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乳腺癌患者免疫指标检测及其临床意义

Detection of anti-tumor immunity of patients with breast cancer and its clinical significance

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【作者】 万华邹强董佳容吴雪卿王红鹰周坚陆德铭

【Author】 WAN Hua~(1*),ZOU Qiang~2,DONG Jia-Rong~1,WU Xue-Qing~1,WANG Hong-Ying~2,ZHOU Jian~2,LU De-Ming~1(1.Surgery of Traditional Chinese Medicine,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China;2.Department of Surgery,Huashan Hospital,Fudan University,Shanghai 200021,China)

【机构】 上海中医药大学附属曙光医院中医外科复旦大学附属华山医院外科上海中医药大学附属曙光医院中医外科 上海200021上海200021

【摘要】 目的:分析乳腺癌及乳腺良性疾病患者机体免疫指标的特点及临床意义。方法:应用流式细胞术对30例乳腺癌患者、45例乳腺良性疾病患者外周血T细胞亚群及NK细胞进行检测。结果:乳腺癌患者CD3+、CD4+细胞百分比显著低于乳腺良性疾病组(P<0.05);CD8+细胞百分比以及CD4+/CD8+比值在乳腺癌组和乳腺良性疾病组之间无显著差异(P>0.05);乳腺癌患者NK细胞百分比显著高于乳腺良性疾病组(P<0.05);乳腺癌腋淋巴结转移组CD3+细胞百分比及CD4+/CD8+比值明显低于腋淋巴结无转移组(P<0.05),而NK细胞百分比显著高于腋淋巴结无转移组(P<0.05)。结论:乳腺癌患者存在细胞免疫功能紊乱,检测外周血T淋巴细胞亚群表达可能对评估患者的细胞免疫功能及疾病的预后具有一定意义。

【Abstract】 Objective:To analyze the anti-tumor immunity of patients with breast cancer and breast benign disease and its clinical significance.Methods:T-lymphocyte subsets and NK cells in peripheral blood from 30 patients with breast cancer and 45 patients with breast benign disease were determined by flow cytometry(FCM).Results:Percentages of CD3~+ and CD4~+ cells in patients with breast cancer were significantly lower than those with breast benign disease(P<0.05).There was no significant difference in percentage of CD8~+ cells and CD4~+/CD8~+ ratio between the patients with breast benign disease and those with breast cancer(P>0.05).The level of NK cells was significantly increased in patients with breast cancer(P<0.05).The percentage of CD3~+ cells and CD4~+/CD8~+ ratio in patients with axillary node-positive breast cancer were remarkably lower than those with axillary node-negative breast cancer(P<0.05),but the level of NK cells was remarkably higher(P<0.05).Conclusion:The cell immunity is abnormal in patients with breast cancer.Detection of T lymphocyte subsets in peripheral blood has clinical significance in evaluation of the immunity and prognosis of patients with breast cancer.

【基金】 上海市高等学校科学技术发展基金项目(编号:03CK20)
  • 【分类号】R737.9
  • 【被引频次】47
  • 【下载频次】480
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