脐血单个核细胞诱导分化的免疫细胞对小细胞肺癌患者免疫功能的影响

被引:3
作者
赵瑞东
邱英
云霏雨
周二霞
韩霞
刘秉春
云升
机构
[1] 内蒙古医科大学附属医院干细胞研究中心
关键词
脐血; 诱导分化; 免疫细胞; 小细胞肺癌;
D O I
暂无
中图分类号
R734.2 [肺肿瘤];
学科分类号
100117 [系统生物医学];
摘要
目的:评价脐带血来源单个核细胞(umbilical cord blood mononuclear cell,UCMC)诱导分化的免疫细胞对小细胞肺癌(small cell lung cancer,SCLC)患者免疫功能的影响。方法:选取2012年1月至2015年12月就诊于内蒙古医科大学附属医院的90例SCLC患者,采用分层随机方法分为对照组(45例,EP方案)和研究组(45例,EP方案+UCMC诱导分化的免疫细胞),研究组患者在化疗结束后3~5 d进行一个疗程的UCMC诱导分化的免疫细胞治疗[(1~3)×1010个细胞/疗程],每30 d为一个周期。治疗前及治疗结束后12周,采用流式细胞术检测患者外周血中T细胞亚群的变化及相关因子IFN-γ、IL-2、IL-10、TGF-β1的变化,评价患者生活质量和不良反应等。结果:研究组获得CR 15例、PR 25例、SD 5例,研究组T细胞亚群含量较对照组有明显增加(P<0.01)、并且恢复正常范围的时间明显短于对照组(P<0.05);80.9%的患者炎性细胞因子IFN-γ在血清中升至或高于正常范围,IL-10、TGF-β1较治疗前降低(P<0.05);患者生活质量较对照组有显著提高。结论:UCMC诱导分化的免疫细胞可以促进SCLC患者化疗后免疫功能的恢复。
引用
收藏
页码:810 / 816
页数:7
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