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肺癌患者肺泡巨噬细胞上HLA-Ⅱ类抗原的表达
引用本文:白明,金阳,陶晓南,李元桂,辛建保. 肺癌患者肺泡巨噬细胞上HLA-Ⅱ类抗原的表达[J]. 华中科技大学学报(医学版), 1998, 0(6)
作者姓名:白明  金阳  陶晓南  李元桂  辛建保
作者单位:同济医科大学附属协和医院呼吸内科 武汉430022
摘    要:
通过检测肺癌患者肺泡巨噬细胞(AM)上人主要组织相容性抗原Ⅱ类(HLA-Ⅱ类)抗原的表达来探究肺癌患者局部的免疫情况。经支气管肺泡灌洗获取肺癌患者(n=18)病变累及处及对照组(n=15)的AM,利用SABC法检测两组人AM上的HLA-DR和HLA-DQ抗原的表达。结果显示肺癌患者AM上的这两种HLA-Ⅱ类抗原的表达均较对照组明显减少(HLA-DR的表达分别为72.9%和81.3%,P<0.01;HLA-DQ的表达分别为 42.7%和 60.4%, P<0.001),其中 HLA-DQ抗原减少更明显。提示肺癌患者病变局部AM的抗原识别和提呈能力是下降的,这对肺癌的免疫是不利的,AM上HLA-Ⅱ类抗原表达的减低可能影响到肺癌患者的预后。

关 键 词:肺癌  肺泡巨噬细胞  人主要组织相容性抗原I类

Expression of HLA- II Antigens on Alveolar Macrophages from Patients with Lung Cancer
Bai Ming,Jin Yang,Tao Xiaonan et al. Expression of HLA- II Antigens on Alveolar Macrophages from Patients with Lung Cancer[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 1998, 0(6)
Authors:Bai Ming  Jin Yang  Tao Xiaonan et al
Affiliation:Bai Ming,Jin Yang,Tao Xiaonan et al Department of Internal Medicine,Xiehe Hospital,Tongji Medical University,Wuhan 430022
Abstract:
The aim of this study was to investigate the pulmonary immunity in the area where lung cancer had infiltrated by detecting HLA-II antigens on AM. We sampled AM from patients with lung cancer(n= 18) and controls(n= 15) by bronchoalyeolar lavage and detected the expression of HLA-DR and HLA-DQ on AM by immunohistologic ways. Our results displayed that the expression of HLA- I antigens on lung cancer patient's AM decreased significantly (HLA-DR, P <0. 01; HLA-DQ, P <0. 001) ,especially for the HLA-DQ. It suggested that it wasn't benefit for the immunoreaction against lung cancer. The less expression of HLA- II antigens on AM from patients with lung cancer maybe influence the prognosis of lung cancer.
Keywords:Alveolar macrophage  Lung cancer  HLA- II antigens
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