| 摘要: | 
			 
		     | 目的观察细胞因子诱导的杀伤细胞(DC-CIK)过继免疫治疗前后非小细胞肺癌(NSCLC)患者外周血单个核细胞(PBMC)Toll样受体4(TLR4)mRNA表达变化,及脂多糖刺激下PBMC分泌细胞因子的变化,探讨TLR4在DC-CIK过继免疫治疗中的作用。方法对50例采用DC-CIK治疗的NSCLC患者,运用RT-PCR检测治疗前后PBMCTLR4mRNA表达变化,ELISA法检测治疗前后NSCLC患者PBMC在脂多糖刺激下细胞因子(IL-6、IL-8及TNF-α)分泌的变化。结果DC-CIK治疗后NSCLC患者PBMCTLR4mRNA的表达水平较治疗前显著降低(t=6.272,P<0.01);脂多糖刺激下PBMC分泌IL-6(t=17.407,P<0.01)、IL-8(t=15.244,P<0.01)及TNF-α(t=12.428,P<0.01)显著减少。结论DC-CIK过继免疫治疗可能通过降低PBMCTLR4mRNA的表达,提高机体抗肿瘤免疫功能。 | 
			
	         
				| 关键词:  树突状细胞  细胞因子诱导的杀伤细胞  非小细胞肺癌  TLR4 | 
			 
                | DOI:10.12056/j.issn.1006-2785.2017.39.7.2015-1401 | 
            
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                | 基金项目: | 
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                | Changes  of  TLR4  mRNA  expression in  peripheral blood of  patients  with   non-small   cell   lung   cancer   after   DC-CIK immunotherapy | 
           
			
                | WANG Xiyong, YUAN Linna, ZHANG Zhihao | 
           
		   
		   
                | Jiaxing Armed Police Corps Hosptial | 
		   
             
                | Abstract: | 
			
                | Objective To investigate the changes of TLR4 mRNA expression in peripheral blood mononuclear cell (PBMC) of patients with non-small cell lung cancer(NSCLC) after DC-CIK immunotherapy. Methods The mRNA expression of TLR4 in PBMC was detected by reverse transcription PCR  (PT-PCR) in 50 patients with NSCLC before and after DC-CIK
therapy. The secretion of cytokines (IL-6, IL-8 and TNF-α) of PBMC stimulated with LPS was detected by ELISA before and
after DC-CIK therapy. Results After DC-CIK treatment, the relative expression level of TLR4 mRNA in PBMC of NSCLC patients was significantly decreased(t=6.272, P<0.01), the secretion of IL-6(t=17.407, P<0.01), IL-8 (t=15.244, P<0.01) and TNF-α (t=12.428, P<0.01) by PBMC stimulated with LPS was significantly decreased. Conclusion DC-CIK  immunotherapy can down-regulate TLR4 expression in PBMC of NSCL patients to enhance the anti-tumor immunity. | 
	       
                | Key words:  Dendritic cells(DC)    Cytokine-induced killer(CIK)    Non-small cell lung cancer    TLR4 |