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作 者:刘大全[1] 冯炼强[2] 吕明德[1] 谭进富[1] 王竹[1] 周忠信[1]
机构地区:[1]中山大学附属第一医院肝胆外科,广州510080 [2]中山大学基础医学院免疫教研室,广州510080
出 处:《热带医学杂志》2006年第5期490-492,共3页Journal of Tropical Medicine
基 金:国家自然科学基金(No.30471686)
摘 要:目的探讨小鼠肝癌微波消融(microwaveablation,MA)对宿主Th2/Th1免疫应答的影响。方法建立C57BL/6J小鼠Hepa1-6细胞移植肝癌模型,对肿瘤微波消融或手术切除,取正常、荷瘤、手术后及MA后四组小鼠,每组6只,用ELISA法检测各组周围血血浆Th1(IL-12I、FN-γ)和Th2(IL-4I、L-10)细胞因子水平(pg/ml)。结果荷瘤组比正常组,细胞因子IL-10增加,IL-4I、L-12和IFN-γ下降(均P>0.05)。MA组较荷瘤组,IL-12、IFN-γ显著上升(均P<0.01),IL-4明显降低(P<0.05),IL-10有所下降(P>0.05)。手术组比荷瘤组,IL-12I、FN-γ上升,IL-4I、L-10下降(均P>0.05)。MA组比手术组,IL-12明显上升(P<0.05),IFN-γ升高,IL-4和IL-10下降(均P>0.05)。结论MA原位灭活小鼠肝癌可促进宿主免疫应答的Th2/Th1偏移,并且MA较手术切除具有较强的免疫刺激效应。Objective To investigate the effect of microwave ablation (MA) of hepatoceilular carcinoma (HCC) on the Th2/Th1 immune response in tumor-bearing mice. Methods A HCC model was established by subcutaneous inoculation of syngeneic Hepal-6 ceils into C57BL/6J mice. The tumors were treated with MA or by resection. Four groups of animals (6 mice per group), namely normal, tumor-hearing, resection-treated and MA-treated, were set up. Concentrations of Th1 (IL-12, IFN-γ) and Th2 (IL-4, IL-10) cytokines in plasma were determined by ELISA. Results Compared with the normal mice, the levels of IL-4, IL-12 and IFN-γ in tumour-bearing mice were decreased while the level of IL-10 was increased (P 〉0.05). For the comparisons between MA and tumor-bearing group, only the levels of IL-12 and IFN-γ in the MA group were markedly higher than the tumour-bearing mice (P〈0.01). Compared with tumorhearing mice, the levels of IL-12 and IFN-γ in mice treated by resection were increased, but the levels of IL-4 and IL- 10 were lowered (P〉0.05). The level of IL-12 in MA group was obviously higher than the mice with tumour resection (P〈0.05). With the exception of IL-10 and IL-4, the level of IFN-γ in mice treated with MA was higher than the mice with tumour resection (P〉0.05) . Conclusion A skewing of Th2/Th1 immune response was seen in mice after MA of HCC. MA of the tumor may cause a stronger immune reaction than resection.
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