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胸腺刺激素对接受手术治疗的肿瘤患者免疫反应的影响。

Thymostimulin effect on the immune response in neoplastic patients submitted to surgical treatment.

作者信息

Cangemi V, Volpino P, D'Andrea N, Gentili S, Fabrizi S, Ippoliti F, Piat G

机构信息

1st Department of Surgery, University La Sapienza of Rome, Italy.

出版信息

Panminerva Med. 1993 Dec;35(4):218-23.

PMID:8202335
Abstract

We selected the data from performance status, disease state, skin tests, circulating lymphocytes and relative subsets, serum immunoglobulin classes to evaluate the immune response in 29 neoplastic patients treated with surgery and undergoing Thymostimulin administration during long term follow-up. Moderate drug intolerance was observed in 3 patients. After treatment lymphocyte count increase (41% mean increase) in 61.5% of cases; CD3, CD4, CD8, CD16 respectively 95-74-87-82% of cases; immunoglobulin classes in about 90% of cases. A clear-cut improvement of Karnofsky's index was observed in 34.6% of cases, worsening in 11.5%. A manifest improvement in the delayed hypersensitivity skin test resulted in 36% of cases. Most patients (85%) have shown signs of complete disease remission. Disease progression was observed only in 3 patients. There were no infections during this study.

摘要

我们选取了29例接受手术治疗并在长期随访期间接受胸腺刺激素治疗的肿瘤患者的体能状态、疾病状态、皮肤试验、循环淋巴细胞及其相关亚群、血清免疫球蛋白类别等数据,以评估免疫反应。3例患者出现中度药物不耐受。治疗后,61.5%的病例淋巴细胞计数增加(平均增加41%);CD3、CD4、CD8、CD16分别在95% - 74% - 87% - 82%的病例中增加;免疫球蛋白类别在约90%的病例中增加。34.6%的病例卡氏指数明显改善,11.5%的病例恶化。36%的病例迟发型超敏皮肤试验有明显改善。大多数患者(85%)显示出疾病完全缓解的迹象。仅3例患者观察到疾病进展。本研究期间无感染发生。

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