Objective: To investigate the influence of lactulose on immunity of hepatocellular carcinoma(HCC) patients with hepatocirrhosis and hypersplenism after double-interventional therapies. Methods: A total of 40 HCC patie...Objective: To investigate the influence of lactulose on immunity of hepatocellular carcinoma(HCC) patients with hepatocirrhosis and hypersplenism after double-interventional therapies. Methods: A total of 40 HCC patients with hepatocirrhosis and hypersplenism, hospitalized during January 2013 to June 2014, were enrolled and randomized into control group and observation group. Both groups received partial splenic embolization combined with transcatheter arterial chemoembolization. Besides, observation group orally took lactulose 30 m L/d. Four days before interventional therapies and at day 1, 3, 7 and 14 after therapies, fasting venous blood was collected to detect white blood cell count, red blood cell count(RBC), and platelet count(PLT). Four days before therapies and at day 7 and 14 after therapies, the levels of alanine aminotransferase, aspartate transaminase, total bilirubin, malondialdehyde, super-oxide dismutase(SOD), IFN-α, and IL-4 as well as the distribution of T cell subsets in peripheral blood were tested. Complications were observed after interventional therapies. Results: Before interventional therapies the levels of white blood cell count, PLT and RBC in both groups showed no difference, while after interventional therapies the levels of PLT and RBC in both groups showed an increasing tendency(P<0.05). At day 14 after interventional therapies, the level of blood cell as well as that of SOD, IFN-α and IL-4 in serum were significantly higher than that before therapies; meanwhile, the levels of alanine aminotransferase and total bilirubin of observation group after therapies were significantly lower than before and control group(P<0.05), the levels of CD4+/CD8+, SOD and IFN-α were all higher than before and control group(P<0.05). Conclusions: Oral administration of lactulose could adjust the imbalance of oxidation system/antioxidant system in HCC patients with hepatocirrhosis and hypersplenism after interventional therapies, and improve the antitumor immunity and prognosis.展开更多
目的分析CD4^+CD29^+T细胞含量及细胞毒性T淋巴细胞相关抗原4(CTLA-4)、程序坏死因子1(PD-1)及程序坏死因子配体1(PD-L1)免疫检查点表达水平与非小细胞肺癌患者的化疗效果及远期存活率的关系。方法选取2015年1月至2017年1月沧州市中心...目的分析CD4^+CD29^+T细胞含量及细胞毒性T淋巴细胞相关抗原4(CTLA-4)、程序坏死因子1(PD-1)及程序坏死因子配体1(PD-L1)免疫检查点表达水平与非小细胞肺癌患者的化疗效果及远期存活率的关系。方法选取2015年1月至2017年1月沧州市中心医院收治的100例非小细胞肺癌患者;采用流式细胞术检测患者血中CD4^+CD29^+T、CTLA-4^+T、PD-1^+T及PD-L1^+T细胞水平;随访2年,记录患者生存情况,分为存活组79例,死亡组21例;依照RECIST Version 1.1标准对患者化疗效果进行评估,并按此分为缓解组54例,进展组46例。比较各组的CD4+CD29+T、CTLA-4^+T、PD-1^+T及PD-L1^+T细胞水平,分析以上各细胞水平与患者疗效及远期存活率之间的相关关系。结果化疗缓解组CD4^+CD29^+T、CTLA-4^+T及PD-1^+T细胞水平均高于进展组[(22.74±1.92)%vs.(18.04±2.15)%、(28.91±1.24)%vs.(20.13±1.77)%、(26.29±1.19)%vs.(18.94±1.64)%],PD-L1+T细胞水平低于进展组[(17.22±1.07)%vs.(22.73±1.25)%],差异均有统计学意义(P<0.05);存活组CD4+CD29+T、CTLA-4+T及PD-1+T细胞水平均高于死亡组[(22.11±1.17)%vs.(14.81±1.64)%、(28.32±1.24)%vs.(11.90±1.93)%、(25.88±2.01)%vs.(11.73±2.06)%],PD-L1+T细胞水平低于死亡组[(16.41±2.72)%vs.(24.81±2.11)%],差异均有统计学意义(P<0.05)。CD4^+CD29^+T、CTLA-4^+T、PD-1^+T细胞水平与患者疗效及远期存活率呈正相关(P<0.05),PD-L1^+T细胞水平与患者疗效及远期存活率呈负相关(P<0.05)。结论非小细胞肺癌患者血中CD4^+CD29^+、CTLA-4^+、PD-1^+T细胞水平与化疗效果及远期生存呈正相关,PD-L1+T细胞水平与其呈负相关关系。展开更多
基金supported by the Key Scientific and Technological Project of Henan Province(08210231002)
文摘Objective: To investigate the influence of lactulose on immunity of hepatocellular carcinoma(HCC) patients with hepatocirrhosis and hypersplenism after double-interventional therapies. Methods: A total of 40 HCC patients with hepatocirrhosis and hypersplenism, hospitalized during January 2013 to June 2014, were enrolled and randomized into control group and observation group. Both groups received partial splenic embolization combined with transcatheter arterial chemoembolization. Besides, observation group orally took lactulose 30 m L/d. Four days before interventional therapies and at day 1, 3, 7 and 14 after therapies, fasting venous blood was collected to detect white blood cell count, red blood cell count(RBC), and platelet count(PLT). Four days before therapies and at day 7 and 14 after therapies, the levels of alanine aminotransferase, aspartate transaminase, total bilirubin, malondialdehyde, super-oxide dismutase(SOD), IFN-α, and IL-4 as well as the distribution of T cell subsets in peripheral blood were tested. Complications were observed after interventional therapies. Results: Before interventional therapies the levels of white blood cell count, PLT and RBC in both groups showed no difference, while after interventional therapies the levels of PLT and RBC in both groups showed an increasing tendency(P<0.05). At day 14 after interventional therapies, the level of blood cell as well as that of SOD, IFN-α and IL-4 in serum were significantly higher than that before therapies; meanwhile, the levels of alanine aminotransferase and total bilirubin of observation group after therapies were significantly lower than before and control group(P<0.05), the levels of CD4+/CD8+, SOD and IFN-α were all higher than before and control group(P<0.05). Conclusions: Oral administration of lactulose could adjust the imbalance of oxidation system/antioxidant system in HCC patients with hepatocirrhosis and hypersplenism after interventional therapies, and improve the antitumor immunity and prognosis.
文摘目的分析CD4^+CD29^+T细胞含量及细胞毒性T淋巴细胞相关抗原4(CTLA-4)、程序坏死因子1(PD-1)及程序坏死因子配体1(PD-L1)免疫检查点表达水平与非小细胞肺癌患者的化疗效果及远期存活率的关系。方法选取2015年1月至2017年1月沧州市中心医院收治的100例非小细胞肺癌患者;采用流式细胞术检测患者血中CD4^+CD29^+T、CTLA-4^+T、PD-1^+T及PD-L1^+T细胞水平;随访2年,记录患者生存情况,分为存活组79例,死亡组21例;依照RECIST Version 1.1标准对患者化疗效果进行评估,并按此分为缓解组54例,进展组46例。比较各组的CD4+CD29+T、CTLA-4^+T、PD-1^+T及PD-L1^+T细胞水平,分析以上各细胞水平与患者疗效及远期存活率之间的相关关系。结果化疗缓解组CD4^+CD29^+T、CTLA-4^+T及PD-1^+T细胞水平均高于进展组[(22.74±1.92)%vs.(18.04±2.15)%、(28.91±1.24)%vs.(20.13±1.77)%、(26.29±1.19)%vs.(18.94±1.64)%],PD-L1+T细胞水平低于进展组[(17.22±1.07)%vs.(22.73±1.25)%],差异均有统计学意义(P<0.05);存活组CD4+CD29+T、CTLA-4+T及PD-1+T细胞水平均高于死亡组[(22.11±1.17)%vs.(14.81±1.64)%、(28.32±1.24)%vs.(11.90±1.93)%、(25.88±2.01)%vs.(11.73±2.06)%],PD-L1+T细胞水平低于死亡组[(16.41±2.72)%vs.(24.81±2.11)%],差异均有统计学意义(P<0.05)。CD4^+CD29^+T、CTLA-4^+T、PD-1^+T细胞水平与患者疗效及远期存活率呈正相关(P<0.05),PD-L1^+T细胞水平与患者疗效及远期存活率呈负相关(P<0.05)。结论非小细胞肺癌患者血中CD4^+CD29^+、CTLA-4^+、PD-1^+T细胞水平与化疗效果及远期生存呈正相关,PD-L1+T细胞水平与其呈负相关关系。
