Summary
Natural killer (NK) cell activity and antibody-dependent (K) cell activity were studied sequentially in 30 patients with early node-positive breast cancer entered into an adjuvant chemotherapy trial. The drugs used were melphalan, and melphalan with methotrexate, given for 12 months. Estimations were made 3-monthly during chemotherapy, and then at 15 and 24 months to assess recovery. Mean values for NK-cell activity during chemotherapy were significantly lower than the mean pre-chemotherapy baseline value at all time-points from 3 to 15 months, but there was recovery by 24 months. Mean values for K-cell activity during chemotherapy did not appear to differ from the mean pre-chemotherapy value, but variability in individual values was high. Over a 4-year follow-up period, a comparison of 16 patients who did not develop recurrent breast cancer with 14 who did showed that NK-cell activity was significantly lower in the latter group 12 months after the start of chemotherapy.
Similar content being viewed by others
References
Bonadonna G, Valagussa P, Rossi A, Zucali R, Tancini G, Bajetta E, Brambilla C, De Lena M, Di Fronzo G, Banfi A, Rilke F, Veronesi U (1978) Are surgical adjuvant trials altering the course of breast cancer? Semin Oncol 5:450
Cunningham-Rundles S, Filippa DA, Braun DW, Antonelli P, Ashikari H (1981) Natural cytotoxicity of peripheral blood lymphocytes and regional lymph node cells in breast cancer in women. J Natl Cancer Inst 67:585
Eremin O (1980) NK cell activity in the blood, tumour-draining lymph nodes and primary tumours of women with mammary carcinoma. In Herberman RB (ed) Natural cell-mediated immunity against tumors. Academic Press, New York, pp 1011–1029
Fisher B, Sherman B, Rockette H, Redman C, Margolese R, Fisher ER (1979) L-phenyl alanine mustard (L-PAM) in the management of pre-menopausal patients with primary breast cancer. Lack of depression of disease-free survival with depression of ovarian function. Cancer 44:847
Forbes JT, Greco FA, Oldham RK (1981) Human natural cell-mediated cytotoxicity. II. Levels in neoplastic disease. Cancer Immunol Immunother 11:147
Goodyear MDE, Mackay IR, Russell IS (1981) Delayed recovery of peripheral blood cell numbers after adjuvant cytotoxic chemotherapy for Stage II breast cancer. Cancer Chemother Pharmacol 7:37
Herberman RB, Holden HT (1978) Natural cell-mediated immunity. Adv Cancer Res 27:305
Herberman RB, Ortaldo JR (1981) Natural killer cells: their role in defenses against disease. Science 214:24
Mackay IR, Goodyear MDE, Riglar C, Penschow J, Whittingham S, Russell IS, Kitchen PRB, Collins JP (1984) Effect on immunological and other indices of adjuvant cytotoxic chemotherapy in breast cancer. Cancer (in press)
McCredie JA, MacDonald HR (1980) Antibody-dependent cellular cytotoxicity in cancer patients: lack of prognostic value. Br J Cancer 41:880
Penn I (1978) Malignancies associated with immunosuppressive or cytotoxic therapy. Surgery 83:492
Penschow J, Mackay IR (1980) NK and K cell activity of human blood: differences according to sex, age, and disease. Ann Rheum Dis 39:82
Pross HF, Baines MG (1982) Studies of natural human killer cells. In vivo parameters affecting normal cytotoxic function. Int J Cancer 29:383
Saijo N, Shimizu E, Shibuya M, Irimajiri N, Takizawa T, Eguchi K, Shinkai T, Tominaga K, Shimabukuro Z, Tanaguchi T, Hoshi A (1982) Effect of chemotherapy on natural-killer activity and antibody-dependent cell-mediated cytotoxicity in carcinoma of the lung. B J Cancer 46:180
Strender L-E, Blomgren H, Petrini B, Wasserman J, Fosgren M, Norberg R, Boral E, Wallgren A (1981) Immunologic monitoring in breast cancer patients receiving postoperative adjuvant chemotherapy. Cancer 48:1996
Uchida A, Kolb R, Micksche M (1982) Generation of suppressor cells for natural killer activity in cancer patients after surgery. J Natl Cancer Inst 68:735
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Mackay, I.R., Goodyear, M.D.E., Riglar, C. et al. Effect on natural killer and antibody-dependent cellular cytotoxicity of adjuvant cytotoxic chemotherapy including melphalan in breast cancer. Cancer Immunol Immunother 16, 98–100 (1983). https://doi.org/10.1007/BF00199239
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00199239