[1]王立静,苗同国,宁更献,等.肝动脉化疗栓塞术对原发性肝癌患者T淋巴细胞亚群的影响 [J].介入放射学杂志,2015,(02):165-168.
 WANG Li jing,MIAO Tong guo,NING Geng xian,et al.The influence of TACE on T lymphocyte subsets in patients with primary liver cancer[J].journal interventional radiology,2015,(02):165-168.
点击复制

肝动脉化疗栓塞术对原发性肝癌患者T淋巴细胞亚群的影响 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年02期
页码:
165-168
栏目:
临床研究
出版日期:
2015-02-25

文章信息/Info

Title:
The influence of TACE on T lymphocyte subsets in patients with primary liver cancer
作者:
王立静 苗同国 宁更献 张建集 蔡丽芬
Author(s):
WANG Li jing MIAO Tong guo NING Geng xian ZHANG Jian ji CAI Li fen.
Intensive Care Unit, Fifth Hospital of Shijiazhuang, Shijiazhuang, Hebei Province 050000, China
关键词:
【关键词】  原发性肝癌 肝动脉化疗栓塞术 T细胞亚群 细胞免疫功能
文献标志码:
A
摘要:
【摘要】  目的  探讨肝动脉化疗栓塞术(TACE)前后原发性肝癌(PHC)患者T 细胞亚群的变化。方法  采用流式细胞术(FCM)检测PHC患者TACE术前1 d与术后1、2、3和4周外周血CD3、CD4、CD8 T细胞及CD4/CD8、CD4CD25/CD4的比值变化。结果  PHC患者术前外周血T细胞亚群CD3、CD4、CD4/CD8比值显著低于健康对照组,CD8则明显高于健康对照组(P < 0.05);治疗1周后外周血T细胞亚群指标较治疗前明显下降(P < 0.05),而4周后外周血T细胞亚群CD3、CD4、CD8及 CD4/CD8比值较治疗前显著增高(P < 0.05)。PLC患者外周血中CD4CD25/CD4 T细胞的比例显著高于健康对照组,与术前比较,术后1、2周外周血CD4CD25/CD4 T细胞的比例明显升高,术后4周外周血CD4CD25/CD4 T细胞的比例显著下降。结论  TACE可以改善PHC患者的免疫状况。

参考文献/References:

[1] Mizukoshi E, Nakamoto Y, Arai K, et al. Comparative analysis of various tumor associated antigen specific t cell responses in patients with hepatocellular carcinoma[J]. Hepatology, 2011, 53: 1206 1216.
[2] Fu JL, Xu DP, Liu ZW, et al. Increased regulatory T cells correlate with CD8 T cell impairment and poor survival in hepatocellular carcinoma patients[J]. Gastroenterology, 2007, 132: 2328 2339.
[3] O’Beirne JP, Harrison PM. The role of the immune system in the control of hepatocellular carcinoma[J]. Eur J Gastroenterol Hepatol. 2004, 16: 1257 1260.
[4] 王志利, 张跃伟, 徐丹凤. 射频消融治疗肝癌后机体免疫功能变化的研究进展[J]. 当代医学, 2012, 18: 24 25.
[5] Cho Y, Miyamoto M, Kato K, et al. CD4+ and CD8+ T cells cooperate to improve prognosis of patients with esophageal squamous cell carcinoma[J]. Cancer Res, 2003, 63: 1555 1559.
[6] Chen X, Du Y, Huang ZM. CD4+ CD25+ Treg derived from hepatocellular carcinoma mice inhibits tumor immunity[J]. Immunol Lett, 2012, 148: 83 89.
[7] Almeida AR, Ciernik IF, Sallusto F, et al. CD4+ CD25+ Treg regulate the contribution of CD8+ T cell subsets in repopulation of the lymphopenic environment[J]. Eur J Immunol, 2010, 40: 3478 3488.
[8] Mcnally A, Hill GR, Sparwasser T, et al. CD4+ CD25+ regulatory T cells control CD8+ T cell effector differentiation by modulating IL 2 homeostasis[J]. Proc Natl Acad Sci USA, 2011, 108: 7529 7534.
[9] 陈 中, 倪家连, 刘鲁岳, 等. 肝癌微环境中CD4+CD25+调节性T细胞与T细胞免疫的关系[J]. 临床肝胆病杂志, 2008: 38 40.
[10] Zhao F, Korangy F, Greten TF. Cellular immune suppressor mechanisms in patients with hepatocellular carcinoma[J]. Dig Dis, 2012, 30: 477 482.

相似文献/References:

[1]叶更新,曾文,杜德坤,等.肝动脉栓塞与经皮碘油标记酒精注射联合治疗晚期肝癌[J].介入放射学杂志,1996,(01):42.
[2]施长杲,吕维富,鲁 东,等.肝动脉化疗栓塞术后并发肝脓肿5例治疗分析[J].介入放射学杂志,2011,(04):273.
 SHI Chang-gao,LV Wei-fu,LU Dong,et al.The treatment of liver abscess occurred after transcatheter arterial chemoembolization report of five cases[J].journal interventional radiology,2011,(02):273.
[3]刘纪营,马 南,管 生,等. 预防性应用抗生素的不同方法对介入治疗并发肝脓肿的影响[J].介入放射学杂志,2013,(06):474.
 LIU Ji? ying,MA Nan,GUAN Sheng,et al. The influence of different using methods of antibiotic prophylaxis on the occurrence of liver abscess after transcatheter hepatic arterial chemoembolization[J].journal interventional radiology,2013,(02):474.
[4]宿敬存,赵 卫,胡继红,等.TACE联合RFA及自体细胞因子诱导的杀伤细胞肝动脉灌注治疗原发性肝癌的临床研究[J].介入放射学杂志,2017,(01):24.
 SU Jing- cun,ZHAO Wei,HU Ji- hong,et al.TACE combined with RFA and hepatic artery infusion of autologous cytokine- induced killer cells for the treatment of hepatocellular carcinoma: a clinical study [J].journal interventional radiology,2017,(02):24.
[5]杨晓红,赵广生,袁 琳,等.明胶海绵微粒联合TACE治疗原发性肝癌的护理[J].介入放射学杂志,2013,(02):163.
 YANG Xiao? hong,ZHAO Guang? sheng,YUAN Lin,et al.The nursing care for patients of primary hepatocellular carcinoma receiving TACE together with gelatin sponge particles[J].journal interventional radiology,2013,(02):163.
[6]冯 超,赵剑波,陈 勇,等.原发性肝癌切除术后预防性经肝动脉介入治疗:肝动脉化疗栓塞术和化疗灌注术比较[J].介入放射学杂志,2014,(08):679.
 FENG Chao,ZHAO Jian bo,CHEN Yong,et al.The preventive transhepatic interventional therapy for primary liver cancer after surgical resection: comparison study between TACE and TAI[J].journal interventional radiology,2014,(02):679.
[7]刘纪营,金 洁,管 生,等.肝功能状态对晚期肝癌介入治疗生存期的影响[J].介入放射学杂志,2013,(03):247.
 LIU Ji? ying,JIN Jie,GUAN Sheng,et al.The effect of hepatic function status on the survival time in patients with advanced hepatocellular carcinoma after transcatheter arterial chemoembolization[J].journal interventional radiology,2013,(02):247.
[8]徐国斌,易广新,熊斌,等.原发性肝癌术后早期肝内复发转移36例的介入治疗[J].介入放射学杂志,2013,(04):325.
 XU Guo? bin,YI Guang? xin,XIONG Bin,et al.Interventional treatment of early intrahepatic recurrence or metastasis of primary liver carcinoma after surgical resection: initial experience of 36 cases[J].journal interventional radiology,2013,(02):325.
[9]孟庆雯,李勇,胡宝山,等.经肝动脉化疗栓塞与射频消融和无水乙醇注入对大肝癌的疗效评价及预后分析[J].介入放射学杂志,2013,(08):646.
 MENG Qing? wen,LI Yong,HU Bao? shan,et al.ranscatheter arterial chemoembolization combined with radiofrequency ablation and percutaneous ethanol injection for large hepatocellular carcinoma: therapeutic evaluation and prognosis analysis[J].journal interventional radiology,2013,(02):646.
[10]臧 爽,徐 阳,梁松年.原发性肝癌患者经肝动脉化疗栓塞术后住院天数影响因素的多元线性回归分析[J].介入放射学杂志,2015,(01):80.
 ZANG Shuang,XU Yang,LIANG Song nian..Multiple linear regression analysis of factors related to the hospitalization days in HCC patients after transcatheter hepatic arterial chemoembolization[J].journal interventional radiology,2015,(02):80.

备注/Memo

备注/Memo:
(收稿日期:2014-08-12)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-02-16