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本文应用McAb-A-E花环试验对32例胃癌及直/结肠癌患者LAK细胞/rIL-2治疗前后外周血T淋巴细胞及其亚群进行检测。结果显示,胃癌患者治疗前与正常对照相比,CD_3+、CD_4+、CD_8+细胞和CD_4+/CD_8+比值均显著降低(P<0.01);直/结肠癌患者CD_3+、CD_4+细胞明显降低(P<0.01),CD_8+细胞和CD_4+/CD_8+比值降低(P<0.05);治疗后与治疗前相比,胃癌和直/结肠癌患者CD_3+、CD_4+细胞显著增高(P<0.01),胃癌患者的CD算细胞和CD_4/CD_8+比值显著增高(P<0.01)。结果表明,在用LAK细胞/rIL-2治疗过程中,观察T淋巴细胞亚群变化,特别是对CD_4+/CD_8+比值的分析,可客观地反映患者的免疫功能状况,对指导免疫治疗及估计预后有一定临床价值。
In this study, the McAb-A-E rosette test was used to detect peripheral blood T-lymphocytes and their subpopulations before and after LAK cell/rIL-2 treatment in 32 patients with gastric cancer and colorectal cancer. The results showed that the ratios of CD3+, CD4+, CD8+, and CD4+/CD8+ were significantly lower in gastric cancer patients before treatment compared with normal controls (P<0.01); CD3+ and CD4+ cells in patients with gastric cancer were significantly lower (P<0.01). ), CD_8+ cells and CD_4+/CD_8+ ratio decreased (P<0.05); after treatment, compared with before treatment, CD3+ and CD4+ cells were significantly higher in gastric cancer and colorectal cancer patients (P<0.01). The ratio of cells and CD_4/CD_8+ was significantly higher (P<0.01). The results showed that the changes of T-lymphocyte subsets, especially the analysis of the ratio of CD4+/CD8+, can objectively reflect the patient’s immune function status during the treatment with LAK cells/rIL-2, and guide the immunotherapy and estimate the prognosis. Has a certain clinical value.