EFFECT OF ACUPUNCTURE ON PERIPHERAL BLOOD LYMPHOCYTE SUBSETS IN PATIENTS WITH CANCER-RELATED FATIGUE
Volume 5, Issue 1, Pp 15-18, 2022
Author(s)
Dan Li1#, Hong-mei Ding2#, Cang-huan Zhao1 , Jing Hu1 , Peng Qing1*
Affiliation(s)
1The First Affiliated Hospital of Jinan University, Guangzhou 510630, China
2The First Affiliated Hospital of Guangzhou University of traditional Chinese Medicine, Guangzhou 510405, China
Corresponding Author
Peng Qing
ABSTRACT
To study the effect of acupuncture on peripheral blood lymphocyte subsets in patients with cancer-related fatigue(CRF). Methods: A total of 80 patients with CRF were randomized into an observation group and a control group, and finally 67 patients completed this trial(36 cases in the observation group, 31 cases in the control group). Patients in the control group were treated with conventional chemo radio therapy and symptomatic treatment, while no particular anti-fatigue intervention was adopted. On the basis of treatment in the control group, acupuncture was applied at Baihui(GV 20), Guanyuan(CV 4), Qihai(CV 6), Fengchi(GB 20), Zusanli(ST 36), Sanyinjiao(SP 6) in the observation group, once a day, 5 times as one course, with 2 days interval between each course, totally 4 courses were required. Before and after treatment,the peripheral blood lymphocyte subsets in patients with CRF were monitored by flow cytometry (FC). Results: After acupuncture, the levels of CD3+, CD4+,CD19+ and the ratio of CD4+/CD8 + of the observation group increased significantly (P<0.05).However, the levels of CD8+,CD16+CD56+ of the observation group decreased significantly (P<0.05).In the control group, the levels of CD3+,CD4+ were decreased significantly due to radiotherapy or chemotherapy (P<0.05). But the level of CD16+CD56+ increased significantly (P<0.05).After acupuncture, the levels of CD3+,CD4+,CD19+ and the ratio of CD4+/CD8 + of the observation group was significantly higher than these of the control group (P<0.05).However, the level of CD16+CD56+ of the observation group was significantly lower than that of the control group (P<0.05). Conclusion: Acupuncture can increase the levels of CD3+, CD4+,CD19+ and the ratio of CD4+/CD8 + and decrease the level of CD8+,CD16+CD56+,which indicated that acupuncture can improve the immune function of CRF patients.
KEYWORDS
Cancer related fatigue(CRF); Acupuncture; lymphocyte subsets
CITE THIS PAPER
Dan Li, Hong-mei Ding, Cang-huan Zhao , Jing Hu , Peng Qing. Effect of acupuncture on peripheral blood lymphocyte subsets in patients with cancer-related fatigue. Acta Translational Medicine. 2022, 5(1): 15-18.
REFERENCES
[1] Scott J, Lasch K, Barsevick A, et al. Patients’ Experiences With Cancer-Related Fatigue: A Review and Synthesis of Qualitative Research. Oncol Nurs Forum, 38(3), E191–E203.
[2] NCCN. NCCN Guidelines Version 1.2018 Cancer-Related Fatigue [EB/OL]. Fort Washington: NCCN, 2018[2018-07-26]. https://www.nccn.org/professionals/physician_gls/pdf/fatigue.pdf.
[3] De Waele S, Van Belle S. Cancer-related fatigue. Acta Clin Belg, 2010, 65(6):378-385.
[4] Na Han, Shi-ying Yu. Investigation and influencing factors of fatigue in cancer patients. Cancer prevention and treatment research, 2006, 33(12):910-912.
[5] Hong-shan Chen, Yu-dong Wang, Wei Liu. Cancer related fatigue epidemiology and pathogenesis. International Journal of oncology, 2014, 41(3):187-190.
[6] Peng Qing, Jian-fu Zhao, Cang-huan Zhao, et al. Effect of Acupuncture on Serum Concentrations of CRP, IL-6, TNF-α and sTNF-R1 in Patients with Cancer-related Fatigue and Its Therapeutic Effect. Chinese Acupuncture & Moxibustion, 2020, 40(05):505-509.
[7] Cella D, Davis K, Breitbart W, et al. Cancer-Related Fatigue: Prevalence of Proposed Diagnostic Criteria in a United States Sample of Cancer Survivors. J Clin Oncol, 2001, 19(14):3385-3391.
[8] Yang De-fen. Application of peripheral blood T cell subgroup detection in malignant tumor and its clinical significance. Journal of Hainan Medical University, 2013, 19(10):1390-1392.
[9] Wang Jia, Qu Xiu-juan, Zhang Jing-dong, et al. The peripheral blood lymphocyte subsets in colorectal cancer patients and its clinical significance. Journal of China Medical University, 2014, 43(4):289-292.
[10] Luo Jun, Ling Zhi-qiang, Mao Wei-min. Circulating lymphocyte subsets in patients with lung cancer and their prognostic value. Chinese Journal of Lung Cancer, 2011, 14(8):669-673.
[11] Zhu X. et al. Changes in T Lymphocyte Subsets in Different Tumors Before and After Radiotherapy: A Meta-Analysis. International Journal of Radiation Oncology, Biology, Physics, 2021, 111(3S):e246-e246.
[12] Zhang Jia-jia, Wang Ping. The diagnostic value of lymphocyte subsets in patients with tumor after chemotherapy combined infection. China Health Standard Management, 2017, 8(4):116-117.