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PHA-LAK/IL-2疗法的应用与评价——60例实体瘤患者临床试验分析

Application and Evaluation of PHA - LAK/IL - 2 Therapy—An Analysis of Clinical Trial on 60 Cases of Various Solid Tumor Patients

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【作者】 程一櫂郭连英王艳钱振超刘洪民高春章钱宗鸣李荫田叶成通

【Author】 Cheng Yidi, Liu Hongming, Qian Zhongming et al (Research Center for Cancer Biotherapy, DalianMedied (?)iversity, Dalian 116027)

【机构】 大连医科大学生物治疗研究中心!大连116027大连医科大学第一附属医院大连医科大学第二附属医院大连医科大学第二附属

【摘要】 取健康“O”型供血者的PBMC经PHA预刺激后制成PHA-LAK,其表型以CD3~+、CD8~+为主,IL-2R表达水平、增殖能力、体外存活时间及细胞毒活性等均明显优于常规LAK。用该PHA-LAK(PHA预刺激的LAK细胞)与rIL-2(TGP-3,日本,武田)治疗60例实体瘤患者(肾癌24例,肝癌、恶性淋巴瘤、结肠癌各5例,肺癌12例,其它恶性肿瘤9例)。Ⅰ、Ⅱ期临床试验结果表明,本PHA-LAK/IL-2疗法毒副作用甚轻或无,对肾癌、肝癌、恶性淋巴瘤的近期疗效较好,从而为肿瘤的继承性细胞免疫治疗开拓了新路。

【Abstract】 PHA-LAK cells were prepared from PBMC of healthy "O"-blood type donor (Primed with PHA for 48 hours then cultured in the presence of rIL - 2), showing predominantly CD3+ CD8+ in phenotype. The expression level of IL - 2R of PHA - LAK was higher than that of conventional LAK (C - LAK, induced by rIL - 2 only), andon the proliferative ability, in vitro survival time and cytotoxicity PHA-LAK exhibited some advantages thanC-LAK. 60 cases of various solid tumor patients (renal cell carcinoma 24 cases, liver cancer, malignant lyrnphoma,colon carcinoma 5 cases each, lung cancer 12 cases and other miscellaneous cancer 9 cases) were treated with PHA - LAK in combination with rIL - 2 (TGP - 3, Takeda, Japan) . The results of phase I and Phase II clinical trials indicated that PHA - LAK/IL - 2 therapy was relatively safe (showing very mild or no side effect) and effective (especially against renal cell carcinoma, malignant lymphoma and liver cancer) . Thus PHA-LAK/IL-2 might provide a new therapeutic approach to cancer adoptive immunotherapy.

【基金】 “八、五”国家攻关专题(859140208)的组成部分
  • 【文献出处】 中国肿瘤生物治疗杂志 ,Chinese Journal of Cancer Biotherapy , 编辑部邮箱 ,1996年02期
  • 【分类号】R730.51
  • 【被引频次】3
  • 【下载频次】26
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