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Phase clinical study of combination therapy with microwave ablation and cellular immunotherapy in hepatocellular carcinoma.

机译:微波消融联合细胞免疫治疗肝细胞癌的临床临床研究。

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BACKGROUND AND AIMS: To observe safety and influence on viral load and peripheral T lymphocyte subsets of combination therapy with percutaneous microwave ablation (PMWA) and adoptive immunotherapy in hepatocellular carcinoma (HCC) with hepatitis B. RESULTS: No adverse effects of grade / were observed. Viral load was decreased in 57.14% (four of seven) of patients and was undetectable in two (28.6%) patients without antiviral therapy. The percentage of CD4(+)CD25(high) regulatory T lymphocytes decreased significantly, and the percentage of CD8(+)CD28(-) effector cells increased significantly 1 month after therapy. However, 6 months after therapy, there was no significant difference. METHODS: Ten HCC (D
机译:背景与目的:观察经皮微波消融(PMWA)联合过继免疫治疗乙型肝炎肝癌(HCC)的安全性及其对病毒载量和外周T淋巴细胞亚群的影响。结果:未观察到等级/的不良反应。在没有抗病毒治疗的情况下,病毒载量降低了57.14%(七分之四),而在两名患者(28.6%)中则无法检测到。治疗后1个月,CD4(+)CD25(高)调节性T淋巴细胞的百分比显着下降,CD8(+)CD28(-)效应细胞的百分比显着增加。但是,治疗后6个月无明显差异。方法:对十例肝癌(D == 5 cm,少于3个肿瘤)进行了根治性PMWA治疗,并进行了三个疗程的免疫治疗,分别从PMWA开始,PMWA术后2周和PMWA术后3个月开始。外周血单个核细胞分化为表型确认的DC和效应细胞。在造影剂增强的超声引导下,将未成熟的DC,细胞因子诱导的杀伤细胞(CIK)和细胞毒性T淋巴细胞(CTL)注入消融肿瘤的边缘区域。在超声检查的指导下,将肿瘤裂解液脉冲的DC注入腹股沟淋巴结,而将DC-CIK和CTL注入腹腔。 CIK静脉注射。结论:PMWA后不久对HCC患者开出的过继免疫疗法是安全的,并改善了外周淋巴细胞的百分比。

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