人类癌症患者外周血杀伤淋巴细胞亚群OKT-3/环磷酰胺上调

Molecular biotherapy Pub Date : 1991-06-01
C Wiseman, Y Hood, C Presant, P Kennedy
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引用次数: 0

摘要

我们已经在7例患者中启动了临床试验,使用低剂量OKT-3单克隆抗体,50微克,24小时后使用低剂量环磷酰胺,300毫克/平方米。5例患者的完整数据显示外周血淋巴细胞数量明显上调。治疗前,平均(±标准差)总淋巴细胞计数为524(±364)/mm3。4周后,该数值上升64%,达到860 (+/- 243)/mm3, (P < 0.025,学生t检验)。CD3+、CD4+、CD8+和CD16+ (NK)淋巴细胞亚群也观察到类似的变化。平均CD3+组由372 (+/- 325)/mm3上升至593 (+/- 300)/mm3 (P < 0.025),平均CD4+组由209 (+/- 142)/mm3上升至321 (+/- 104)/mm3 (P < 0.05),平均CD8+组由218 (+/- 205)/mm3上升至341 (+/- 197)/mm3 (P < 0.05),平均CD16+ (NK细胞)由80 (+/- 37)/mm3上升至157 (+/- 63)/mm3 (P < 0.025)。所有患者均出现统计学意义上的上调。各组淋巴细胞亚群比例及T4/T8比值无明显变化。OKT-3/环磷酰胺似乎可以调节人类癌症患者循环淋巴细胞的数量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
OKT-3/cyclophosphamide up-regulation of peripheral blood killer-lymphocyte subsets in human cancer patients.

We have initiated a clinical trial in 7 patients using low-dose OKT-3 monoclonal antibody, 50 mcg, followed 24 hours later by low-dose cyclophosphamide, 300 mg/m2. Complete data in 5 patients indicate a significant up-regulation of the number of peripheral blood lymphocytes. Before treatment, the mean (+/- standard deviation) total lymphocyte count was 524 (+/- 364)/mm3. After 4 weeks the value rose 64% to 860 (+/- 243)/mm3, (P less than .025, Student's t test). Similar changes were observed for the CD3+, CD4+, CD8+, and CD16+ (NK) lymphocyte subsets. The mean CD3+ population rose from 372 (+/- 325)/mm3 to 593 (+/- 300)/mm3 (P less than .025), the mean CD4+ group rose from 209 (+/- 142)/mm3 to 321 (+/- 104)/mm3 (P less than .05), the CD8+ cells rose from 218 (+/- 205)/mm3 to 341 (+/- 197)/mm3 (P less than .05), and the CD16+ (NK cells) rose from 80 (+/- 37)/mm3 to 157 (+/- 63)/mm3 (P less than .025). Statistically significant up-regulation occurred for all patients. The fraction of each lymphocyte subset and the T4/T8 ratio did not change. OKT-3/cyclophosphamide appears to modulate the number of circulating lymphocytes in human cancer patients.

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