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手术和地塞米松对脑膜瘤患者细胞介导免疫反应的影响。

Influence of surgery and dexamethasone on cell-mediated immune responses in patients with meningiomas.

作者信息

Pees H W

出版信息

Br J Cancer. 1977 May;35(5):537-45. doi: 10.1038/bjc.1977.87.

DOI:10.1038/bjc.1977.87
PMID:861144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2025494/
Abstract

Cell-mediated cytotoxicity (CTX) was studied in meningioma patients before and within 2 weeks of complete excision of the tumour, using the [3H]-prolin- microcytotoxicity test. Three of 7 patients tested before surgery showed specific CTX, 2 revealed a "non-specific" (tumour-unrelated) response, and 2 were non-reactive. After surgery, CTX decreased from 84 to 50% in one patient and became negative in 2 others previously positive. One of 2 patients showing "non-specific" CTX preoperatively became positive, while the other remained unchanged. All patients were receiving dexamethasone (DXM) at the time they were tested. Lymphocyte responses to PHA were not significantly different before or after surgery (i.e. after prolonged treatment with DXM), from healthy controls. Blocking activity could be detected in the sera of all 3 patients before surgery. This activity was not specific for meningiomas. Paradoxically, the same sera did not inhibit the proliferative response to PHA. Serum from only one patient consistently suppressed the blastogenic response of homologous lymphocytes to PHA. Inhibitory activity was associated with the IgG fraction of his serum.

摘要

采用[3H]-脯氨酸-微量细胞毒性试验,对脑膜瘤患者在肿瘤完全切除术前及术后2周内的细胞介导细胞毒性(CTX)进行了研究。7例术前检测的患者中,3例显示出特异性CTX,2例表现出“非特异性”(与肿瘤无关)反应,2例无反应。术后,1例患者的CTX从84%降至50%,另外2例术前阳性的患者术后变为阴性。术前显示“非特异性”CTX的2例患者中,1例变为阳性,另1例保持不变。所有患者在检测时均接受地塞米松(DXM)治疗。术前和术后(即经过长时间DXM治疗后),淋巴细胞对PHA的反应与健康对照相比无显著差异。术前所有3例患者的血清中均可检测到阻断活性。这种活性并非脑膜瘤所特有。矛盾的是,相同的血清并不抑制对PHA的增殖反应。仅1例患者的血清持续抑制同源淋巴细胞对PHA的增殖反应。抑制活性与其血清的IgG组分相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e5/2025494/e9ba0a4cd016/brjcancer00302-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e5/2025494/e9ba0a4cd016/brjcancer00302-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e5/2025494/e9ba0a4cd016/brjcancer00302-0026-a.jpg

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引用本文的文献

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Cytotoxic immune response of meningioma patients towards allogeneic and autologous tumour cells before and after surgery.脑膜瘤患者术前和术后对同种异体和自体肿瘤细胞的细胞毒性免疫反应。
Acta Neurochir (Wien). 1979;50(3-4):217-27. doi: 10.1007/BF01808518.

本文引用的文献

1
Human lymphocyte subpopulations. Effect of corticosteroids.人类淋巴细胞亚群。皮质类固醇的作用。
J Clin Invest. 1974 Feb;53(2):565-71. doi: 10.1172/JCI107591.
2
The effect of in vivo hydrocortisone on subpopulations of human lymphocytes.体内氢化可的松对人淋巴细胞亚群的影响。
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Specific lymphocytotoxicity and blocking factors in tumours of the central nervous system.中枢神经系统肿瘤中的特异性淋巴细胞毒性和阻断因子。
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Prelabeling target cells with 3 H-proline as a method for studying lymphocyte cytotoxicity.用³H-脯氨酸对靶细胞进行预标记作为研究淋巴细胞细胞毒性的一种方法。
Natl Cancer Inst Monogr. 1973 Jun;37:41-8.
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Cellular interactions in the proliferative response of human T and B lymphocytes to phytomitogens and allogeneic lymphocytes.人类T淋巴细胞和B淋巴细胞对植物有丝分裂原及同种异体淋巴细胞增殖反应中的细胞间相互作用
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Thymus-derived lymphocytes sequestered in the bone marrow of hydrocortisone-treated mice.在接受氢化可的松治疗的小鼠骨髓中隔离的胸腺来源淋巴细胞。
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'Nonspecific' blocking of human ovarian carcinoma-associated cellular cytotoxicity in vitro.体外对人卵巢癌相关细胞细胞毒性的“非特异性”阻断
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Cell-mediated immunity and blocking factors in patients with tumours of the central nervous system.
Int J Cancer. 1973 Jul 15;12(1):194-205. doi: 10.1002/ijc.2910120120.
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Cell-bound antiglial immunity in patients with malignant tumors of the brain.脑恶性肿瘤患者的细胞结合抗神经胶质细胞免疫
Cell Immunol. 1973 Feb;6(2):161-70. doi: 10.1016/0008-8749(73)90019-1.