Monocyte Function in Patients with Bronchogenic Carcinoma
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Function of peripheral blood monocyte in 59 untreated patients with bronchogenic carcinoma was studied and compared to that of normal controls. The total leukocyte count was determined with a Coulter counter, whereas the differential was determined on the basis of 500 cells counted. The absolute monocyte count was found by applying the percent of monocytes in the differential to the total leukocyte count. The mean absolute number of monocytes was 294±176/cmm in patients with bronchogenic carcinoma and 299±144/cmm in controls. However, there was no significant difference between these two groups. Furthermore monocyte number, clinical stage and histological type also failed to demonstrate any significant correlations among them.<BR>Lysosomal enzyme activity of monocyte was histochemically determined by ability of staining to beta-galactosidase. The mean percentage of positive monocytes was 23.1±12.1 in patients with bronchogenic carcinoma and 33.7±12.1 in controls, which showed significant difference between these two groups.<BR>Monocyte chemotactic response was measured in vitro by Boyden's millipore technique using zymosan activated human serum as chemoattractant. It was significantly reduced in bronchogenic carcinoma (19.4±7.0) to compare with that of controls (34.8±8.0). In addition, combination chemotherapy further reduced the monocyte chemotactic response rate.<BR>Ability of monocytes to phagocytose complement fixing zymosan was also significantly lowered in patients with bronchogenic carcinoma.<BR>These data suggested that neoplasm affect monocyte function which can possiblydestruct malignant cells immunologically.
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