刘莉, 姚军霞, 丁乾, 黄士昂. 非小细胞肺癌外周血CD4+CD25high调节T细胞分析[J]. 中国肿瘤临床, 2006, 33(10): 552-554,558.
引用本文: 刘莉, 姚军霞, 丁乾, 黄士昂. 非小细胞肺癌外周血CD4+CD25high调节T细胞分析[J]. 中国肿瘤临床, 2006, 33(10): 552-554,558.
Liu Li, Yao Junxia, Ding Qian, Huang Shiang. The Analysis of CD4+CD25high Regulatory Cells in Peripheral Blood of NSCLC Patients[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(10): 552-554,558.
Citation: Liu Li, Yao Junxia, Ding Qian, Huang Shiang. The Analysis of CD4+CD25high Regulatory Cells in Peripheral Blood of NSCLC Patients[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(10): 552-554,558.

非小细胞肺癌外周血CD4+CD25high调节T细胞分析

The Analysis of CD4+CD25high Regulatory Cells in Peripheral Blood of NSCLC Patients

  • 摘要: 目的 :分析非小细胞肺癌(NSCLC)患者外周血CD4+CD25high调节T细胞(Tr)比例及变化规律,初步探讨其临床意义。 方法 :采用流式细胞仪检测61例非小细胞肺癌患者和15例正常健康者(对照组)外周血中CD3+、CD4+、CD8+及CD4+CD25highTr细胞比例,并进行分层分析。 结果 :NSCLC患者CD4+CD25highTr细胞比例明显高于正常对照组,分别为(4.36±2.07)%、(2.04±1.03)%,(P<0.01)。而且,随疾病进展外周血CD4+CD25highTr细胞比例逐渐升高,分别为Ⅰ+Ⅱ期(2.26±0.6)%;Ⅲ期(3.28±1.38)%,(P<0.05);Ⅳ期(6.06±4.08)%,(P<0.05)。Kaplan-Meier生存分析表明,外周血CD4+CD25highTr细胞比例较高者预后较差(P=0.0026)。 结论 :NSCLC患者外周血CD4+CD25highTr细胞比例升高,提示与肺癌免疫逃逸有关。去除这群细胞可有效诱导肿瘤免疫,为NSCLC治疗提供一种新的方法。

     

    Abstract: Objective :To study the frequency of the CD4+CD25high regulatory T cells (Tr) in thepatients with non-small cell lung cancer(NSCLC) and its potencial clinical significance. Methods :Thepercentage of the CD4+CD25high Tr cells in the peripheral blood from 61 patients with NSCLC and 15healthy controls was detected by flow cytometry. Results :CD4+CD25high Tr cells from patients with NSCLC were significantly increased compared with those from the controls, and they was (4.36±2.07)%and (2.04±1.03)% respectively (P<0.01). Furthermore, it was related to the progression of NSCLC:stagesⅠ+Ⅱ,(2.26±0.60)%, stage Ⅲ, (3.28±1.38)% (P<0.05) and stage Ⅳ, (6.06±4.08)% (P<0.05) . Theprognosis of the patients who had higher proportion of CD4+CD25high Tr cells was worse. Conclusion :There is an increase of the proportion of CD4+CD25high Tr cells in peripheral blood of the patients withNSCLC, which probably may be related to immuno-tolerance with NSCLC,suggesting depletion of theCD4+CD25high regulatory Tr cells may be an effective strategy for NSCLC patients.

     

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