| [PMID]: | 22722448 |
| [Au] Autor: | Liu G; Yang W; Guo M; Liu X; Huang N; Li D; Jiang Z; Yang W; Zhang W; Su H; Liu Z; Liu T; Wang D; Huang S; Yao B; Man Q; Qiu L; Sun X; Sun Y; Liu B |
| [Ad] Dirección: | Department of Hematology and Transplantation, Affiliated Hospital of the Academy of Military Medical Sciences, Dongdajie 8, Beijing, 100071, China. liugx270@hotmail.com |
| [Ti] Título: | Effective modulation of CD4(+)CD25 (+high) regulatory T and NK cells in malignant patients by combination of interferon-α and interleukin-2. |
| [So] Fuente: | Cancer Immunol Immunother;61(12):2357-66, 2012 Dec. |
| [Is] ISSN: | 1432-0851 |
| [Cp] País de publicación: | Germany |
| [La] Idioma: | eng |
| [Ab] Resumen: | Overinduced CD4(+)CD25(+high) regulatory T cells (Treg) and downregulated NK cells contribute to tumor-relevant immune tolerance and interfere with tumor immunity. In this study, we aimed to design a novel strategy with cytokine combination to correct the dysregulated Treg and NK cells in malignant patients. Initially, a total of 58 healthy individuals and 561 malignant patients were analyzed for their cellular immunity by flow cytometry. The average percentages of CD4(+)CD25(+high)/lymphocyte were 1.30 ± 1.19 % ([Formula: see text] ± SD) in normal adults and 3.274 ± 4.835 % in malignant patients (p < 0.001). The ratio of CD4(+)CD25(+high) to CD4(+) was 3.58 ± 3.19 % in normal adults and 6.01 ± 5.89 % to 13.50 ± 23.60 % in different kinds of malignancies (p < 0.001). Of normal adults, 15.52 % had >3 % Treg and 12.07 % had <10 % NK cells. In contrast, the Treg (>3 %) and NK (<10 %) percentages were 40.82 and 34.94 % in malignant patients, respectively. One hundred and ten patients received the immunomodulation therapy with IFN-α and/or IL-2. The overinduced Treg in 86.3 % and the reduced NK cells in 71.17 % of the patients were successfully modulated. In comparison, other lymphocyte subpopulations in most patients were much less affected by this treatment. No other treatment-relevant complications except slight pyrexia, fatigue, headache, and myalgia were observed. In conclusion, dysregulated Treg and/or NK cells were common in malignant patients. Different from any regimens ever reported, this strategy was simple and effective without severe complications and will become a basic regimen for other cancer therapies. |
| [Mh] Términos MeSH primario: |
Linfocitos T CD4-Positivos/inmunología Interferón alfa/uso terapéutico Subunidad alfa del Receptor de Interleucina-2/inmunología Interleucina-2/uso terapéutico Células Asesinas Naturales/inmunología Neoplasias/inmunología Linfocitos T Reguladores/inmunología
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| [Mh] Términos MeSH secundario: |
Adulto Anciano Femenino Humanos Inmunidad Celular/inmunología Inmunomodulación/inmunología Interferón alfa/inmunología Interleucina-2/inmunología Masculino Mediana Edad Neoplasias/terapia
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| [Pt] Tipo de publicación: | JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T |
[Nm] Nombre de substancia:
| 0 (IL2RA protein, human); 0 (Interferon-alpha); 0 (Interleukin-2); 0 (Interleukin-2 Receptor alpha Subunit) |
| [Em] Mes de ingreso: | 1305 |
| [Sb] Subgrupo de revista: | IM |
| [Da] Fecha de ingreso para procesamiento: | 121127 |
| [St] Status: | MEDLINE |
| [do] DOI: | 10.1007/s00262-012-1297-2 |