Abstract:
Objective: To investigate the effect of chemotherapy on Treg (CD
4+CD
25+ regulatory T cell) in the peripheral blood of patients with breast cancer who received radical mastectomy or modified radical mastectomy.
Methods: A total of 52 samples of the peripheral blood of post-operated patients with breast cancer were collected on the 1st day before chemotherapy and the 10th day after chemotherapy. The proportion of Treg and CD
3+, CD
4+, and CD
8+ T cells in the to-tal amount of T cells was evaluated by flow cytometry. The cytokine such as IL-4, IL-10, TGF-β 1 and IFN-γwere mea-sured by ELLSA.
Results: The proportion of Treg in the peripheral blood was smaller before chemotherapy than after chemotherapy (
P<0.05). The changes in Treg was not correlated with lymph node status, the number of positive lymph nodes and menopause status(
P>0.05). No statistical significance was found in the percentage of CD
3+ and CD
4+ T cells in the peripheral blood between the samples of pre-and post-chemotherapy (
P>0.05). The proportion of CD
8+ T cells in Tlymphocytes increased from (24.876± 6.631)% before chemotherapy to (28.129± 10.900)% after chemotherapy(
P<0.05), but CD
4+/CD
8+ decreased from (1.680± 0.704)% to (1.506± 0.691)%(
P<0.05). The levels of IL-4, IL-10 and TGF-β 1 after chemotherapy were lower than those before chemotherapy (
P<0.05), but the level of IFN-γwas higher after chemotherapy (
P<0.05). However, the changes in Treg were not correlated with the changes in the level of cytokines such as IL-4, IL-10, TGF-β 1 and IFN-γ.
Conclusion: Chemotherapy may inhibit tumor through reducing Treg in the peripheral blood of patients with breast cancer.