李则学, 张兰, 李沛雨. 免疫细胞治疗对晚期胃癌患者外周血记忆T细胞的影响[J]. 解放军医学院学报, 2015, 36(12): 1169-1171. DOI: 10.3969/j.issn.2095-5227.2015.12.002
引用本文: 李则学, 张兰, 李沛雨. 免疫细胞治疗对晚期胃癌患者外周血记忆T细胞的影响[J]. 解放军医学院学报, 2015, 36(12): 1169-1171. DOI: 10.3969/j.issn.2095-5227.2015.12.002
LI Zexue, ZHANG Lan, LI Peiyu. Effects of postoperative immunocytes therapy for memory T cell subsets in patients with advanced gastric cancer[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2015, 36(12): 1169-1171. DOI: 10.3969/j.issn.2095-5227.2015.12.002
Citation: LI Zexue, ZHANG Lan, LI Peiyu. Effects of postoperative immunocytes therapy for memory T cell subsets in patients with advanced gastric cancer[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2015, 36(12): 1169-1171. DOI: 10.3969/j.issn.2095-5227.2015.12.002

免疫细胞治疗对晚期胃癌患者外周血记忆T细胞的影响

Effects of postoperative immunocytes therapy for memory T cell subsets in patients with advanced gastric cancer

  • 摘要: 目的 初步研究免疫细胞治疗对胃癌患者免疫记忆状态的影响。 方法 2013年10月- 2015年2月在我院普通外科行胃癌根治术的253例患者按照是否经过树突细胞、细胞毒性T淋巴细胞免疫细胞治疗分组,其中免疫治疗组72例,对照组181例,运用流式细胞术检测患者外周血CD4+TCM(CD4+CD45RO+CD62L+)、CD8+TCM(CD8+CD45RO+CD62L+)、CD4+TEM(CD4+CD45RO+CD62L-)及CD8+TEM(CD8+CD45RO+CD62L-)比例,分析晚期胃癌患者免疫记忆状态,并进一步分析免疫细胞治疗对免疫记忆形成的影响。 结果 胃癌患者中,CD4+T细胞中以TCM为主,为54.52%±12.76%;而CD8+T细胞中以TEM为主,为24.49%±11.39%。相比对照组,免疫治疗组外周血中CD8+TCM比例显著降低(对照组31.59%±9.29%,免疫治疗组24.26%±7.71%,P=0.025),CD4+TCM比例显著降低(免疫治疗组47.86%±11.77%,对照组60.00%±11.05%,P=0.006),CD8+TEM显著升高(对照组20.00%±8.43%;免疫治疗组29.93%±12.40%,P=0.013)。 结论 记忆T细胞可以有效评价胃癌患者抗肿瘤特异性免疫状态,且免疫细胞治疗可以有效重建胃癌患者抗肿瘤免疫记忆。

     

    Abstract: Objective To explore the effects of immunotherapy on immunological memory in patients with advanced gastric cancer. Methods Two hundred and fifty-three patients with advanced gastric cancer who underwent radical surgery in our hospital from October 2013 to February 2015 were enrolled in this study, and they were randomly divided into immunotherapy group (n=72) and control group (n=181) according to whether they had undergone immunotherapy, including dendritic cells (DC) and cytotoxic T cell (CTL). Percentage of CD4+TCM(CD4+CD45RO+CD62L+), CD8+TCM(CD8+CD45RO+CD62L+), CD4+TEM(CD4+CD45RO+CD62L-) and CD8+TEM(CD8+CD45RO+CD62L-) in peripheral blood was evaluated to analyze immune memory characteristics of advanced gastric cancer patients, furthermore, influence of immunotherapy to immune memory was also analyzed. Results TCMaccounted for most of the CD4+T cells (54.52%±12.76%) while TEMin CD8+T cells accounted for (24.49%±11.39%). Compared with control group, percentage of CD4+TCMand CD8+TCMin patients treated with immunotherapy decreased significantly (CD4+TCM: immunotherapy, 47.86%±11.77%, control, 60.00%±11.05%, P=0.006; CD8+TCM: immunotherapy, 24.26±7.71%, control, 31.59±9.29%, P=0.025), however, CD8+TEMincreased significantly (control, 20.00±8.43%, immunotherapy, 29.93±12.40%, P=0.013). Conclusion Memory T cells can effectively evaluate the immune status of advanced gastric cancer, and immunotherapy can be effective in restoring immune depletion status of patients with advanced gastric cancer.

     

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