卡介苗治疗膀胱癌作用机制的研究进展Progress in research on mechanism of BCG in therapy of bladder cancer
马健尊;闫东梅;
摘要(Abstract):
卡介苗(Bacille Calmette-Guerin,BCG)是强毒性牛型结核杆菌在特殊人工培养基上经数年传代所获得的减毒牛型结核杆菌活疫苗,其致病能力有所减弱,但仍保留免疫原性,主要用于结核病的防治。BCG灌注疗法一直被认为是经尿道切除非肌层浸润性膀胱癌(non muscle-invasive bladder cancer,NMIBC)最有效的辅助治疗方法,该方法的机制包括BCG的直接作用和间接作用。直接作用是BCG黏附于膀胱并被细胞内化,从而增加肿瘤细胞中具有细胞毒作用的一氧化氮(NO)产生;间接作用是对免疫系统的激活,包括巨噬细胞、中性粒细胞等,从而使这些细胞发挥肿瘤杀伤功能,该过程也与白细胞介素-2(interlukine-2,IL-2)、IL-8、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、IL-10等细胞因子有关。本文就BCG抗肿瘤作用机制的研究进展作一综述。
关键词(KeyWords): 卡介苗;免疫治疗;膀胱癌;作用机制
基金项目(Foundation): 国家自然科学基金面上项目(81871245)
作者(Authors): 马健尊;闫东梅;
DOI: 10.13200/j.cnki.cjb.002685
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