提示白细胞透析液提取物在临床中的应用

Дмитрий Валерьевич Мальцев
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摘要

在医学上使用因子转移的经验已有60多年,从1955年F. Lawrence提出使用透析的白细胞血液提取物将抗肿瘤免疫从免疫体转移到非免疫体开始。白细胞透析液免疫提取物的制备是现代传递因子科学的重要组成部分。它是天然来源的高活性多组分免疫生物学制剂,含有200多种低分子量肽,是人体免疫系统的组成部分,主要是CD8+细胞毒性t淋巴细胞合成活性的产物。这种生物制剂具有免疫替代、免疫和免疫调节的生物学特性,它们是相互不可分割地实现的,具有已知的抗感染、促/抗炎、耐受性、免疫激活和抗肿瘤的治疗作用。以白细胞透析液的免疫提取物为基础的药物被列入治疗原发性免疫缺陷-遗传性皮肤和粘液念珠菌病的现代国际协议。此外,目前在免疫学、感染学、过敏症学、风湿病学和肿瘤学中,至少有30多种不同程度的证据表明此类转移因子的临床应用。该药的主要免疫调节作用是通过刺激细胞因子白介素-2和γ -干扰素的产生而增加t辅助型1的功能,从而增强细胞免疫反应。这种免疫调节作用可以通过转移因子在某些细胞和原发性和继发性免疫缺陷、细胞内微生物引起的慢性感染和各种恶性肿瘤中的作用来解释。t辅助细胞2型功能活性的相互降低导致特应性过敏反应和某些类型的自身免疫的衰减,这解释了在过敏症和风湿病学中转移因子的适度成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Indicative to the use of leukocyte dialysate extract in clinical practice
Experience in the use of factor transfer in medicine is more than 60 years, and begins with the proposal of F. Lawrence in 1955 to use dialysed leukocyte blood extract to transfer antitumor immunity from the immunized body to non-immune.Preparations of immune extract of leukocyte dialysate are an important component of modern science about transfer factors. It is a highly active multicomponent immunobiological agent of natural origin, containing more than 200 low molecular weight peptides, which are components of the immune system of the human body, mainly – products of synthetic activity of CD8+ cytotoxic T-lymphocytes.This biological preparation has immunosubstitutional, immunizing and immunomodulatory biological properties, which are implemented inseparably from each other, providing known anti-infectious, pro-/antiinflammatory, tolerogenic, immunoactivating and antitumor therapeutic effects.The drug based on the immune extract of leukocytes dialysate is included in the modern international protocols for the treatment of primary immunodeficiency – hereditary skin and mucous candidiasis. In addition, at the moment there are at least 30 more indications with varying degrees of evidence for the clinical use of such transfer factors in immunology, infectology, allergology, rheumatology and oncology.The main immunomodulatory effect of the drug is associated with increased functioning of T-helpers type 1 by stimulating the production of cytokines interleukin-2 and gamma-interferon, which leads to the potentiation of cellular immune response. This immunomodulatory effect can be explained by the efficacy of transfer factor in some cellular and combined primary and secondary immunodeficiencies, chronic infections caused by intracellular microorganisms, and various malignancies. The reciprocal decrease in functional activity of T-helpers type 2 leads to attenuation of atopic allergic reactions and some types of autoimmunity, which explains moderate success of transfer factor in allergology and rheumatology.
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