肿瘤的免疫治疗

肿瘤抗原是肿瘤细胞使其具有免疫原性,能被免疫系统识别的标志物质.肿瘤抗原的发现是肿瘤疫苗发展的基础.肿瘤疫苗至今已有许多重大发展.同时,随着对肿瘤抗原的新认识,肿瘤疫苗的研究进入了新的阶段.     

大肠杆菌表达的乙型肝炎病毒核心抗原的某些理化特性

1979年Pasek等用大肠杆菌表达乙型肝炎病毒核心抗原(HBcAg)成功以来,国内外也有类似的报道,但对其理化特性的报道不多。为了更有效地保存和应用此抗原,本文研究了从表达HBcAg的大肠杆菌菌液中纯化抗原的方法,以及抗原的某些特性。 HBcAg是由pHBV-1的C基因与pTL载体重组后在大肠杆菌BMH71-18内表达的,     

Structure and genetics of Shigella O antigens

This review covers the O antigens of the 46 serotypes of Shigella, but those of most Shigella flexneri are variants of one basic structure, leaving 34 Shigella distinct O antigens to review, together with their gene clusters. Several of the structures and gene clusters are reported for the first time and this is the first such group for which structures and DNA sequences have been determined for all O antigens. Shigella strains are in effect Escherichia coli with a specific mode of pathogenicity, and 18 of the 34 O antigens are also found in traditional E. coli. Three are very similar to E. coli O antigens and 13 are unique to Shigella strains. The O antigen of Shigella sonnei is quite atypical for E. coli and is thought to have transferred from Plesiomonas. The other 12 O antigens unique to Shigella strains have structures that are typical of E. coli, but there are considerably more anomalies in their gene clusters, probably reflecting recent modification of the structures. Having the complete set of structures and genes opens the way for experimental studies on the role of this diversity in pathogenicity.     

Thiophilic interaction chromatography of prostate-specific antigen

Prostate-specific antigen (PSA) protein and complexes of PSA with α₁-antichymotrypsin (PSA-ACT) or α₂-macroglobulin (PSA-A₂M) prepared in vitro, have strong affinity for different thiophilic gels (T-gel). Free PSA, and these PSA complexes can be isolated due to their affinity for T-gels. The average recovery of PSA from several of the T-gels, based upon ELISA measurements, was 84 to 94%. The data suggest that T-gel affinity can be explored for the purification of free and complexed PSA from various biologic fluids.     

Proteasome and class I antigen processing and presentation

The recent discovery of two proteasome homologous genes,LMP2 andLMP7, in the class II region of the human MHC, has implicated this multi-subunit protease in an early step of the immune response; the degradation of intracellular and viral proteins. Short peptides produced by the proteasome are transported into the ER by the product of another set of MHC class II genes,TAP1 andTAP2, where they bind and stabilise HLA class I molecules. Antigenic peptides displayed at the cell surface by HLA class I molecules mark cells for destruction by cytotoxic T lymphocytes. The role of the proteasome in antigen processing was questioned when mutant cells, which lack theLMP genes, were able to process and present antigens normally. The discovery that two proteasome -subunits, delta andMB1, highly homologous toLMP2 andLMP7 and expressed in reciprocal manner, is now consistent with a role for the proteasome in antigen processing. The incorporation of different -subunits into the proteasome may be a mechanism to modulate catalytic activity of the proteasome complex, allowing production of peptides that are more suitable to enter into the ER by the TAP transporters and to bind HLA class I molecules. But, in the absence of the LMPs, the other subunits permit processing of most antigens reasonably efficiently.Abbreviations ABC ATP-binding cassete - 2m 2-microglobulin - ER endoplasmic reticulum - IFN interferon - LMP low molecular weight peptide - MHC major histocompatibility complex - TAP transporter associated with antigen processing     

The human repertoire of antibody specificities against Thomsen-Friedenreich and Tn-carcinoma-associated antigens as defined by human monoclonal antibodies

Summary Human monoclonal antibodies specific for tumour-associated Thomsen-Friedenreich (TF) [Gal(1–3)GalNAc()-O-] and Tn [GalNAc()-O-] glycoproteins were prepared using peripheral blood lymphocytes from healthy blood donors. The B lymphocytes were either directly transformed with Epstein-Barr virus (EBV) or transformed after an in vitro stimulation period with synthetic glycoproteins. The EBV-transformed lymphocytes were subsequently fused with a mouse-human heteromyeloma to secure antibody production and stability. IgM antibodies exhibiting different patterns of specificity for synthetic TF and Tn antigens were obtained, including antibodies specific for the and forms of different Gal(1–3)GalNAc-O- and GalNAc-O- conjugates and antibodies agglutinating neuraminidase-treated erythrocytes. Several of the human monoclonal antibodies showed an increased binding to cultured carcinoma cells as compared to melanoma cells. This straightforward approach for the production of human monoclonal antibodies demonstrates the possibility of investigating the reactivity pattern of tumour-binding antibodies from peripheral blood lymphocytes. The binding patterns of these monoclonal antibodies show that healthy donors carry different fine specificities against synthetic TF/Tn antigens and that these antibodies react with different tumour cells.     

胃癌患者血清CA125、CA724、CEA、CA199水平的表达及与临床病理特征的关系研究

目的:研究胃癌患者血清糖链抗原125(CA125)、糖链抗原724(CA724)、癌胚抗原(CEA)、糖链抗原199(CA199)水平的表达及与临床病理特征的关系。方法:选取2016年5月-2017年8月我院收治的胃癌患者94例记为胃癌组,胃部良性病变患者82例记为良性病变组,另取同期于我院接受体检的健康志愿者80例记为对照组。分别测定三组受试者血清CA125、CA724、CEA、CA199水平,并分析上述指标与胃癌患者临床病理特征的关系,并观察胃癌患者各指标单独检测和联合检测的阳性率。结果:三组受试者血清CA125、CA724、CEA、CA199水平整体比较差异有统计学意义(P0.05),胃癌组、良性病变组、对照组的血清CA125、CA724、CEA、CA199水平呈逐渐降低趋势,两两对比差异有统计学意义(P0.05)。不同性别的胃癌患者CA125、CA724、CEA、CA199水平比较差异无统计学意义(P0.05),年龄60岁、TNM分期为Ⅲ-Ⅳ期、肿瘤大小≥5 cm2的胃癌患者CA125、CA724、CEA、CA199水平均高于年龄≤60岁、TNM分期为Ⅰ-Ⅱ期、肿瘤大小5 cm2的胃癌患者,差异有统计学意义(P0.05)。联合检测的胃癌阳性率高于CA125、CA724、CEA、CA199单独检测,且CA724单独检测高于CA125、CEA、CA199单独检测,差异有统计学意义(P0.05)。结论:胃癌患者血清CA125、CA724、CEA、CA199水平较高,与患者的年龄、TNM分期、肿瘤大小等因素有关,且联合检测的胃癌检出率较高,可为胃癌的早期诊断提供指导作用。     

鼠疫亚单位疫苗研究进展

鼠疫 ,由于其强烈的传染性和极高的致死率 ,使得人们在应对它时 ,必须侧重于早期的防治。传统疫苗存在安全隐患 ,且存在效率低 ,接种反应率高以及不能保护人体免受肺鼠疫侵害等缺陷。近年来生物技术的迅速发展 ,为开展对鼠疫传统疫苗的改进和新疫苗的研究创造了条件 ,而这些研究当中 ,成果最为丰富的当属亚单位疫苗。目前鼠疫亚单位疫苗的研究大多围绕对鼠疫杆菌免疫原性起决定作用的两种主要抗原成分 (F1抗原和V抗原 )展开 ,按此研究方向浅谈其研究进展。     

人工抗原合成研究进展

近年来,以小分子化合物为半抗原的免疫分析技术在食品药品、环境保护等领域已有诸多应用,并取得了较为理想的检测效果。小分子化合物只能与载体偶联形成人工抗原后,方能借助T细胞表位间接诱导B细胞进行增殖与分化,进而产生特异性抗体。高效的人工抗原的合成是保证免疫分析的前提和关键,就近年来国内外有关人工抗原合成过程中所涉及的小分子半抗原的设计与合成方法、载体的选择、半抗原与载体的偶联方法、人工抗原的纯化及鉴定方法等进行综述。     

紫杉醇联合卡铂治疗卵巢癌的临床疗效及对患者血清CA125、CA199、CEA水平的影响

目的:分析紫杉醇联合卡铂治疗卵巢癌的临床疗效及对患者血清糖类抗原125(CA125)、糖类抗原199(CA199)、癌胚抗原(CEA)水平的影响。方法:选择我院2014年1月～2016年12月收治的41例卵巢癌患者,按随机数字表法分为对照组(n=20)和研究组(n=21)。对照组给予紫杉醇联合顺铂治疗,研究组给予紫杉醇联合卡铂治疗。比较两组临床疗效,治疗前后血清CA125、CA199、CEA水平、卡氏评分的变化,不良反应的发生情况和生存情况。结果:治疗后,研究组总有效率显著高于对照组(P0.05);两组血清CA125、CA199及CEA水平均较治疗前明显下降,且研究组低于对照组(P0.05);研究组卡氏评分改善率高于对照组(P0.05),胃肠道反应、神经毒性损伤、骨髓抑制及血液系统毒性率反应发生率低于对照组(P0.05);两组1年生存率及中位生存期比较差异无统计学意义(P0.05)。结论:紫杉醇联合卡铂治疗卵巢癌的疗效明显优于紫杉醇联合顺铂治疗,其能够降低患者血清CA125、CA199及CEA水平,改善患者生活质量。     

'Recessive' species-specific antigens in doves and pigeons

Evidence is presented that recessive species-specific antigens are present in pigeons and doves as determined by antiserum absorptions with cells of the opposing parental and Fi birds. This confirms and extends earlier observations by M. R. Irwin and L. J. Cole and adds another species. A simple model is presented postulating a relationship between genes, enzymes, and 'dominant and recessive' antigens.     

Production of foetally stimulated lymphocytotoxic antibodies by multiparous cows

Serum samples were collected monthly from second gestation cows and examined for the presence of lymphocytotoxic antibodies. Of 25 cows studied 16 (64 %) raised antibodies during or immediately after second gestation. Ten of these cows (40 %) raised antibodies during gestation, some as early as 5 months before parturition. Reactors which had had first-gestation reactivity responded earlier, but had peak antibody titers no higher than cows without observable first gestation reactions. Cows with antibodies of similar specificity in the first two gestations responded earlier than those with different antibody specificities. Regardless of the time of first antibody detrection, peak titers were usually achieved during the first month postpartum. Antibody persistence increased with parity. Among cows of all ages sampled at random times, there was a linear relationship of serum reactivity to cow age.     

Psoriasis and bacterial superantigens - formal or causal correlation?

Superantigens have recently been identified as candidates for triggering crucial events in the development of psoriasis. Seemingly contradictory observations may complement each other when discussed in the context of the concept of an effector cell cascade initiated by bacterial superantigens that eventually brings about disruption of peripheral tolerance of a CD8⁺ T-cell subset.     

Identification of BCP-20 (FBXO39) as a cancer/testis antigen from colon cancer patients by SEREX

Cancer/Testis (CT) antigens are considered promising target molecules for immunotherapy. To identify potential CT antigens, we performed immunoscreening of a testis cDNA library with sera from colon cancer patients by SEREX. We isolated 114 positive cDNA clones comprising 90 different antigens, designated BCP-1 through BCP-90. Quantitative real-time and conventional RT-PCR analysis showed that BCP-20, -33, and -41 antigens were expressed strongly only in a normal testis and detected in 22 cases (39%), 12 cases (21%), and 17 cases (30%), respectively, from 57 colon tumors. BCP-20 was also detected in various cancer cell lines including breast, colon, hepatoma, renal, thyroid anaplastic, ovary, sarcoma, and lung. By ELISA analysis, anti-BCP-20 antibody was detected in 3 of 50 colon cancer and 1 of 24 gastric cancer patients while healthy donors were three positive (3/50). But the BCP-20 antibody levels of patients with colon cancer showed significantly higher titers than those of healthy donors. These data suggest that the BCP-20 gene is a new CT antigen and may be useful for diagnosis and immunotherapy.     

A Cryptosporidium parvum oocyst low molecular mass fraction evokes a CD4+ T-cell-dependent IFN-γ response in bovine peripheral blood mononuclear cell cultures

T-Cell antigens that induce the in-vitro interferon-gamma response during Cryptosporidium parvum infection of neonatal calves were identified. A total oocyst extract was separated into a high and a low M_r fraction by a microfiltration technique. Both the high and low M_r fractions evoked an in-vitro interferon-gamma response in naturally infected animals, although strong individual differences between the hosts were observed. Using a complement-mediated technique CD4⁺ T-cells or WC1⁺γδ T-cells were depleted, whereupon the remaining lymphocyte cultures were stimulated with the different antigen preparations. It was shown that the in-vitro interferon-gamma response of Cryptosporidium-infected calves is CD4⁺ T-cell-dependent.     

Humanisation and characterisation of PR1A3, a monoclonal antibody specific for cell-bound carcinoembryonic antigen

Carcinoembryonic antigen (CEA) is highly expressed by most tumours of gastrointestinal origin, but its use as a target for tumour therapy is complicated by the high levels of soluble CEA that are found circulating in the blood of cancer patients. A monoclonal antibody PR1A3 has been prepared, which binds preferentially to cell-surface rather than soluble CEA, this cell selectivity should make PR1A3 an ideal candidate for antibody-targeted tumour therapy. PR1A3 has been humanised and shown to retain its cell-surface specificity and affinity. Stable expression of the humanised antibody from chinese hamster ovary (CHO) cells has been achieved after transfection and amplification. Since PR1A3 binds preferentially to cell-associated CEA, a cell-free enzyme-linked immunosorbent assay (ELISA) has been developed to allow characterisation and routine assay of the antibody. This assay was developed using a recombinant chimeric protein constructed by cloning the domain of CEA that is bound by PR1A3 (the B3 domain) into a hybrid gene containing the Fc portion of IgG and three domains of biliary glycoprotein. Stable expression of this hybrid protein has been achieved from CHO cells. In ELISA both humanised and murine PR1A3 bound strongly to this antigen but only at a minimal level to soluble CEA. Two binding sites for the antibody were found on the gastric carcinoma cell line MKN45, one of higher affinity (1 nM) and the other at lower affinity (60 nM). Similar affinities were found for both murine and humanised antibodies. The data presented make it unlikely that the differential binding to cell-surface as distinct from soluble CEA can be accounted for by low affinity of PR1A3 for CEA, and provides further support for the hypothesis that some conformational change takes place on CEA release from cells and that it is this change that blocks PR1A3 binding to its epitope. Received: 5 October 1998 / Accepted: 19 November 1998     

Coexpression of cancer-associated carbohydrate antigens,Tn and sialyl Tn

The expression of cancer-associated antigens, Tn and sialyl Tn, was examined using monoclonal antibodies, MLS 128 and MLS 102, recognizing these two antigens, respectively. A cell lysate from a human carcinoma cell line, LS 180 cells, was analysed by Western blotting using these two antibodies. Three glycoprotein bands were discernible with each antibody, of which two, corresponding to 250 and 210 kDa, were reactive with both the antibodies. LS 180 cells were metabolically labelled with³H-glucosamine and then the lysate from these cells was applied to two immunoaffinity columns. Sixty-five per cent of the Tn antigenic glycoproteins, based on radioactivity, bound to the MLS 102 affinity column. On the other hand, 45% of the sialyl Tn antigenic glycoproteins bound to the MLS 128 affinity column. These results indicate that some Tn and sialyl Tn antigens were expressed on the same polypeptide chains.The presence of non-sialylated GalNAc residues on the polypeptide chain with many Sia-GalNAc residues appears to be due to the incapability of three consecutive moieties of GalNAc-Ser/Thr to accept sialic acid.Abbreviations PSMF phenylmethylsulfonyl fluoride - SDS-PAGE sodium dodecyl sulfate polyacrylamide gel electrophoresis - GalNAc N-acetylgalactosamine - Sia sialic acid