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恶性淋巴瘤自发消退患者的自然杀伤活性

Natural killing activity in patients with spontaneous regression of malignant lymphoma.

作者信息

Ono K, Kikuchi M, Funai N, Matsuzaki M, Shimamoto Y

机构信息

Department of Internal Medicine, Saga Medical School, Japan.

出版信息

J Clin Immunol. 1996 Nov;16(6):334-9. doi: 10.1007/BF01541669.

Abstract

Previously, we proposed a new analysis of natural killing activity, for comparison, employing an "individual effector/target cell ratio" according to the number of effector cells in blood. The activity could be measured in four patients with spontaneous regression of malignant lymphoma. Despite the absence of episodes suggesting viral infections, patients with spontaneous regression had significantly higher activities prior to their regressions than either controls or patients without regression. In one patient who had a spontaneous regression accompanied by a high level of natural killing activity, subsequent exacerbation of the disease with a reduced activity was never followed by a regression and became life-threatening. In another patient, a spontaneous regression was accelerated after greater augmentation of natural killing activity was induced by a superimposed viral infection. These facts suggest that highly elevated natural killing activity may be one of the possible mechanisms responsible for spontaneous regression of malignant lymphoma.

摘要

此前,我们提出了一种新的自然杀伤活性分析方法,为作比较,根据血液中效应细胞的数量采用“个体效应细胞/靶细胞比率”。在4例恶性淋巴瘤自发消退的患者中可检测到这种活性。尽管没有提示病毒感染的发作情况,但自发消退的患者在消退前的活性明显高于对照组或未消退的患者。在1例伴有高水平自然杀伤活性的自发消退患者中,随后疾病加重且活性降低,此后再也没有出现消退情况,病情危及生命。在另1例患者中,叠加病毒感染诱导自然杀伤活性进一步增强后,自发消退加速。这些事实表明,高度升高的自然杀伤活性可能是恶性淋巴瘤自发消退的可能机制之一。

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