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Decline of T cell-related immune functions in cancer patients and an attempt to restore them through infusion of activated autologous T cells.

Abstract
We developed a scoring system that can combine several immunological parameters and express the immune status of individuals as a simple numeral. T cell immune score was obtained by using 5T cell-related parameters: number of T cells, ratio of CD4(+)T cells to CD8(+)T cells, number of naïve T cells, ratio of naïve T cells to memory T cells, and T cell proliferative index (TCPI). TCPI was calculated by using number of T cells and their proliferative activity. We assessed T cell immune score in 103 patients with colorectal cancer and 51 healthy age-matched controls. The results were as follows: (1) T cell-immune score of patients in stages I-IV before surgery was significantly decreased as compared with controls. (2) The number of regulatory T cells in patients in stages I-IV gradually increased with disease progression. (3) T cell immune score was strongly suppressed after surgery, but were recovered to the initial level within a month. (4) Furthermore, restoration of immunological function was attempted in cancer patients by infusion of activated autologous T cells. The effectiveness was confirmed by an increase of TCPI in many cancer patients.
AuthorsKatsuiku Hirokawa, Masanori Utsuyama, Toshiaki Ishikawa, Yuko Kikuchi, Masanobu Kitagawa, Yuzo Fujii, Hideo Nariuchi, Hiroyuki Uetake, Kenichi Sugihara
JournalMechanisms of ageing and development (Mech Ageing Dev) 2009 Jan-Feb Vol. 130 Issue 1-2 Pg. 86-91 ISSN: 0047-6374 [Print] Ireland
PMID18555517 (Publication Type: Controlled Clinical Trial, Journal Article)
Topics
  • Adoptive Transfer (methods)
  • Aged
  • Aging (immunology)
  • CD4-CD8 Ratio
  • Cell Division (immunology)
  • Cells, Cultured
  • Colorectal Neoplasms (immunology, pathology, therapy)
  • Disease Progression
  • Female
  • Flow Cytometry (methods)
  • Humans
  • Immunologic Memory (immunology)
  • Lymphocyte Activation (immunology)
  • Male
  • Middle Aged
  • T-Lymphocytes (cytology, immunology)

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