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超声引导下消融术后原发性肝癌患者Th1/Th2细胞因子的变化

Changes of Th1/Th2 cytokines in patients with primary hepatocellular carcinoma after ultrasound-guided ablation.

作者信息

Ji Lili, Gu Jun, Chen Lei, Miao Dongliu

机构信息

Department of Ultrasonography, Suzhou Fifth People's Hospital Suzhou, Jiangsu Province, PR China.

Department of Ultrasonography, Suzhou Science & Technology Town Hospital, Suzhou Hospital Affiliated to Nanjing Medical University Suzhou, Jiangsu Province, PR China.

出版信息

Int J Clin Exp Pathol. 2017 Aug 1;10(8):8715-8720. eCollection 2017.

Abstract

Liver cancer is a malignancy of the digestive system and has a high morbidity and mortality rate. Local intervention has become a viable option in identifying liver treatment. The aim of the present study was to analyze the changes of Th1/Th2 cytokines in patients with primary hepatocellular carcinoma (HCC) after radiofrequency ablation (RFA) treatment. 26 patients with stage III-IV liver cancers and 25 healthy controls were selected to participate in the study. HCC patients were initiated with RFA treatment and the serum levels of alpha fetoprotein (AFP) and Th1/Th2 cytokines were valued. We found that with the level of AFP decreased, the levels of Th1 cytokines including interleukin-2 (IL-2), tumor necrosis factor-α (TNF-α) and interferon-γ (IFN-γ) were significantly increased after treatment with RFA (<0.05). Meanwhile, the levels of Th2 cytokines consist of interleukin-4 (IL-4), IL-6 and IL-10 were decreased markedly on the contrary, and the differences were statistically significant (<0.05). In conclusion, the levels of Th1/Th2 cytokines were correlated with the change of AFP in patients of HCC after treatment with RFA, which might be an important guiding significance for the prognosis of HCC.

摘要

肝癌是消化系统的一种恶性肿瘤,发病率和死亡率都很高。局部干预已成为肝癌治疗的一种可行选择。本研究的目的是分析原发性肝细胞癌(HCC)患者在射频消融(RFA)治疗后Th1/Th2细胞因子的变化。选取26例III-IV期肝癌患者和25例健康对照者参与本研究。对HCC患者进行RFA治疗,并检测血清甲胎蛋白(AFP)水平和Th1/Th2细胞因子水平。我们发现,随着AFP水平的下降,RFA治疗后包括白细胞介素-2(IL-2)、肿瘤坏死因子-α(TNF-α)和干扰素-γ(IFN-γ)在内的Th1细胞因子水平显著升高(<0.05)。同时,相反地,由白细胞介素-4(IL-4)、IL-6和IL-10组成的Th2细胞因子水平明显降低,差异具有统计学意义(<0.05)。总之,RFA治疗后HCC患者Th1/Th2细胞因子水平与AFP的变化相关,这可能对HCC的预后具有重要的指导意义。

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