Klein E, Rosner D, Holtermann O A, Stoll H L, Song S Y
Natl Cancer Inst Monogr. 1976 Nov;44:87-97.
Cell-mediated immune challenge reactions to a number of antigens at tumor sites resulted in regressions of various types of benign, premalignant, and malignant lesions in man. Regressions varied from partial to complete and lasted from several months to more than 10 years. Increased levels of cell-mediated immunocompetence were attained by several means, including reduction of tumor burden, immunopotentiation, or transfer of immunity. Antitumor activities of immune challenge reactions are selective for tumor cells and appear to be independent of the nature of the antigens used or the type of neoplasm. Combinations of immunotherapy with other treatment modalities resulted in augmentation of antitumor effects. Preliminary studies indicate that cellular and noncellular mediators of delayed hypersensitivity induce antitumor activities that may be significant in the regressions of neoplasms induced by cell-mediated immune challenge reactions. Since cell-mediated immune reactions are frequent occurrences, they may be a factor in apparently spontaneous regressions of neoplasms.
在肿瘤部位对多种抗原产生的细胞介导免疫激发反应,导致人体各种类型的良性、癌前和恶性病变出现消退。消退情况从部分消退到完全消退不等,持续时间从数月到超过10年。通过多种方式提高了细胞介导的免疫能力,包括减轻肿瘤负荷、免疫增强或免疫转移。免疫激发反应的抗肿瘤活性对肿瘤细胞具有选择性,并且似乎与所用抗原的性质或肿瘤类型无关。免疫疗法与其他治疗方式的联合使用增强了抗肿瘤效果。初步研究表明,迟发型超敏反应的细胞和非细胞介质诱导的抗肿瘤活性,在细胞介导免疫激发反应诱导的肿瘤消退中可能具有重要意义。由于细胞介导的免疫反应经常发生,它们可能是肿瘤明显自发消退的一个因素。