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Changes of T Lymphocyte Subsets in Peripheral Blood of Patients with Intermediate and Advanced Cervical Cancer before and after Nimotuzumab Combined with Chemoradiotherapy

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机构: [1]Hebei Univ, Dept Radiotherapy, Affiliated Hosp, Baoding, Peoples R China [2]Hebei Univ, Dept Orthoped, Affiliated Hosp, Baoding, Peoples R China [3]Tianjin Med Univ Canc Inst & Hosp, Dept Radiotherapy, Tianjin, Peoples R China
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关键词: Nimotuzumab Chemoradiotherapy Intermediate and advanced cervical cancer T lymphocyte subsets Tumor markers

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Introduction: Cervical cancer (CC) is the main malignant tumor of gynecology with high mortality. This study aimed to explore the changes of T lymphocyte subsets in the peripheral blood of patients with intermediate and advanced CC (IACC) treated with nimotuzumab (Nimo) combined with chemoradiotherapy (CRT). Methods: Peripheral blood was extracted before and after treatment, and patients were randomly divided into the CRT group (N = 68) or the Nimo + CRT group (N = 68). The levels of tumor markers squamous cell carcinoma antigen (SCCA), carbohydrate antigen 125 (CA125), and carcinoembryonic antigen (CEA), tumor indexes leptin and insulin-like growth factor-2 (IGF2), and key secretory factors (interferon gamma/tumor necrosis factor alpha/interleukin (IL)-4/IL-13) of Th1 and Th2 cells in the serum were detected. The levels of T lymphocyte subsets CD3+, CD4+, CD8+, and CD4+/CD8+ and the levels of Th1/Th2 and Th17/Treg in CD4+ cell subsets were determined by flow cytometry. The objective remission rate, progression-free survival (PFS), and overall survival (OS) of patients were analyzed, and Kaplan-Meier curves were drawn to show the prognosis of patients. Results: After treatment, the levels of SCCA, CA125, CEA, leptin, and IGF2 in the serum of patients with IACC were decreased, the level of Th1/Th2 was increased, and the Th17/Treg level was decreased. The treatment effect of Nimo + CRT was more significant than that of CRT alone. Survival curve analysis showed that Nimo + CRT could prolong PFS and OS in patients with IACC. In addition, the follow-up results of patients showed that Nimo did not increase the incidence and severity of adverse reactions caused by CRT. Conclusion: Nimo combined with CRT can protect the immune function of patients, improve the effective rate, and prolong the survival rate of patients with IACC.

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出版当年[2025]版:
大类 | 4 区 医学
小类 | 4 区 过敏 4 区 免疫学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 过敏 4 区 免疫学
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出版当年[2023]版:
Q3 ALLERGY Q3 IMMUNOLOGY
最新[2023]版:
Q3 ALLERGY Q3 IMMUNOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Hebei Univ, Dept Radiotherapy, Affiliated Hosp, Baoding, Peoples R China
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