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唯美生放射免疫联合微波消融治疗胆管细胞癌 被引量:1
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作者 高珂 欧阳巧洪 +3 位作者 李振彩 李晓松 祁楠 杜楠 《河北医药》 CAS 2014年第2期211-212,共2页
目的探讨唯美生放射免疫治疗联合微波消融治疗胆管细胞癌的疗效及血液学毒性。方法选取胆管细胞癌患者25例,临床评估认为不能从手术、化疗中获益者。患者在超声引导下行肿瘤局部微波消融治疗,术中给予唯美生瘤内注射,剂量为29.6 MBq/kg... 目的探讨唯美生放射免疫治疗联合微波消融治疗胆管细胞癌的疗效及血液学毒性。方法选取胆管细胞癌患者25例,临床评估认为不能从手术、化疗中获益者。患者在超声引导下行肿瘤局部微波消融治疗,术中给予唯美生瘤内注射,剂量为29.6 MBq/kg。治疗前2 d、治疗后2 d、3个月行腹部CT,了解唯美生在瘤内分布程度及评价疗效。结果治疗后2 d腹部CT显示:唯美生局部放射免疫显像,病灶部位唯美生浓聚。治疗后1个月,骨髓抑制及消化道反应较轻,治疗后3个月后复查腹部CT,疗效评价提示:CR0例、PR16例、SD6例、PD 3例,总缓解率(CR+PR)64.00%(16/25),疾病控制率(CR+PR+SD)88.00%(22/25)。结论唯美生放射免疫治疗联合微波消融治疗胆管细胞癌疗效较好,不良反应较轻。 展开更多
关键词 胆管细胞肿瘤 唯美生 放射免疫治疗 微波消融
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肝内周围型胆管细胞癌的CT及MRI诊断价值 被引量:11
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作者 雷友华 肖智博 《重庆医学》 CAS CSCD 北大核心 2013年第8期936-939,共4页
目的探讨CT及MRI对肝内周围型胆管细胞癌(IHPCC)的诊断价值。方法回顾性分析2008年5月至2011年6月经病理检查证实的IHPCC患者24例的CT及MRI检查资料。结果 (1)24例病灶CT平扫均为低密度,边界不清晰。增强扫描动脉期:2例呈不均匀明显强... 目的探讨CT及MRI对肝内周围型胆管细胞癌(IHPCC)的诊断价值。方法回顾性分析2008年5月至2011年6月经病理检查证实的IHPCC患者24例的CT及MRI检查资料。结果 (1)24例病灶CT平扫均为低密度,边界不清晰。增强扫描动脉期:2例呈不均匀明显强化,4例未见强化,周边轻度不完全强化7例,边缘呈连续薄环状强化11例,6例中央呈网格状或结节状强化;门静脉期:环形强化18例,呈渐进性填充中度强化,6例呈不均匀轻-中度强化;延迟期:病灶强化不均匀,16例持续强化高于肝实质,8例强化程度低于肝实质,13例病灶中心填充强化呈片状、网格状及结节状,11例中心未强化。肝内胆管扩张6例,肝内胆管结石4例,肝叶萎缩4例,局部肝轮廓凹陷3例。结论 IHPCC由于病灶内各种成分的比例和分布不同,CT和MRI表现不同,其动态增强表现仍有一定特征性,CT和MRI各有优势,二者相结合对IHPCC的诊断具有重要价值。 展开更多
关键词 胆管细胞肿瘤 肝内周围型 磁共振成像 X线计算机 扩散加权
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经CT引导下射频消融根治一例富动脉血供的原发性肿块型肝内胆管细胞癌 被引量:1
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作者 徐晓飞 李炳荣 +2 位作者 王祖飞 涂建飞 纪建松 《中华介入放射学电子杂志》 2023年第1期89-92,共4页
一、病史和治疗经过病史及诊断:患者男,69岁,2019年3月29日因"车祸伤致全身多处疼痛、左小指部分离断"入院,急诊腹部CT平扫提示"肝右叶挫裂伤可能,建议增强检查",之后在10 d内患者完善了肝脏磁共振增强扫描(诊断为&... 一、病史和治疗经过病史及诊断:患者男,69岁,2019年3月29日因"车祸伤致全身多处疼痛、左小指部分离断"入院,急诊腹部CT平扫提示"肝右叶挫裂伤可能,建议增强检查",之后在10 d内患者完善了肝脏磁共振增强扫描(诊断为"右肝富血供肿块可能为恶性肿瘤")、PET-CT[诊断为"右肝团块局部18F-脱氧葡萄糖摄取增高,标准摄取值(standard uptake value,SUV)最大值3.8. 展开更多
关键词 射频消融 肿瘤:肝内胆管细胞
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13例肝内胆管细胞癌CT诊断分析 被引量:2
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作者 韦秀祥 《肿瘤学杂志》 CAS 2010年第1期65-67,共3页
[目的]探讨肝内胆管细胞癌的CT表现。[方法]分析经病理证实的13例肝内胆管细胞癌CT表现。[结果]13例中,9例为单发病灶,肿瘤大小为4~9cm,4例为大小不一的多发病灶。肝内胆管扩张6例,肝内胆管结石5例。肝叶萎缩4例,局部肝轮廓凹陷4例。... [目的]探讨肝内胆管细胞癌的CT表现。[方法]分析经病理证实的13例肝内胆管细胞癌CT表现。[结果]13例中,9例为单发病灶,肿瘤大小为4~9cm,4例为大小不一的多发病灶。肝内胆管扩张6例,肝内胆管结石5例。肝叶萎缩4例,局部肝轮廓凹陷4例。增强扫描动脉期7例表现为病灶边缘轻度不全薄环状强化,可见线样强化4例,网格状强化3例;动脉期无明显强化2例。延迟扫描的6例均表现为逐渐增强的向心性强化。[结论]肝内胆管细胞癌的CT表现具有一定特异性,大多可以和肝内其他肿瘤鉴别,增强扫描具有较高的价值。 展开更多
关键词 胆管细胞肿瘤 CT体层摄影术 诊断
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Uptake of bacterial lipopolysaccharide and expression of tumor necrosis factor α mRNA in isolated rat intrahepatic bile duct epithelial cells *
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作者 陈贤明 韩德五 +1 位作者 野口和典 谷川久一 《World Journal of Gastroenterology》 SCIE CAS CSCD 1997年第1期8+6-7,6-7,共3页
AIM To study the uptake of bacterial lipopolysaccharides (LPS) and expression of tumor necrosis factor α mRNA (TNF α mRNA) with cultured rat intrahepatic bile duct epithelial cells.
关键词 Lipopolysaccharides Epithelial cells bile ducts Tumor necrosis factor In situ hybridization
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Roles of the MEK1/2 and AKT pathways in CXCL12/CXCR4 induced cholangiocarcinoma cell invasion 被引量:27
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作者 Kawin Leelawat Surang Leelawat +1 位作者 Siriluck Narong Suradej Hongeng 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第10期1561-1568,共8页
AIM: To evaluate the expression of C-X-C motif chemokine receptor 4 (CXCR4) and its signaling cascades, which were previously identified as a key factor for cancer cell progression and metastasis, in cholangiocarci... AIM: To evaluate the expression of C-X-C motif chemokine receptor 4 (CXCR4) and its signaling cascades, which were previously identified as a key factor for cancer cell progression and metastasis, in cholangiocarcinoma cell lines. METHODS: The expression of CXCR4 and its signaling cascades were determined in the cholangiocarcinoma cell lines (RMCCA1 and KKU100) by Western blotting. The invasion assays and the detection of actin polymerization were tested in these cholangiocarcinoma cells treated with CXC chemokine ligand -12 (CXCL12). RESULTS: Expression of CXCR4 was detected in both cholangiocarcinoma cell lines and activation of CXCR4 with CXCL12 triggered the signaling via the extracellular signal-regulated kinase-1/2 (ERK1/2) and phosphoinositide 3-kinase (PI3K) and induction of cholangiocarcinoma cell invasion, and displayed high levels of actin polymerization. Addition of CXCR4 inhibitor (AMD3100) abrogated CXCL12-induced phosphorylation of MEKI/2 and Akt in these cells. Moreover, treatment with MEK1/2 inhibitor (U0126) or PI3K inhibitor (LY294002) also attenuated the effect of CXCL12- induced cholangiocarcinoma cell invasion. CONCLUSION: These results indicated that the activation of CXCR4 and its signaling pathways (MEK1/2 and Akt) are essential for CXCL12-induced cholangiocarcinoma cell invasion. This rises Implications on a potential role for the inhibition of CXCR4 or its signal cascades in the treatment of cholangiocarcinoma. 展开更多
关键词 CHOLANGIOCARCINOMA CXCR4 CXCL12 MEK1/2 PI3K
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Focal adhesion kinase and Src phosphorylations in HGF-induced proliferation and invasion of human cholangiocarcinoma cell line, HuCCA-1 被引量:5
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作者 Urai Pongchairerk Jun-Lin Guan Vijittra Leardkamolkarn 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第37期5845-5852,共8页
AIM: To study the role of focal adhesion kinase (FAK) and its association with Src in hepatocyte growth factor (HGF)-induced cell signaling in cholangiocarcinoma progression.METHODS: Previously isolated HuCCA-1 cells ... AIM: To study the role of focal adhesion kinase (FAK) and its association with Src in hepatocyte growth factor (HGF)-induced cell signaling in cholangiocarcinoma progression.METHODS: Previously isolated HuCCA-1 cells were re-characterized by immunofluorescent staining and reverse transcriptase-polymerase chain reaction assay for the expression of cytokeratin 19, HGF and c-Met mRNA. Cultured HuCCA-1 cells were treated with HGF and determined for cell proliferation and invasion effects by MTT and invasion assays. Western blotting, immunoprecipitation, and co-immunoprecipitation were also performed to study the phosphorylation and interaction of FAK and Src. A novel Src inhibitor (AZM555130) was applied in cultures to investigate the effects on FAK phosphorylation inhibition and on cell proliferation and invasion.RESULTS: HGF enhanced HuCCA-1 cell proliferation and invasion by mediating FAK and Src phosphorylations.FAK-Src interaction occurred in a time-dependent manner that Src was proved to be an upstream signaling molecule to FAK. The inhibitor to Src decreased FAK phosphorylation level in correlation with the reduction of cell proliferation and invasion.CONCLUSION: FAK plays a significant role in signaling pathway of HGF-responsive cell line derived from cholangiocarcinoma. Autophosphorylated Src, induced by HGF, mediates Src kinase activation, which subsequently phosphorylates its substrate, FAK, and signals to cell proliferation and invasion. 展开更多
关键词 Human cholangiocarcinoma Hepatocyte growth factor C-MET Focal adhesion kinase SRC
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Bile salts inhibit growth and induce apoptosis of human esophageal cancer cell line 被引量:7
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作者 Ru Zhang Jun Gong +1 位作者 Hui Wang Li Wang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第33期5109-5116,共8页
AIM: To explore the effect of six bile salts, including glycocholate (GC), glycochenodeoxycholate (GCEX:), glycodeoxycholate (GDC), taurocholate (TC), taurochenodeoxycholate (TCDC), taurodeoxycholate (TDC... AIM: To explore the effect of six bile salts, including glycocholate (GC), glycochenodeoxycholate (GCEX:), glycodeoxycholate (GDC), taurocholate (TC), taurochenodeoxycholate (TCDC), taurodeoxycholate (TDC), and two bile acids including cholic acid (CA) and deoxycholic acid (DCA) on esophageal cancer Eca109 cell line. METHODS: Eca109 cells were exposed to six bile salts, two bile adds and the mixed bile salts at different concentrations for 24-72 h. 3-[4,5-Dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) assay was used to detect the cell proliferation. Apoptotic morphology was observed by phase-contrast video microscopy and deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) assay. Sub-G1 DNA fragmentations and early apoptosis cells were assayed by flow cytometry (FCM) with propidium iodide (PI) staining and annexin V-FITC conjugated with PI staining. Apoptosis DNA ladders on agarose were observed. Activation of caspase-3 was assayed by FCM with FITC-conjugated monodonal rabbit anti-active caspase- 3 antibody and expressions of Bcl-2 and Bax proteins were examined immunocytochemically in 500μmol/L-TCinduced apoptosis cells. RESULTS: Five bile salts except for GC, and two bile acids and the mixed bile salts could initiate growth inhibition of Ecal09 cells in a dose- and time-dependent manner. TUNEL, FCM, and DNA ladder assays all demonstrated apoptosis induced by bile salts and bile acids at 500 μmol/L, except for GC. Early apoptosis cell percentages in Eca109 cells treated with GCDC, GDC, TC, TCDC, TDC, CA at 500 μmol/L for 12 h, DCA at 500 μmol/L for 6 h, and mixed bile salts at 1 000 μmol/L for 12 h were 7.5%, 8.7%, 14.8%, 8.9%, 7.8%, 9.3%, 22.6% and 12.5%, respectively, all were significantly higher than that in control (1.9%). About 22% of the cell population treated with TC at 500 μmol/L for 24 h had detectable active caspase-3, and were higher than that in the control (1%). Immunocytochemical assay suggested that TC down-regulated Bcl-2 protein level and up-regulated Bax protein level. CONCLUSION: GCDC, GDC, TC, TCDC, TDC, CA and DCA, except for GC, can inhibit growth and induce apoptosis of esophageal cancer Eca109 cells. Activation of caspase-3, decreased Bcl-2 protein and increased Bax protein are involved in TC-induced apoptosis of Eca109 cells. 展开更多
关键词 Bile salts Esophageal cancer cells PROLIFERATION APOPTOSIS
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EFFECTS OF CYCLOOXYGENASE-2 ANTISENSE VECTOR ON PROLIFERATION OF HUMAN CHOLANGIOCARCINOMA CELLS 被引量:4
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作者 Gao-songWu Sheng-quanZou Xiao-yongWu Fa-zuQiu 《Chinese Medical Sciences Journal》 CAS CSCD 2004年第2期89-92,共4页
Objective To transfect antisense vector of human cyclooxygenase-2 (COX-2) gene into COX-2 highly expressing chol-angiocarcinoma cell line QBC939 and explore its biological activities and role in carcinogenesis. Method... Objective To transfect antisense vector of human cyclooxygenase-2 (COX-2) gene into COX-2 highly expressing chol-angiocarcinoma cell line QBC939 and explore its biological activities and role in carcinogenesis. Methods QBC939 cells were transfected with antisense vector of human COX-2 gene using LipoVecTM transfecting te-chnique. Transfected cells were selected with G418; COX-2 mRNA was examined using reverse transcription polymerase chain reaction (RT-PCR) and COX-2 protein expression was detected by immunocytochemistry using isozyme selective anti-bodies. The proliferative status of transfected cells was measured by using methabenzthiazuron (MTT) assay; Cell cycle and apoptosis were analyzed by using flow cytometry. Results RT-PCR showed a lower COX-2 mRNA level in antisense vector transfected cells and immunocytochemistry showed a weaker COX-2 protein expression in antisense vector transfected cells. The antisense vector transfected cells proli-ferative index decreased significantly (P< 0.01), the percentage of S phase decreased remarkably (P< 0.05) in antisense vec-tor transfected cells (9.27% ±1.91%) compared with that in QBC939 cells without transfection(16.35% ±2.87%), and the percentage of G0/G1 phase increased remarkably (P< 0.05) in antisense vector transfected cells (75.16%±4.13%) compared with that in QBC939 cells without transfection (57.31% ±10.16%). Transfection with antisense vector of human COX-2 gene had no significant influence on the apoptosis in QBC939 cells (P> 0.05). Conclusion Transfection with antisense vector of human COX-2 gene could inhibit the proliferation of human cholan-giocarcinoma QBC939 cells. 展开更多
关键词 CYCLOOXYGENASE-2 bile tract neoplasm gene transfer
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Intraductal papillary neoplasm of the bile duct in liver cirrhosis with hepatocellular carcinoma 被引量:4
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作者 Jing Xu Yasunori Sato +5 位作者 Kenichi Harada Norihide Yoneda Yasuni Nakanuma Teruyuki Ueda Atsushi Kawashima Akishi Ooi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第14期1923-1926,共4页
A case of intraductal papillary neoplasm of the bile duct (IPNB) arising in a patient with hepatitis B-related liver cirrhosis with hepatocellular carcinoma (HCC) is reported. A 76-year-old man was admitted to our hos... A case of intraductal papillary neoplasm of the bile duct (IPNB) arising in a patient with hepatitis B-related liver cirrhosis with hepatocellular carcinoma (HCC) is reported. A 76-year-old man was admitted to our hospital with recurrent HCC. Laboratory data showed that levels of carcinoembryonic antigen and carbohydrate antigen 19-9 were elevated. He died of progressive hepatic failure. At autopsy,in addition to HCCs,an intraductal papillary proliferation of malignant cholangiocytes with fibrovascular cores was found in the dilated large bile ducts in the left lobe,and this papillary carcinoma was associated with an invasive mucinous carcinoma (invasive IPNB). Interestingly,extensive intraductal spread of the cholangiocarcinoma was found from the reactive bile ductular level to the interlobular bile ducts and septal bile ducts and to the large bile ducts in the left lobe. Neural cell adhesion molecule,a hepatic progenitor cell marker,was detected in IPNB cells. It seems possible in this case that hepatic progenitor cells located in reactive bile ductules in liver cirrhosis may have been responsible for the development of the cholangiocarcinoma and HCC,and that the former could have spread in the intrahepatic bile ducts and eventually formed grossly visible IPNB. 展开更多
关键词 Papillary carcinoma Bile duct neoplasms Liver cirrhosis Progenitor cells Hepatocellular carcinoma Neural cell adhesion molecules
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肝门部胆管癌根治术术后口服胆汁患者的疗效观察 被引量:7
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作者 魏志成 刘荣 +2 位作者 王春喜 胡明根 赵之明 《现代生物医学进展》 CAS 2017年第29期5698-5700,5715,共4页
目的:探讨肝门部胆管癌术后口服胆汁患者的疗效。方法:采用病例对照法,回顾性分析2015年10月-2016年9月期间我科收治的肝门部胆管癌患者,术前行经皮肝穿刺胆道引流术(PTCD)并接受肝门部胆管癌根治术的患者89例,根据术后是否口服胆汁,将... 目的:探讨肝门部胆管癌术后口服胆汁患者的疗效。方法:采用病例对照法,回顾性分析2015年10月-2016年9月期间我科收治的肝门部胆管癌患者,术前行经皮肝穿刺胆道引流术(PTCD)并接受肝门部胆管癌根治术的患者89例,根据术后是否口服胆汁,将肝门部胆管癌患者分为两组,即口服胆汁组(51例)及对照组(38例)。所有患者均为术后3日开始进食。口服胆汁组:胆汁口服应遵循的条件为引流出的胆汁呈金黄色、无血性。术后第三天,胆汁满足口服的条件时,每6小时收集一次,经双层纱布过滤,胆汁中加入蜂蜜少量多次、随餐服下。对照组:除外口服胆汁,其余进食及治疗均相同。术后主要结局观察指标包括腹泻发生率、术后7天血清白蛋白水平,腹腔感染发生率;次要结局指标即住院时间。观察术后患者腹泻发生率、术后7天血清白蛋白水平,腹腔感染发生率和住院时间。结果:两组患者腹腔感染、腹泻发生及住院时间有统计学差异,p值均小于0.05,两组间白蛋白水平无统计学差异。结论:口服胆汁是一种有效、简便且经济的方法。术后腹腔感染并发症少,缩短住院时间,腹泻发生率较低。 展开更多
关键词 胆管细胞恶性肿瘤 口服胆汁 肝门胆管癌根治术
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三种预后较差少见病理类型原发性肝癌的临床特点和预后 被引量:10
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作者 李智宇 黄振 +6 位作者 毕新宇 杨琳 赵建军 赵宏 张业繁 蔡建强 郑晓川 《中华肿瘤杂志》 CAS CSCD 北大核心 2014年第3期207-211,共5页
目的研究三种预后较差的少见病理类型原发性肝癌的临床特点和预后相关因素。方法回顾性分析1998年10月至2013年6月收治的经术后病理证实的69例少见病理类型原发性肝癌(肝细胞-胆管细胞混合型肝癌34例,巨细胞型肝癌19例,肉瘤样肝癌16... 目的研究三种预后较差的少见病理类型原发性肝癌的临床特点和预后相关因素。方法回顾性分析1998年10月至2013年6月收治的经术后病理证实的69例少见病理类型原发性肝癌(肝细胞-胆管细胞混合型肝癌34例,巨细胞型肝癌19例,肉瘤样肝癌16例)患者的临床资料,并与同期收治的80例低分化肝细胞肝癌患者进行比较。结果4组不同类型原发性肝癌患者的性别、年龄、乙肝表面抗原(HBsAg)阳性率、甲胎蛋白水平、肝硬化情况、肿瘤部位、肿瘤大小以及肝切除术式的比较,差异均无统计学意义(均P〉0.05);但术前癌胚抗原水平、肿瘤数目、是否行肝门淋巴结清扫术、有无邻近器官侵犯、有无脉管癌栓的差异均有统计学意义(均P〈0.05)。生存分析的结果显示,肝细胞-胆管细胞混合型肝癌、巨细胞型肝癌、肉瘤样肝癌和低分化肝细胞肝癌组患者的中位生存时间分别为20、13、8和36个月。肝细胞一胆管细胞混合型肝癌组患者的1、3、5年生存率分别为61.8%、29.4%和20.,6%,巨细胞型肝癌组患者的1、3、5年生存率分别为52.6%、31.6%和0%,肉瘤样肝癌组患者的1、3、5年生存率分别为31.3%、0%和0%,低分化肝细胞肝癌组患者的1、3、5年生存率分别为83.8%、33.8%和7.5%,肉瘤样肝癌组患者的预后最差(P〈0.05)。Cox多因素分析的结果显示,切缘阳性为影响肝细胞一胆管细胞混合型肝癌、巨细胞型肝癌和肉瘤样肝癌患者预后的独立危险因素。结论肝细胞一胆管细胞混合型肝癌、巨细胞型肝癌和肉瘤样肝癌是三种预后较差的肝癌病理类型,尤以肉瘤样肝癌恶性程度最高,预后最差,手术应尽可能行根治性切除。 展开更多
关键词 肿瘤 细胞-胆管细胞混合型 肿瘤 细胞 肿瘤 肉瘤样 预后 危险因素
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Cholangiocarcinoma-derived exosomes inhibit the antitumor activity of cytokine-induced killer cells by down-regulating the secretion of tumor necrosis factor-α and perforin 被引量:6
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作者 Jiong-huang CHEN Jian-yang XIANG +1 位作者 Guo-ping DING Li-ping CAO 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2016年第7期537-544,共8页
Objective: The aim of our study is to observe the impact of cholangiocarcinoma-derived exosomes on the antitumor activities of cytokine-induced killer (CIK) cells and then demonstrate the appropriate mechanism. Met... Objective: The aim of our study is to observe the impact of cholangiocarcinoma-derived exosomes on the antitumor activities of cytokine-induced killer (CIK) cells and then demonstrate the appropriate mechanism. Methods: Tumor-derived exosomes (TEXs), which are derived from RBE cells (human cholangiocarcinoma line), were collected by ultracentrifugation. CIK cells induced from peripheral blood were stimulated by TEXs. Fluorescence-activated cell sorting (FACS) was performed to determine the phenotypes of TEX-CIK and N-CIK (normal CIK) cells. The concen- trations of tumor necrosis factor-a (TNF-a) and perforin in the culture medium supematant were examined by using an enzyme-linked immunosorbent assay (ELISA) kit. A CCK-8 kit was used to evaluate the cytotoxic activity of the CIK cells to the RBE cell line. Results: The concentrations of TNF-a and perforin of the group TEX-CIK were 138.61 pg/ml and 2.41 ng/ml, respectively, lower than those of the group N-CIK 194.08 pg/ml (P〈0.01) and 3.39 ng/ml (P〈0.05). The killing rate of the group TEX-CIK was 33.35%, lower than that of the group N-CIK (47,35% (P〈0.01)). The population of CD3+, CD8+, NK (CD56+), and CD3+CD56+ cells decreased in the TEX-CIK group (63.2±6.8)%, (2.5±1.0)%, (0.53±0.49)%, (0.45±0.42)%) compared with the N-CIK group ((90.3±7.3)%, (65.7±3.3)%, (4.2±1.2)%, (15.2±2.7)%), P〈0.01. Conclusions: Our results suggest that RBE cells-derived exosomes inhibit the antitumor activity of CIK cells by down-regulating the population of CD3+, CD8+, NK (CD56+), and CD3+CD56+ cells and the secretion of TNF-a and perforin. TEX may play an important role in cholangiocarcinoma immune escape. 展开更多
关键词 CHOLANGIOCARCINOMA Tumor-derived exosomes Cytokine-induced killer cells Immune escape
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