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Cell-mediated immune competence in patients with prostatic carcinoma
The Journal of Urology
|October 1, 1978
Summary
Prostate cancer patients show largely preserved immune competence, even in advanced stages. Only the ability to be sensitized by dinitrochlorobenzene (DNCB) significantly declines with metastatic disease.
Area of Science:
- Immunology
- Oncology
- Urology
Background:
- Host immune factors may influence cancer progression.
- Understanding immune competence in prostate cancer is crucial for treatment strategies.
Purpose of the Study:
- To evaluate the immune competence of prostate cancer patients.
- To determine the contribution of host immunity to disease progression.
Main Methods:
- Assessed immune competence using 2 in vivo and 2 in vitro tests.
- Included 65 prostate cancer patients and controls with benign prostatic hypertrophy.
- Evaluated delayed skin hypersensitivity and dinitrochlorobenzene sensitization.
- Measured peripheral blood lymphocyte blastogenic response to phytohemagglutinin.
Main Results:
- Delayed skin hypersensitivity response to recall antigens remained unaltered in advanced malignancy.
- Dinitrochlorobenzene sensitization significantly declined in patients with metastatic disease.
- Phytohemagglutinin-stimulated lymphocyte response was not depressed in late-stage cancer.
Conclusions:
- Immune competence in prostate cancer patients does not markedly decrease, even in late stages.
- Primary sensitization to dinitrochlorobenzene is the only tested immune response that declines with tumor stage.