CHANGES OF IMMUNE STATUS OF PATIENTS WITH DIFFERENT TYPES OF GLIAL TUMORS

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Abstract

The immune status of 58 patients with gliomaswas evaluated. Prior to surgical treatment in patients with low-grade gliomas was observed higher (p<0.05) the absolute number of total T-lymphocytes, Thelper cells and NK-cells compared to patients with high grade glioma. Postoperatively group grade II was observed explicit reduction in the number of CD3+, CD3+CD4+, CD3–CD56+ and increase in the population CD3+CD8+ cytotoxic T-lymphocytes. Reducing of the number of CD3–CD56+ lymphocytes in patients with diff use astrocytomas and anaplastic gliomas after surgical treatment, maybe, related to the migration of these cells into the area of surgical intervention. At the same time in patients with grade III, IV gliomas was revealed an increase of the absolute number of killer T-cells. In the group of grade IV also was recorded increase in the percentage of T-reg, having a suppressor function, which may indicate a breach of anti-tumor immune response and cause suppression of the cytotoxic response in patients with highgrade gliomas. Key words: glioma, low grade, high grade, immunophenotyping, immune status, T-lymphocytes, NK-cells>˂0.05) the absolute number of total T-lymphocytes, Thelper cells and NK-cells compared to patients with high grade glioma. Postoperatively group grade II was observed explicit reduction in the number of CD3+, CD3+CD4+, CD3CD56+ and increase in the population CD3+CD8+ cytotoxic T-lymphocytes. Reducing of the number of CD3CD56+ lymphocytes in patients with diffuse astrocytomas and anaplastic gliomas after surgical treatment, maybe, related to the migration of these cells into the area of surgical intervention. At the same time in patients with grade III, IV gliomas was revealed an increase of the absolute number of killer T-cells. In the group of grade IV also was recorded increase in the percentage of T-reg, having a suppressor function, which may indicate a breach of anti-tumor immune response and cause suppression of the cytotoxic response in patients with highgrade gliomas. 

About the authors

K. A. Chemodakova

Military Medical Academy. CM. Kirova

Author for correspondence.
Email: Larana@yandex.ru

Lecturer of Department of Neurosurgery,

St. Petersburg

Russian Federation

B. V. Martynov

Military Medical Academy. CM. Kirova

Email: fake@neicon.ru

PhD, Professor Department of Neurosurgery,

St. Petersburg

Russian Federation

I. A. Sukhina

Military Medical Academy. CM. Kirova

Email: fake@neicon.ru

Ph.D., Lecturer of Department of Clinical Biochemistry and Laboratory Diagnostics,

St. Petersburg

Russian Federation

V. Yu. Nikitin

Military Medical Academy. CM. Kirova

Email: fake@neicon.ru

PhD, Head of Immunology Laboratories of the Center for Clinical Laboratory Diagnostics,

St. Petersburg

Russian Federation

A. M. Ivanov

Military Medical Academy. CM. Kirova

Email: fake@neicon.ru

Corresponding Member of the Russian Academy of Sciences, PhD, Professor, Head of the Department of Clinical Biochemistry, Department of Clinical Biochemistry and Laboratory Diagnostics,

St. Petersburg

Russian Federation

References

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  2. Stupp R., Hegi M. E., Mason W. P. et al. Effects of radiotherapy with concomitant and adjuvant temozolomide versus radiotherapy alone on survival in glioblastoma in a randomised phase III study: 5-year analysis of the EORTC-NCIC trial // Lancet Oncol. – 2009. – Vol. 10, № 5. – Р.459–466.
  3. Старченко А. Л. Клиническая нейроиммунология хирургических болезней головного мозга / А. Л. Старченко. – СПб.: С.- Петербургское мед. изд-во, 2001. – 324 с. Чиркин В. В., Семенков В. Ф., Карандашов В. И.
  4. Шардаков В. И., Загоскина Т. П. Роль иммунной системы и ее оценка у онкологических больных. – Киров, 2000. 21 с. 5. Dutoit V., Migliorini D., Dietrich P. Y., Walker P. R. Immunotherapy of Malignant Tumors in the Brain: How Different from Other Sites? // Front Oncol. – 2016. – Vol. 6. – Р. 1–18.

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Copyright (c) 2019 Chemodakova K.A., Martynov B.V., Sukhina I.A., Nikitin V.Y., Ivanov A.M.

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