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Cell mediated immune status in malignancy--pretherapy and post-therapy assessment
Journal of the Indian Medical Association
|June 1, 1997
Summary
Cancer patients often have reduced T-cell activity, indicated by a negative Mantoux test (MT) and low T-cell counts. Therapy can restore T-cell function, improving cancer outcomes.
Area of Science:
- Immunology
- Oncology
Background:
- T-cell activity and population are crucial indicators in cancer patients.
- Assessing immune status before and after treatment is vital for prognosis.
Purpose of the Study:
- To evaluate T-cell activity and population in various malignancies.
- To determine the impact of therapy on T-cell status and clinical outcomes.
Main Methods:
- Studied 28 malignancy cases (squamous cell carcinoma, breast duct carcinoma, non-Hodgkin's lymphoma).
- Assessed Mantoux test (MT) and T-cell population (<40% vs. >40%) pre- and post-therapy.
- Compared patient data with healthy controls (MT positive, T-cell >40%).
Main Results:
- Pre-therapy: 20% of squamous cell carcinomas, 28.6% of breast cancers, and 50% of NHL cases had MT-negative results and T-cell counts <40%.
- Post-therapy: Significant positive conversion in MT and T-cell counts (>40%) observed in 66.66% of squamous cell carcinomas, 100% of breast cancers, and 33.33% of NHL.
- Healthy controls consistently showed MT-positive results and T-cell counts >40%.
Conclusions:
- Reduced T-cell activity (MT-negative, T-cell <40%) is common in various cancers.
- Successful cancer therapy can lead to immune recovery, evidenced by improved T-cell function and population.
- T-cell status assessment may serve as a biomarker for treatment response in oncology.