摘要
作者从16例肺癌患者手术切除的实体瘤及外周血中获得肿瘤浸润淋巴细胞(TIL)和LAK细胞,并对其体外抗肿瘤作用及其特异性应用 ̄3H-TdR释放试验进行了测定。其中7例肺癌患者接受了TIL回输过继免疫治疗,并于手术前及TIL回输疗程结束时分别检测患者外周血T淋巴细胞亚群、NK细胞活性、可溶性白细胞介素-2受体及肝功、肾功、血象等。结果表明:在培养初期(3~5天),TIL对自身肿瘤细胞的杀伤活性为25.4±8.2,明显低于LAK细胞的杀伤活性42.8±13.5(P<0.01);在培养至20~25天时,TIL的杀伤活性为53.4±11.2,明显高于LAK细胞的杀伤活性33.6±12.7(P<0.01)。经TIL回输的大部分患者一般状态明显改善,免疫功能增强。除有轻度发热及1例血压下降外,无其它明显副作用。病人的远期疗效正在随访观察中。
Abstract In 16 patients with lung
cancer tumor infiltrating iymphocytes(TIL)and peripheral
bloodlymphocytes(PBL)and their antitumor activities after IL-2
activation and were tested by ̄3H-TdR releasing assay.The results
showed that the cytolytic activitly of TIL againstautologous tumor
cells was lower than of IL-2 activated PBL(LAK cells)at the
earlyincubation period but become markedly higher than that of LAK
cells when the incubation last-ed for 20 to 25 days.The subjectively
most patients received systemic TIL treatment felt betterand their
immune functions were improved.Transiant Low-grade fever occurred in
4 cases anddrop of arterial blood pressure in 1. No potentially fatal
toxic effect was observed.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
1995年第2期152-155,共4页
Chinese Journal of Oncology
基金
吉林省科委科技基金