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晚期非小细胞肺癌患者外周血DC亚型与 NK细胞的关系[J]. 肿瘤防治研究, 2008, 35(01): 18-22. DOI: 10.3971/j.issn.1000-8578.140
引用本文: 晚期非小细胞肺癌患者外周血DC亚型与 NK细胞的关系[J]. 肿瘤防治研究, 2008, 35(01): 18-22. DOI: 10.3971/j.issn.1000-8578.140
Relationship between DC Subsets and Nature Killer Cell of Patients with Advanced Non-small Cell Lung Cancer[J]. Cancer Research on Prevention and Treatment, 2008, 35(01): 18-22. DOI: 10.3971/j.issn.1000-8578.140
Citation: Relationship between DC Subsets and Nature Killer Cell of Patients with Advanced Non-small Cell Lung Cancer[J]. Cancer Research on Prevention and Treatment, 2008, 35(01): 18-22. DOI: 10.3971/j.issn.1000-8578.140

晚期非小细胞肺癌患者外周血DC亚型与 NK细胞的关系

Relationship between DC Subsets and Nature Killer Cell of Patients with Advanced Non-small Cell Lung Cancer

  • 摘要: 目的 探讨非小细胞肺癌患者外周血树突状细胞亚群(DC1/DC2)和机体NK细胞含量之间的关系及其临床意义。方法 采用流式细胞术检测40例肺癌患者外周血DC亚群(CD11c+DC/DC1和 CD123+ DC/DC2)、NK细胞含量及血浆IL-12的浓度, 并以10例健康受试者作为对照。结果 肺癌患者外周血CD11c+DC百分率为(0.66±0.24)%,比对照组(1.38±0.18)%明显降低(P<0.01),CD123+ DC百分率(0.28±0.17)%与对照组(0.27±0.11)%相比, 差异无统计学意义(P>0.05);肺癌患者与健康人比较,NK细胞含量及IL-12的浓度均降低(P<0.05)。NSCLC 患者NK细胞的含量与CD11c+百分数及血浆IL-12 浓度均呈正相关(P<0.05),与CD123+百分数呈负相关(P<0.01)。DC各亚型百分率同患者的卡氏评分、化疗史有关联(P<0.01),NK细胞的含量与年龄相关(P<0.05)。结论 非小细胞肺癌患者DC1功能低下,IL-12分泌能力障碍,从而影响了NK细胞的活性。DC亚型与NK细胞含量之间以及它们与临床生物学行为之间都有一定关系。

     

    Abstract: Objective  To investigate the relationship and clinical significance between the DC subset s and nature killer cell of patient s with advanced non2small cell lung cancer. Methods  Flow cytomet ry was used to detect DC subset s, N K cell percent and Interleukin212 in the peripheral blood of 40 patient s with advanced NSCLC and 10 healthy cont rols. Results  The expression of CD11c + DC(0. 66 ±0. 24) % in pe2 ripheral blood in advanced NSCLC patient s, was decreased more significantly than that in normal cont rols (1. 38 ±0. 18) %( P < 0. 01) . The expression of CD123 + DC in peripheral blood in advanced NSCLC pa2 tient s was (0. 28 ±0. 17) %, with no significant difference compared with that in cont rols (0. 27 ±0. 11) % ( P > 0. 05) . The percentage of N K cell of patient s were lower than cont rol ( P < 0. 05) . The plasma con2 cent ration of IL212 of patient s was significantly decreased ( P < 0. 01) . The correlation analysis showed that N K cell percentage was negatively correlated to percentage CD123 + DC percentage ( P < 0. 05), and positive correlated to CD11c + DC and IL212 ( P < 0. 01) . The expression of DC subset s had correlation with KPS and chemotherapy history ( P < 0. 01), N K cell percent just had correlation with age. Conclusion  The advanced NSCLC may induce significant decreasing expression of DC1, blocking secretion of lnter2 leukin212 and may induce significant decreasing activity of N K cell. There is a much closed relationship between the expression of DC subset s and N K cell percent of patient s as well as the clinical biological be2 haviors of patient s with advanced NSCLC.

     

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