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Effects of Yiqi Yangyin Prescription combined with radiotherapy on the tumor load and anti-tumor immune response of patients with advanced lung cancer

机译:益气养阴方联合放疗对晚期肺癌患者肿瘤负荷和抗肿瘤免疫反应的影响

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Objective: To investigate the effects of Yiqi Yangyin Prescription combined with radiotherapy on the tumor load and anti-tumor immune response of patients with advanced lung cancer. Methods: A total of 78 patients with advanced non-small cell lung cancer who were diagnosed and treated in our hospital between August 2015 and January 2017 were reviewed and then divided into the routine group (n=41) who received chemoradiotherapy alone and the Yiqi Yangyin Prescription group (n=37) who received chemoradiotherapy combined with Yiqi Yangyin Prescription therapy. The differences in serum levels of tumor markers, Th1/Th2 cytokines and Th17/Treg cytokines were compared between the two groups before and after treatment. Results: After treatment, serum tumor markers CA15-3, Cyfra21-1, HSP90α and CEA levels of Yiqi Yangyin Prescription group were lower than those of routine group; serum Th1 cytokines IFN-γ and IL-2 levels were higher than those of routine group while Th2 cytokines IL-4 and IL-5 levels were lower than those of routine group; serum Th17 cytokines IL-17 and IL-23 as well as Treg cytokines IL-10 and TGF-β levels were lower than those of routine group. Conclusion: Routine chemoradiotherapy combined with Yiqi Yangyin Prescription therapy can effectively reduce the tumor load and optimize the anti-tumor immune function in patients with advanced non-small cell lung cancer.
机译:目的:探讨益气养阴方联合放疗对晚期肺癌患者肿瘤负荷和抗肿瘤免疫反应的影响。方法:回顾性分析2015年8月至2017年1月在我院确诊并治疗的78例晚期非小细胞肺癌患者,将其分为常规组(41例),单纯化学放疗组和益气治疗组。接受化学放疗联合益气养阴方治疗的养阴方组(n = 37)。比较两组治疗前后血清肿瘤标志物,Th1 / Th2细胞因子和Th17 / Treg细胞因子的水平差异。结果:益气养阴方治疗后血清肿瘤标志物CA15-3,Cyfra21-1,HSP90α和CEA水平均低于常规治疗组。血清Th1细胞因子IFN-γ和IL-2水平高于常规组,而Th2细胞因子IL-4和IL-5水平低于常规组。血清Th17细胞因子IL-17和IL-23以及Treg细胞因子IL-10和TGF-β水平低于常规组。结论:常规放化疗联合益气养阴方可有效减轻晚期非小细胞肺癌患者的肿瘤负荷,优化其抗肿瘤免疫功能。

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