不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Acute exercise mobilizes CD8(+) cytotoxic T cells and NK cells in lymphoma patients.
Acute exercise mobilizes CD8(+) cytotoxic T cells and NK cells in lymphoma patients.
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研究显示,急性运动可调动健康个体的多种白细胞亚群。本研究旨在考察一次10分钟急性运动是否影响淋巴瘤患者免疫细胞比例。
研究纳入7名转诊接受根治性肿瘤治疗的淋巴瘤患者,其中3名为霍奇金淋巴瘤、4名为非霍奇金淋巴瘤;1名女性,平均年龄51岁。患者在自行车测功仪上以中等运动强度急性运动10分钟。分别在静息时、运动后立即及运动后30分钟采集全血样本,并用流式细胞术测定白细胞亚群水平。
运动后立即,总NK细胞和CD56⁺CD16⁺ NK细胞占总白细胞的比例上升;运动后30分钟则降回基线。运动后立即,CD8⁺ T细胞占总T细胞比例升高,CD4⁺ T细胞比例下降,两者均于运动后30分钟恢复基线。B细胞、粒细胞或单核细胞比例未发生变化。运动时舒张压与总NK细胞和CD56⁺CD16⁺ NK细胞比例变化呈正相关;运动时平均动脉压与CD56⁺CD16⁺ NK细胞比例变化呈正相关。
研究结果提示,单次仅10分钟的急性运动即可使淋巴瘤患者发生白细胞增多,尤其增加抗癌中最重要的免疫细胞——细胞毒性T细胞和NK细胞。
Background: Studies have shown that acute exercise can mobilize several leukocyte subpopulations in healthy individuals.
Our aim was to investigate whether a 10-min acute exercise has an effect on immune cell proportions in lymphoma patients. Methods: This study included seven lymphoma patients referred to curative oncologic therapy. Three had Hodgkin and four non-Hodgkin lymphoma, one was female, and their mean age was 51. Patients underwent a 10-min acute exercise on a bicycle ergometer at moderate exercise intensity. Whole blood samples were taken at rest, immediately after exercise, and 30 min after exercise. Leukocyte subpopulation levels were determined using flow cytometry. Results: Proportions of total NK cells and CD56 + CD16 + NK cells of total leukocytes increased immediately after exercise and decreased back to baseline at 30 min post-exercise.
Proportion of CD8 + T cells of total T cells increased and proportion of CD4 + T cells of total T cells decreased immediately after exercise, and both returned to baseline at 30 min post-exercise. There was no change in the proportions of B cells, granulocytes, or monocytes.
Exercising diastolic blood pressure correlated positively with changes in total NK cell and CD56 + CD16 + NK cell proportions, and exercising mean arterial pressure correlated positively with change in CD56 + CD16 + NK cell proportion. Conclusion: Our findings indicate that a single acute exercise bout of only 10 min can cause leukocytosis in lymphoma patients, particularly on cytotoxic T cells and NK cells, which are the most important immune cells fighting against cancer.
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