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Reduction of suppressor cells in cancer patients treated with OK-432 immunotherapy

Insights

OK-432 immunotherapy improved cancer patient immune responses by reducing suppressive cells. These cells, which impair lymphocyte function, were found to be sensitive to in vitro culture and diminished during OK-432 treatment.

Area of Science:

  • Immunology
  • Oncology
  • Microbiology

Background:

  • Advanced stomach and lung cancer patients often exhibit impaired immune responses.
  • Specific cell populations contribute to the suppression of mitogenic responses in cancer patients.

Purpose of the Study:

  • To investigate the effects of OK-432 immunotherapy on the mitogenic responses of cancer patients.
  • To characterize the cells responsible for immune suppression in untreated cancer patients.

Main Methods:

  • Daily intradermal injections of OK-432 (a streptococcal preparation) for 4 weeks in advanced cancer patients.
  • Characterization of immune cells, including nylon wool non-adherent cells, and their suppressive activity.
  • Assessment of mononuclear cell responses to plant lectins (PHA and Con A) in vitro.

Main Results:

  • Nylon wool non-adherent cells from untreated patients suppressed autologous and allogeneic lymphocyte mitogenic responses.
  • These suppressive cells lost activity after 7 days of in vitro culture.
  • OK-432 immunotherapy led to increased mononuclear cell responses to PHA and Con A.
  • Post-immunotherapy, nylon wool non-adherent cells no longer inhibited mitogen responses.

Conclusions:

  • The study identified nylon wool non-adherent cells as key mediators of immune suppression in advanced cancer.
  • OK-432 therapy appears to reduce the number or activity of these suppressive cells.
  • These findings suggest OK-432's potential to restore immune function in cancer patients.

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