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免疫增强疗法。一种未经证实的癌症治疗方法。

Immunoaugmentative therapy. An unproven cancer treatment.

作者信息

Green S

机构信息

Zol Consultants Inc, New York, NY 10019.

出版信息

JAMA. 1993 Oct 13;270(14):1719-23. doi: 10.1001/jama.270.14.1719.

DOI:10.1001/jama.270.14.1719
PMID:8411503
Abstract

While it is statistically true that clinical cancer occasionally occurs following development of immune incompetency, the fact remains that the most common forms of cancer (ie, breast, lung, and colon) are not experienced by immunosuppressed individuals. Since there is strong scientific evidence that the unprovoked, normal immune system does not recognize and destroy cancer cells that arise spontaneously, the concept of an immune surveillance system that continuously protects clinically normal humans from cancer remains an appealing but unproven hypothesis. Burton's theory of immune surveillance against cancer appears to be nothing more than a rehash of the hypotheses of many other investigators, embellished with his postulate that four specific anticancer protein factors exist and function in the normal human immune system. The IAT he invented as a treatment for cancer is based on his presumption that he has proven the existence of these factors. But neither his declarations nor those of his proponents offer any objective evidence to support such a conclusion. They have not proven that the IAT components exist or can be extracted from blood without the loss of biologic activity. The tests that are described cannot quantitatively measure the specific IAT proteins and there is no evidence that the IAT fractions possess any immunologic activity. Thus, Burton's tumor antibody has never been shown to be a tumor specific immunoglobulin that can interact with tumor antigens and activate complement. His tumor complement fraction has no complement activity (written communication, G.J. Gray, PhD, June 21, 1984), his blocking protein has not been shown to block anything, his deblocking protein has not been shown to deblock anything, and his human tumor cells have never been shown to lyse following the interaction of tumor antibody and tumor complement. Finally, since there is no information on the quality control procedures being used in the manufacture of the IAT materials, there is the possibility that they may be unsterile and, therefore, hazardous for use in humans. Patients who are considering IAT as treatment for cancer should be made aware of these facts when attempting to reach an informed decision regarding its safety and potential efficacy. While this paper was being reviewed for publication, an IAT proponent newsletter called The Cancer Chronicles published the news that Lawrence Burton died of a heart attack in March 1993. The editor of this newsletter, Ralph Moss, PhD, stated that Burton's clinic would remain open under the direction of its medical director, R. John Clement, MD, and would continue to offer IAT to cancer patients.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

虽然从统计学角度来看,免疫功能不全后偶尔会发生临床癌症,但事实是免疫抑制个体并不会患最常见的癌症形式(即乳腺癌、肺癌和结肠癌)。由于有强有力的科学证据表明,正常的免疫系统在未受刺激的情况下不会识别并摧毁自发产生的癌细胞,因此持续保护临床正常人类免受癌症侵害的免疫监视系统这一概念仍然是一个有吸引力但未经证实的假设。伯顿的癌症免疫监视理论似乎只不过是对许多其他研究者假设的重新表述,并以他所假定的在正常人类免疫系统中存在并发挥作用的四种特定抗癌蛋白因子加以润色。他发明的免疫抗癌疗法(IAT)作为一种癌症治疗方法,是基于他认为自己已经证明了这些因子存在的假定。但无论是他本人还是其支持者的声明,都没有提供任何客观证据来支持这一结论。他们没有证明IAT的成分存在,也没有证明可以从血液中提取出这些成分而不丧失生物活性。所描述的检测方法无法定量测量特定的IAT蛋白,也没有证据表明IAT组分具有任何免疫活性。因此,伯顿的肿瘤抗体从未被证明是一种能够与肿瘤抗原相互作用并激活补体的肿瘤特异性免疫球蛋白。他的肿瘤补体组分没有补体活性(书面通信,G.J.格雷博士,1984年6月21日),他的封闭蛋白从未被证明能封闭任何东西,他的解封蛋白也从未被证明能解封任何东西,而且在肿瘤抗体与肿瘤补体相互作用后,他的人类肿瘤细胞从未被证明会溶解。最后,由于没有关于IAT材料生产过程中所采用质量控制程序的信息,所以这些材料有可能未经过消毒,因而对人类使用具有危险性。在试图就是否安全及可能的疗效做出明智决定时,考虑将IAT作为癌症治疗方法的患者应该了解这些事实。在本文审核准备发表期间,一份名为《癌症编年史》的IAT支持者时事通讯发布了劳伦斯·伯顿于1993年3月死于心脏病发作的消息。该时事通讯的编辑拉尔夫·莫斯博士称,伯顿的诊所将在其医学主任R.约翰·克莱门特医生的指导下继续营业,并将继续为癌症患者提供IAT。(摘要截选至400字)

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