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  • 顾霞,王凯玲,芮庄华,等.自体NK细胞过继输注对Ⅲ-Ⅳ期NSCLC患者天然免疫与体力状态的影响[J].同济大学学报(医学版),2016,37(4):70-73, 82.    [点击复制]
  • GU Xia,WANG Kai-ling,RUI Zhuang-hua,et al.Immune function and performance score of patients with stage Ⅲ-Ⅳ non-small cell lung cancer patients before and after the adoptive transfer of autologous NK cells[J].同济大学学报(医学版),2016,37(4):70-73, 82.   [点击复制]
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自体NK细胞过继输注对Ⅲ-Ⅳ期NSCLC患者天然免疫与体力状态的影响
顾霞,王凯玲,芮庄华,龙海虎,陈国君,任涛
0
(同济大学附属东方医院呼吸内科,上海 200123;同济大学附属东方医院血管外科,上海 200123)
摘要:
目的研究自体NK细胞过继输注对晚期非小细胞肺癌(non-small cell lung cancer, NSCLC)患者天然免疫及体力状况(performance status, PS)评分的影响。方法 应用流式细胞仪检测20例晚期NSCLC患者(肺癌组)和20例健康人(健康对照组)外周血NK(CD16+CD56+)细胞的表达水平;检测晚期NSCLC患者应用自体NK细胞过继输注后外周血NK(CD16+CD56+)细胞的表达水平。根据美国东部肿瘤协作组(Eastern Cooperative Oncology Group, ECOG)体力状况评分标准,比较肺癌组患者应用自体NK细胞过继输注前后PS评分的变化情况。结果 外周血NK(CD16+CD56+)细胞的表达明显降低[(8.980±1.942)%],与健康对照组[(15.290±1.869)%]比较差异均有统计学意义(P<0.05)。肺癌组治疗前PS评分为(1.50±1.080),应用自体NK细胞过继输注后PS评分显著降低(1.00±0.816),外周血NK(CD16+CD56+)细胞的表达显著升高[(24.660±10.049)%],与治疗前比较,差异均有统计学意义(P<0.05)。结论 自体NK细胞过继免疫治疗有助于提高晚期NSCLC患者的免疫功能状态及体力状况。
关键词:  非小细胞肺癌肿瘤  自体细胞过继免疫治疗  流式细胞术  外周血  NK细胞  体力状况评分
DOI:10.16118/j.1008-0392.2016.04.014
投稿时间:2016-04-07
基金项目:上海市优秀学术带头人计划(16XD1403100);浦东新区重点学科(PWZx2014-10)
Immune function and performance score of patients with stage Ⅲ-Ⅳ non-small cell lung cancer patients before and after the adoptive transfer of autologous NK cells
GU Xia,WANG Kai-ling,RUI Zhuang-hua,LONG Hai-hu,CHEN Guo-jun,REN Tao
(Dept.of Respiratory, East Hospital, Tongji University, Shanghai 200123, China;Dept.of Vascular Surgery, East Hospital, Tongji University, Shanghai 200123, China)
Abstract:
Objective To investigate the immune function and performance score of patients with advanced non-small cell lung cancer(NSCLC) before and after adoptive transfer of autologous NK cells. Methods Twenty patients with stage Ⅲ-Ⅳ NSCLC(Lung cancer group) undergoing adaptive autologous NK cells and 20 healthy subjects(control group) were enrolled in the study. Peripheral blood NK cells(CD16+CD56+)were detected with flow cytometry, and the Eastern Cooperative Oncology Group(ECOG) performance scores(PS) were evaluated before and after the adoptive NK therapy. Results Before adaptive therapy the peripheral blood NK(CD16+CD56+)levels in NSCLC patients were significantly lower than those in controls [(8.980±1.942)% vs(15.290±1.869)%, P<0.05]. The PS was decreased from(1.50±1.080) to(1.00±0.816)(P<0.05); and the peripheral blood NK levels was increased to(24.660±10.049)%] after adoptive therapy(P<0.05). Conclusion Autologous NK cells adoptive immunotherapy may improve the immune function and performance status in patients with advanced non-small cell lung cancer.
Key words:  non-small cell lung cancer  autologous cells adoptive immunotherapy  flow cytometry  peripheral blood  NK cells  performance status score

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