Matsuoka H, Seo Y, Wakasugi H, Saito T, Tomoda H
Clinical Research Institute, National Kyushu Cancer Center, Fukuoka, Japan.
Anticancer Res. 1997 Jul-Aug;17(4A):2751-5.
For the selection of patients responding well to lentinan, we performed two immunological analysis of patients. Flow cytometric analysis was obtained from peripheral blood lymphocytes; the patients who had greater than 2.5 ratio of [CD11(-) CD8(+)/CD11(+) CD8(+) after treatment]/[CD11(-) CD8(+)/CD11(+) CD8(+) before treatment] at 10 days after lentinan administration showed prolonged survival. The analysis of the- levels of soluble factors such as IL-6, sIL-6R, TNF-alpha, G-CSF, sICAM-1, IAP, and PGE2 and the decreasing levels of G-CSF, IL-6, and PGE2 after lentinan administration had a statistically significant correlation with the ratio of [CD4(+) CD29(+)/CD4(+) CD29(-) after treatment]/[(CD4(+) CD29(+)/CD4(+)CD29(-) before treatment]. The decrease in IL-6, G-CSF, and PGE2 levels after lentinan administration indicated an increase in immunine potential. From these results, we belive that patients with over 2.5-fold increase in [CD11(-) CD8(+)/CD11(+) CD8(+) after treatment]/[CD11(-) CD8(+)/CD11(+) CD8(+) before treatment] and showing a decrease in IL-6, G-CSF, and PGE2 levels after lentinan administration should continue treatment with lentinan for a long period.
为了筛选对香菇多糖反应良好的患者,我们对患者进行了两项免疫学分析。流式细胞术分析取自外周血淋巴细胞;香菇多糖给药后10天,[治疗后CD11(-) CD8(+)/CD11(+) CD8(+)]/[治疗前CD11(-) CD8(+)/CD11(+) CD8(+)]比值大于2.5的患者生存期延长。对白细胞介素-6、可溶性白细胞介素-6受体、肿瘤坏死因子-α、粒细胞集落刺激因子、可溶性细胞间黏附分子-1、凋亡抑制蛋白和前列腺素E2等可溶性因子水平的分析,以及香菇多糖给药后粒细胞集落刺激因子、白细胞介素-6和前列腺素E2水平的降低与[治疗后CD4(+) CD29(+)/CD4(+) CD29(-)]/[治疗前(CD4(+) CD29(+)/CD4(+)CD29(-)]的比值具有统计学显著相关性。香菇多糖给药后白细胞介素-6、粒细胞集落刺激因子和前列腺素E2水平的降低表明免疫潜能增加。根据这些结果,我们认为[治疗后CD11(-) CD8(+)/CD11(+) CD8(+)]/[治疗前CD11(-) CD8(+)/CD11(+) CD8(+)]增加超过2.5倍且香菇多糖给药后白细胞介素-6、粒细胞集落刺激因子和前列腺素E2水平降低的患者应长期持续使用香菇多糖治疗。