树突状细胞对小剂量化疗疗效影响的基础研究

目的 研究树突状细胞对小剂量化疗疗效的影响,探讨小剂量化疗的可能机制.方法 以615小鼠的前胃癌细胞株(MFC)造模,在体外用rmGM-CSF和rmIL-4从荷瘤小鼠骨髓细胞分化、诱导未成熟树突状细胞.分为4组:小剂量化疗组、树突状细胞组、小剂量化疗+树突状细胞组、对照组,以BAX试剂盒检测肿瘤凋亡情况.在瘤体内注射树突状细胞,计算抑瘤率、特异性细胞毒性T淋巴细胞(CTL)的增殖及其对肿瘤细胞的特异性杀伤作用.结果 小剂量化疗能诱导肿瘤细胞凋亡,BAX 基因产物表达增多.注射侧抑瘤率小剂量化疗+DC组、小剂量化疗组、DC组分别为100%、67.22%和57.98%.对侧抑瘤率小剂量化疗+DC组、小剂量化疗组、DC组分别为87.58%、59.69%和48.24%.体内凋亡肿瘤细胞致敏的DC能显著刺激T淋巴细胞增殖,其诱导的CTL对MFC有显著的杀伤作用,在效靶比为40∶ 1、20∶ 1、10∶ 1和5∶ 1时72 h杀伤率分别为87.64%、70.32%、34.63%和13.87%.并能特异性杀伤小鼠前胃癌细胞MFC(P<0.01).结论 小剂量化疗的机制与肿瘤细胞凋亡及免疫促进有一定的相关.     

树突状细胞与抗肿瘤免疫

提高免疫系统对肿瘤的杀伤能力是肿瘤免疫学上目的,随着对免疫肿瘤抗原的了解以及对T细胞免疫反应和肿瘤逃逸机制的进一步认识。方面军一目的已取得了进展,体内含量稀少的抗原递呈细胞-树突状细胞（DC8）是这些机制的关键。体外从外周血祖细胞诱导扩增这些细胞为肿瘤治疗开辟了新纪元。DC8作为肿瘤疫苗,在B细胞淋巴瘤、黑色素瘤、前列腺癌等病人身上已有了一定的疗效。     

二硝基氟苯修饰的黑色素瘤细胞激活树突状细胞诱导特异性T细胞反应

目的:探索半抗原二硝基氟苯(DNP)修饰的恶性黑色素瘤细胞(恶黑)激活树突状细胞(DC)后,在体外诱导特异性T细胞反应的抗肿瘤效应。方法:采用DNP修饰恶黑细胞M3(H-2d),然后在体外激活BALB/c小鼠(H-2d)外周血来源的DC,用于激发自体的T细胞,观察对T细胞的增殖和特异性T细胞的杀伤功能。结果:经DNP修饰的M3细胞激活的DC,其诱发的T细胞增殖能力和对M3细胞的特异性杀伤效应均明显高于未修饰的M3细胞组和DC组。结论:DNP修饰M3所激活的DC可以诱导更强的恶黑特异性T细胞效应。     

阿霉素处理的肿瘤抗原致敏树突状细胞的抗肿瘤免疫研究

研究表明化疗药物作用于肿瘤细胞后可有效激发免疫应答,这与肿瘤细胞的性质和化疗药物有关。该研究主要探讨阿霉素（adriamycin,ADM）处理小鼠宫颈癌u14细胞获得的肿瘤抗原致敏树突状细胞（dendriticceils,DCs）的免疫应答及对肿瘤的杀伤效应。分别应用ADM和反复冻融法处理小鼠宫颈癌U14细胞,取其离心上清液,致敏小鼠骨髓来源的DC,观察DC诱导的淋巴细胞增殖反应和细胞毒性T淋巴细胞（cytotoxicTlymphocyte,CTL）对宫颈癌细胞的细胞毒效应。结果显示：ADM处理的U14细胞抗原致敏后的DC组所激发和扩增的T细胞数及对宫颈癌细胞的杀伤效果显著高于对照组（P〈0．05）。因而提示ADM处理的肿瘤抗原能有效地致敏DC并产生抗肿瘤免疫效应。     

CTP-BCR-ABL抗原肽负载树突状细胞体外致敏T淋巴细胞靶向杀伤CML细胞

BCR-ABL为慢性髓细胞白血病特异胞质抗原,为良好的免疫治疗靶标.该研究选择BCR-ABL融合位点的两段抗原肽SSKALQRPV(SS)、GFKQSSKAL(GF)为靶点,与胞质转导肽融合表达,负载小鼠骨髓源性树突状细胞.在胞质转导肽介导下,SS、GF短肽进入树突状细胞并定位于内质网,具备了被树突状细胞识别为内源性抗...     

树突状细胞与肠道免疫

肠道黏膜免疫系统是肠道防御细菌和病毒感染的第一道防线,在维持肠道黏膜自稳方面发挥着重要的作用。肠道黏膜免疫系统持续不断的与来自外界的食物抗原和病原微生物及自身长期共存的肠道菌群相互作用,刺激机体对有害抗原产生免疫应答反应,诱导机体对无害抗原产生免疫耐受。树突状细胞（Dendritic cells,DCs）是目前已知的最强有力的一种专职抗原递呈细胞（Professional antigen presenting cells,APC）,     

IL-12诱导后白血病细胞的免疫激活效应

为探讨IL -1 2在肿瘤免疫治疗过程中的作用 ,以小鼠FBL -3红白血病细胞为实验模型 ,采用流式细胞仪和电镜等 ,观察了IL -1 2对FBL- 3细胞的诱导分化作用 .FBL -3细胞经 2 0 0U/mLIL- 1 2作用 48h后 ,S期DNA合成水平显著下降 ,单核细胞的特异性标志CD1 4表达水平明显增加 ,NBT⁺细胞率升高 ;IL -1 2作用 72h后 ,树突状细胞的特异性标志 33D1和NLDC1 45表达水平显著增加 ,MHC Ⅱ ,B7- 1 ,B7 -2和VCAM 1表达水平增加 .观察IL -1 2处理后FBL -3细胞的超微结构变化 ,可见两类细胞 :一是表面有许多皱褶 ,胞浆中有丰富的溶酶体 ;另一种细胞表面呈绒毛状 ,有许多树突状突起 ,线粒体发达 ,细胞核呈分叶状 .IL -1 2处理后的FBL -3细胞 ,能够明显刺激静息的T淋巴细胞增殖 .表明 ,IL -1 2可诱导小鼠红白血病细胞向单核细胞及树突状细胞方向分化 ,具有了抗原提呈功能 ,为应用IL -1 2治疗白血病提供了新的机制     

树突状细胞对海藻酸钙纳米胶囊的吞噬作用与功能诱导

本研究采用量子点标记方法,证实了人外周血来源树突状细胞对海藻酸钙纳米胶囊的吞噬作用,并对其体外成熟诱导和接受偶联有牛血清白蛋白的纳米胶囊刺激之后的自体T淋巴细胞免疫作用进行了探讨。实验结果表明,树突状细胞在吞噬海藻酸钙纳米胶囊后被诱导成熟,而且偶联有牛血清白蛋白的纳米胶囊可诱导自体T淋巴细胞增殖,显示该海藻酸钙纳米胶囊可能成为具有载体功能的癌症细胞免疫治疗佐剂。     

树突状细胞与肿瘤免疫

树突状细胞（dendriticcells,Dcs）是目前已知的功能最强的抗原提呈细胞,具有调节免疫应答与诱导免疫耐受的能力。而树突状细胞所发挥的功能与其是否成熟有很大的关系,未成熟状态的树突状细胞具备致耐受性,而成熟状态的树突状细胞则对肿瘤免疫起着重要作用。该文将对DC的免疫学特性及Dc与肿瘤的关系予以综述。     

人咽鳞癌Fadu细胞RNA负载人树突状细胞后体外诱导特异性CTL的研究

目的:探讨咽鳞癌细胞总RNA转染的树突状细胞(DC)疫苗体外诱导特异性抗肿瘤免疫的能力.方法:分离人脐血单个核细胞,经重组人粒细胞巨噬细胞集落刺激因子(rhGM-CSF)、重组人IL-4(rhIL-4)诱导不成熟DC(iDC),提取人咽鳞癌细胞FaDu总RNA后,转染入人iDC,成为FaDu RNA/DC疫苗,用流式细胞仪检测DC表面分子CD40、CDS0、CD83、CD86、HLA-DR的表达,混合淋巴细胞反应测定DCs刺激同种异基因T细胞增殖能力.用LDH法评估转染肿瘤总RNA的DC瘤苗的细胞毒性T淋巴细胞反应.结果:与转染前比较,人咽鳞癌细胞FaDu总RNA转染后脐血单核细胞来源DCs表面CD40、CD80、CD83、CD86、HLA-DR分子水平明显升高(P均<0.05);可显著促进T细胞增殖,在体外能诱导高效而特异的抗下咽癌免疫效应(P<0.05).结论:人咽鳞癌细胞的总RNA转染的DC肿瘤疫苗能诱导CD8+,CD4+T细胞免疫,是较有临床应用前景的下咽癌免疫治疗方法.     

以TRAIL为靶点的肿瘤治疗研究进展

肿瘤坏死因子相关凋亡配体（tumor necrosis factor-related apoptosis-inducing ligand,TRAIL）是肿瘤坏死因子（tumor necrosis factor,TNF）超家族成员。TRAIL与其受体结合后启动凋亡信号转导,选择性地诱导肿瘤细胞凋亡,而对正常组织细胞没有明显的伤害,而且一些药物和细胞因子可协同TRAIL诱导肿瘤细胞凋亡。本文就TRAIL及其受体、TRAIL诱导凋亡的机制以及影响凋亡的因素和途径,以TRAIL为靶点的肿瘤治疗的研究现状作一综述。     

体外大量制备新型gp96肿瘤疫苗及其诱导的特异性抗肿瘤免疫应答分析

旨在体外组装酵母菌表达的gp96 (Recombinant gp96,rgp96) 蛋白与B16.F10黑色素瘤抗原,大量制备新型gp96肿瘤疫苗,并研究其诱导的特异性抗肿瘤免疫应答。利用体外组装的rgp96-肿瘤抗原复合物免疫C57BL/6小鼠,并通过酶联免疫斑点实验、细胞因子染色、杀伤实验技术进行分析,结果显示与单纯rgp96或肿瘤抗原免疫组相比,体外组装的rgp96-肿瘤抗原复合物免疫能够显著抑制B16肿瘤的生长,而且能够明显提高肿瘤特异性T细胞活性。rgp96-肿瘤抗原复合物的抗肿瘤免疫活性与从肿瘤组织中提取的gp96接近。研究结果为大量制备新型gp96肿瘤疫苗提供了依据。     

含EBV-LMP2基因重组腺病毒修饰的树突状细胞疫苗体内外特异性抗瘤作用的研究

鼻咽癌(NPC)在东南亚地区,尤其在我国南方地区发病率高达40／10万～60／10万。Epstein—Barrvirus(EBV)在鼻咽癌的病因学中有着十分重要的作用,在肿瘤细胞中该病毒的存在为以CTL为基础的免疫治疗提供了一个潜在靶位。过继性EBV特异性CTL,成功地治疗了骨髓移植受者体内出现的来自捐献者的免疫增生性B细胞淋巴瘤的研究,显示了这种方法的可行性。LMP2已经被证实可以诱发较强的特异性细胞免疫反应,而且也确定了很多CTL表位。目前许多关于EBV相关肿瘤治疗的研究都是针对LMP2的。树突状细胞(DC)是人体内最强大的抗原呈递细胞(APC),在肿瘤的免疫治疗中有着重要的作用。     

桦木酸体内抗肿瘤作用的初步研究

目的研究桦木酸对H22、S180小鼠肿瘤细胞药效学作用及对肿瘤细胞膜Ca^2＋、Mg^2＋-ATP酶活性的影响。方法通过限量实验确定桦木酸的给药剂量。动物随机分为6组,分别为桦木酸500、250、125mg／kg剂量组,阳性对照组给予环磷酰胺（20mg／kg）,模型对照组分别给予相同体积的生理盐水和配药溶剂,灌胃给药。观察生命延长时间与瘤重抑制率;紫外分光光度法测定Ca^2＋、Mg^2＋-ATP酶活性,结果桦木酸使S180荷瘤小鼠肿瘤细胞膜Ca^2＋、Mg^2＋-ATP酶活性提高（P〈0．05）。结论桦木酸抗肿瘤作用机制与其上调肿瘤细胞膜p53蛋白的表达,改变肿瘤细胞膜Ca^2＋、Mg^2＋-ATP酶活性有关。     

The pan-ErbB receptor tyrosine kinase inhibitor canertinib promotes apoptosis of malignant melanoma in vitro and displays anti-tumor activity in vivo

The ErbB receptor family has been suggested to constitute a therapeutic target for tumor-specific treatment of malignant melanoma. Here we investigate the effect of the pan-ErbB tyrosine kinase inhibitor canertinib on cell growth and survival in human melanoma cells in vitro and in vivo. Canertinib significantly inhibited growth of cultured melanoma cells, RaH3 and RaH5, in a dose-dependent manner as determined by cell counting. Half-maximum growth inhibitory dose (IC₅₀) was approximately 0.8 μM and by 5 μM both cell lines were completely growth-arrested within 72 h of treatment. Incubation of exponentially growing RaH3 and RaH5 with 1 μM canertinib accumulated the cells in the G₁-phase of the cell cycle within 24 h of treatment without induction of apoptosis as determined by flow cytometry. Immunoblot analysis showed that 1 μM canertinib inhibited ErbB1-3 receptor phosphorylation with a concomitant decrease of Akt-, Erk1/2- and Stat3 activity in both cell lines. In contrast to the cytostatic effect observed at doses ?5 μM canertinib, higher concentrations induced apoptosis as demonstrated by the Annexin V method and Western blot analysis of PARP cleavage. Furthermore, canertinib significantly inhibited growth of RaH3 and RaH5 melanoma xenografts in nude mice. Pharmacological targeting of the ErbB receptors may prove successful in the treatment of patients with metastatic melanoma.     

伊班膦酸钠联合化疗治疗恶性肿瘤骨转移的临床观察

目的:探讨伊班膦酸钠联合化疗治疗恶性骨转移的临床疗效.方法:采用随机分组的方法将60例病人分为二组:单纯化疗组:根据原发肿瘤采用相应的治疗方案;联合治疗组:在化疗基础上联合邦罗力治疗.结果:骨转移灶疗效评价:联合治疗组的有效率为50%,单纯化疗组的有效率为23.3%,前者的疗效明显优于后者,且有显著性差异(p＜0.05);止痛疗效评价:联合治疗组的有效率为83.3%,单纯化疗组的有效率为53.3%,前者明显优于后者,且有显著性差异(p＜0.05).结论:伊班膦酸钠的不良反应轻,联合化疗可显著增强疗效,改善患者体能状态.     

The improved effects of specific active immunotherapy on a rat fibrosarcoma by antitumor drugs

Summary We have tried to find out if the combination of a xenogenized tumor cell vaccine and antitumor drugs is able to induce a synergistic increase in the antitumor therapeutic effect. The degree of increase in the LTD₅₀ (50% lethal tumor dose) is expressed numerically, as a quantitative index designed to compare degrees of transplantation resistance to tumor cell challenge. A LTD₅₀ was achieved by an intradermal (i. d.) immunization with xenogenized tumor cells when challenged with tumor cells implanted intraperitoneally 2 weeks after the immunization: this LTD₅₀ value was 527 000 times higher than that of the non-immunized group. When we combined this type of immunization with appropriate doses of bleomycin (BLM) or cyclophosphamide (CY), which are able to augment antitumor immunity, the LTD₅₀ was 723 000–1190 000 times higher than that of the non-immunized group. This increase in the LTD₅₀ is definitely higher than that achieved by a single immunization with irradiated tumor cells (× 33 000) and combined with either BLM (× 93 000) or CY (×140 000). We also studied the therapeutic effect of a tumor cell vaccine combined with antitumor drugs BLM or CY in tumor-bearing rats. We observed a synergistic effect caused by BLM or CY after i. d. immunization with xenogenized tumor cells: this showed a significant increase when compared with the therapeutic effects obtained by chemotherapy alone (P <0.01). Nevertheless, there was no evidence that the above antitumor effects is superior to the effect achieved by irradiated tumor cells.     

The toxicity of azidothymidine (AZT) on human and animal cells in culture at concentrations used for antiviral therapy

AZT, a chain terminator of DNA synthesis originally developed for chemotherapy, is now prescribed as an antihuman immunodeficiency virus (HIV) drug at 500 to 1500 mg/person/day, which corresponds to 20 to 60 M AZT. The human dosage is based on a study by the manufacturer of the drug and their collaborators, which reported in 1986 that the inhibitory dose for HIV replication was 0.05 to 0.5 M AZT and that for human T-cells was 2000 to 20,000 times higher, i.e. 1000 M AZT. This suggested that HIV could be safely inhibited in humans at 20 to 60 M AZT. However, after the licensing of AZT as an anti-HIV drug, several independent studies reported 20-to 1000-fold lower inhibitory doses of AZT for human and animal cells than did the manufacturer's study, ranging from 1 to 50 M. In accord with this, life threatening toxic effects were reported in humans treated with AZT at 20 to 60 M. therefore, we have re-examined the growth inhibitory doses of AZT for the human CEM T-cell line and several other human and animal cells. It was found that at 10 M and 25 M AZT, all cells are inhibited at least 50% after 6 to 12 days, and between 20 and 100% after 38 to 48 days. Unexpectedly, variants of all cell types emerged over time that were partially resistant to AZT. It is concluded that AZT, at the dosage prescribed as an anti-HIV drug, is highly toxic to human cells.     

MicroRNA介导中药活性成分抗肿瘤机制的研究进展

MicroRNA(miRNA)作为一类新发现的非编码RNA,其异常表达在肿瘤的病理过程中扮演着重要角色,起着类似癌基因和抑癌基因的双重作用。目前中药活性成分抗肿瘤已成为关注的热点,但其影响miRNA的报道却较少。就近几年有关中药活性成分、miRNA及肿瘤间关系的研究进行了综述,为今后中药活性成分抗肿瘤的机制研究提供新思路。