6个月自控锻炼对术后恶性肿瘤患者红细胞CD35和CD58表达的影响

    Effect of 6-month Self-Control Exercise on Expression of Erythrocyte CD35 and CD58 in Malignant Tumor Patients during Rehabilitation after Surgery

    • 摘要: 目的:通过6个月自控锻炼干预,探讨术后恶性肿瘤患者红细胞CD35和CD58表达的变化。方法:上海市癌症康复俱乐部恶性肿瘤患者40人(男17人,女23人),平均癌龄为1.50±0.77年,病种分别为乳腺癌、消化系统癌和其他类型恶性肿瘤患者(包括卵巢癌、肺癌和甲状腺癌)。受试者均接受外科手术治疗并结合放疗、化疗后在专门人员的指导下,进行6个月自控锻炼,平均锻炼频率为每周5天,每天平均锻炼持续时间为2h。分别于实验第0、3、6月,用流式细胞术对患者外周血红细胞CD35和CD58平均荧光强度进行检测。结果:1)自控锻炼对恶性肿瘤患者红细胞CD35、CD58表达的影响:①实验第3、6月患者红细胞CD35平均荧光强度均明显高于实验第0月(P<0.01);②实验第3月患者红细胞CD58显著下降(P<0.01);第6月较第3月明显回升(P<0.01),与实验第0月无明显差异(P>0.05)。2)实验各阶段不同类型肿瘤患者之间红细胞CD35和CD58比较:①实验第0月,乳腺癌患者红细胞CD35明显低于消化系统癌(P<0.01)和其他类型恶性肿瘤患者(P<0.01);②实验第3、6月不同类型恶性肿瘤患者之间红细胞CD35均无明显差异(P>0.05)。3)实验各阶段恶性肿瘤患者红细胞CD35、CD58相关性分析:①实验第0、3月,红细胞CD35和CD58之间无明显相关性;②实验第6月二者存在明显正相关关系(r=0.400,P<0.05)。结论:1)6个月自控锻炼能够提高术后康复期恶性肿瘤患者红细胞CD35表达;对红细胞CD58表达无明显影响。2)不同类型恶性肿瘤患者红细胞CD35存在显著差异,自控锻炼能够改善这种差异程度。3)6个月自控锻炼有助于改善红细胞免疫粘附和免疫促进功能的相互协调作用。

       

      Abstract: Objective:Taking 6-month Self-Control Exercise as intervention,to study the change of erythrocyte CD35 and CD58 expression in malignant tumor patients during rehabilitation.Methods:40 new malignant tumor patients(male:17,female:23) were recruited from Shanghai Cancer Club.The average cancer age was 1.50±0.77 years old,and the types of tumors are breast cancer,digestive cancer,and others(ovarian cancer,lung cancer.) After surgery with radiotherapy and/or chemotherapy treatment,all the patients performed6-month physical training program of Self-Control Exercise with about 2 hours per day and 5 days per week.The main outcomes of CD35 and CD58 were examined at 0,3rd and 6th month,respectively by flow cytometry.Results:1)Effect of 6-month Self-Control Exercise on erythrocyte CD35 and CD58 in malignant tumors patients:①CD35 increased significantly at the 3rd and 6th month respectively(P<0.01 P<0.01),②Erythrocyte CD58 decreased significantly at the 3rd month(P<0.01),however,it recovered tothe level of before experiment at the 6th month(P>0.05).2)Comparison between erythrocyte CD35 and CD58 in different stage of experiment:①At the 0th month,Erythrocyte CD35 in breast tumor patients was higher than digest tumors or the other ones(P<0.01,P<0.01) respectively;②however,at the 3rd and 6th month CD35 showed no significant difference between different type of tumors(P>0.05).3) Analysis of relationship between erythrocyte CD35 and CD58 in different stage of experiment:Erythrocyte CD35 was associated with CD58 positively at the 6th month(r=0.400,P<0.05),which could not be found either at 0th or the 3th month.Conclusion:1)6-month Self-Control Exercise could improve expression of erythrocyte CD35 in malignant tumor patients after surgery,however,erythrocyte CD58 had no significant change.2)Erythrocyte CD35 varies in different type of malignant tumor patients,Self-Control Exercise could improve it.3)Self-Control Exercise could help to improve the relationship between erythrocyte CD35 and CD58.

       

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