T细胞浸润及HLA-DR表达的相关性。
Am J Pathol. 1987 Nov;129(2):208-16.
7
Detection of interleukin 2 in the urine of patients with superficial bladder tumors after treatment with intravesical BCG.膀胱内灌注卡介苗治疗后浅表性膀胱肿瘤患者尿液中白细胞介素2的检测
J Urol. 1986 Oct;136(4):970-4. doi: 10.1016/s0022-5347(17)45142-1.
8
Dissection of the lymphokine-activated killer phenomenon. Relative contribution of peripheral blood natural killer cells and T lymphocytes to cytolysis.淋巴因子激活的杀伤现象剖析。外周血自然杀伤细胞和T淋巴细胞对细胞溶解的相对贡献。
J Exp Med. 1986 Sep 1;164(3):814-25. doi: 10.1084/jem.164.3.814.
9
Interferon-gamma, the activated macrophage, and host defense against microbial challenge.干扰素-γ、活化巨噬细胞与宿主抵御微生物攻击
Ann Intern Med. 1988 Apr;108(4):595-608. doi: 10.7326/0003-4819-108-4-595.
10
Mycobacterial growth inhibition by interferon-gamma-activated bone marrow macrophages and differential susceptibility among strains of Mycobacterium tuberculosis.干扰素-γ激活的骨髓巨噬细胞对分枝杆菌生长的抑制作用以及结核分枝杆菌菌株间的易感性差异
J Immunol. 1987 Jun 15;138(12):4408-13.