Nutritional deficiencies are believed to be instrumental in producing reduced immune responses in a variety of animal species.
Malnutrition may result in an increase or a decrease in immune functions, depending upon its degree, and also the timing and severity of the nutritional
protein deprivation. Our experimental data suggest that there is a significant impairment of cytotoxic activity against K-562 and of the ability of spleen cells to produce
interferon in
protein-deprived mice in comparison with control mice. Paradoxically accelerated
tumor growth after administration of
OK-432 or
Lentinan was also noted in
protein-deficient
tumor-bearing mice. In addition, a clinical randomized study of advanced or recurrent
gastric cancer patients treated with MMC and FT(MF) with or without
lentinan was performed. We recognized excellent end-point results only in the
lentinan-treated patients with normal
protein levels, while no effect of this agent was seen in patients with low
serum protein levels (below 5.9/dl). Aggressive postoperative
chemotherapy for cases with distant
lymph node metastasis was performed under active
nutritional support without any depression of metabolic and immunological states, resulting in a good 5-year survival rate (36.9%).