دانلود مقاله ISI انگلیسی شماره 141522
ترجمه فارسی عنوان مقاله

کارسینوم عضلانی نورونی عضلانی بزرگ سلول باعث تغییرات پروتئینی سلولی محیطی با اهمیت پیش بینی و پیش آگهی می شود

عنوان انگلیسی
Large cell neuroendocrine lung carcinoma induces peripheral T-cell repertoire alterations with predictive and prognostic significance
کد مقاله سال انتشار تعداد صفحات مقاله انگلیسی
141522 2018 8 صفحه PDF
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Lung Cancer, Volume 119, May 2018, Pages 48-55

پیش نمایش مقاله
پیش نمایش مقاله  کارسینوم عضلانی نورونی عضلانی بزرگ سلول باعث تغییرات پروتئینی سلولی محیطی با اهمیت پیش بینی و پیش آگهی می شود

چکیده انگلیسی

Untreated stage IV LCNEC patients had significant T-cell repertoire alterations (p < 0.001) compared to age-matched smokers. These changes correlated positively with blood lymphocyte counts (r = 0.49, p < 0.01), suggesting antigen-induced T-cell proliferation as the causative mechanism. At the same time, LCNEC patients showed mild lymphopenia (1.54 vs. 2.51/nl in median, p < 0.01), which reveals a second, antigen-independent mechanism of systemic immune dysregulation. More pronounced T-cell repertoire alterations and higher blood lymphocyte counts at diagnosis were associated with a better treatment response by RECIST and with a longer overall survival (441 vs. 157 days in median, p = 0.019). A higher degree of T-cell repertoire normalization after 3 months of therapy also distinguished a patient group with more favourable prognosis (median overall survival 617 vs. 316 days, p = 0.036) independent of radiological response. Thus, LCNEC induces clinically relevant changes of the T-cell repertoire, which are measurable in the blood and could be exploited for prognostic, predictive and therapeutic purposes. Their pathogenesis appears to involve antigen-induced oligoclonal T-cell expansions superimposed on TCR-independent lymphopenia.