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[左旋咪唑给药对晚期癌症患者T淋巴细胞反应性的影响]

[Influence of the administration of levamisole on the reactivity of T-lymphocytes in advanced cancer patients].

作者信息

Renoux G, Renoux M

出版信息

Nouv Presse Med. 1976 Jan 10;5(2):67-70.

PMID:772602
Abstract

The effects of levamisole were studied by evaluating T-cell responsiveness to a low dose of PHA on 31 advanced cancer volunteers. Treatment consisted in a 3-time a week oral administration of 150 mg of levamisole, actual time of observation is comprized between 10 and 31 months: 14 out of 31 treated metastatic cases of various solid tumours are still alive. In a group of 25 untreated patients, mean survival times were 65 days for men and 48 days for women. An increase of the responsiveness to a low dose of PHA was associated with survival, while death occurred when T-cells were unable to respond to the stimulatory activity of levamisole. These preliminary data confirm the paramount importance of cellular immunity in controlling neoplasias. They suggest a possibility to augment the life-span of cancer patients if an impaired cellular immunity machinery could be restored by the direct and indirect (hormonal) actions of levamisole, evidencing these mechanisms were still potentially functionning. They suggest also a monitoring of anti-tumoral immunity by evaluating the magnitude of T-cell response following levamisole administration.

摘要

通过评估31名晚期癌症志愿者对低剂量PHA的T细胞反应性,研究了左旋咪唑的效果。治疗方法为每周口服3次,每次150毫克左旋咪唑,实际观察时间为10至31个月:31例接受治疗的各种实体瘤转移病例中有14例仍存活。在一组25名未接受治疗的患者中,男性的平均生存时间为65天,女性为48天。对低剂量PHA反应性的增加与生存相关,而当T细胞无法对左旋咪唑的刺激活性作出反应时则会死亡。这些初步数据证实了细胞免疫在控制肿瘤形成中的至关重要性。它们表明,如果左旋咪唑的直接和间接(激素)作用能够恢复受损的细胞免疫机制,就有可能延长癌症患者的寿命,证明这些机制仍具有潜在功能。它们还建议通过评估服用左旋咪唑后T细胞反应的程度来监测抗肿瘤免疫力。

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