Mantovani G, Macciò A, Contini L, Esu S, Littera S, Lai P, Proto E, Balestrieri A, Del Giacco G S
Cattedra di Oncologia Medica, Università, Cagliari.
Recenti Prog Med. 1993 Jun;84(6):415-22.
The aim of the investigation was to directly study the IL 2 receptor (IL 2 R) and its subunits, p55 and p75 chains, either membrane-bound or soluble, on peripheral blood mononuclear cells (PBMC) of patients with solid malignancies and, indirectly, the same patients' PBMC ability to produce IL 2. Fifty-eight cancer patients, 29 men and 29 women, were studied: their mean age was 57.3 years, range 35-79. Twenty-two healthy age-sex-matched subjects served as controls. The tumors were the most common and the most representative among human cancers, i.e. breast, lung, head and neck, digestive tract and liver, prostate and gynecologic cancers: they were generally in advanced stages and in 23 cases metastatic. The PBMC proliferative response to PHA, PHA plus IL 2 and IL 2 was evaluated along with the response to PHA in presence of anti-p55, anti-p75 monoclonal antibodies, or both. Moreover, membrane-bound IL 2 R, p55 and p75 chains, on PHA-stimulated PBMC were detected, along with soluble IL 2 R in the serum and in the culture supernatants. The conclusions suggest that in solid malignancies: the membrane-bound IL 2 R s, both p55 and p75 chains, are expressed normally, there is an high serum level of soluble IL 2 R, there is a normal release of soluble IL 2 R in culture, and there is an indirect evidence of a lack of IL 2 production. Therefore, no primary impairment of IL 2 R was found in solid tumors.(ABSTRACT TRUNCATED AT 250 WORDS)
该研究的目的是直接研究实体恶性肿瘤患者外周血单个核细胞(PBMC)上的白细胞介素2受体(IL-2R)及其亚基p55和p75链,包括膜结合型或可溶性形式,同时间接研究这些患者PBMC产生IL-2的能力。研究了58例癌症患者,其中男性29例,女性29例,平均年龄57.3岁,年龄范围35至79岁。22名年龄和性别匹配的健康受试者作为对照。这些肿瘤是人类癌症中最常见且最具代表性的,即乳腺癌、肺癌、头颈癌、消化道癌、肝癌、前列腺癌和妇科癌症,通常处于晚期,23例发生转移。评估了PBMC对PHA、PHA加IL-2和IL-2的增殖反应,以及在存在抗p55、抗p75单克隆抗体或两者的情况下对PHA的反应。此外,检测了PHA刺激的PBMC上的膜结合型IL-2R、p55和p75链,以及血清和培养上清液中的可溶性IL-2R。结论表明,在实体恶性肿瘤中:膜结合型IL-2R的p55和p75链均正常表达,血清中可溶性IL-2R水平较高,培养中可溶性IL-2R正常释放,且有间接证据表明缺乏IL-2产生。因此,在实体肿瘤中未发现IL-2R的原发性损伤。(摘要截断于250字)