Zusammenfassung
Maligne Lymphome vom B-Zelltyp sind charakterisiert durch eine monoklonale Proliferation von B-Lymphozyten und Akkumulation von bestimmten Reifungsstufen. Die normale Proliferation und Differenzierung von B-Zellen in Plasmazellen und die Immunglobulinsynthese wird durch T-Helfer- und T-Suppressorzellen reguliert. Es wurde vermutet, daß T-Zellen eine wichtige Rolle in der Regulation auch bei B-Zellneoplasien spielen: Zahlreiche Studien haben übereinstimmend ergeben, daß bei Patienten mit chronischer lymphatischer Leukämie (CLL) vom B-Typ im peripheren Blut T-Zellen vermehrt sind [8] und daß das Verhältnis der T4 (Helfer)- zu den T8 (Suppressor)-Zellen zugunsten der Suppressorzellen verschoben ist [6, 7]. Eine vermehrte Suppressoraktivität könnte für den Antikörpermangel bei CLL verantwortlich sein. Ergebnisse von funktionellen Studien sind widersprüchlich [1–4]. Es ist denkbar, daß über sekundäre Effekte hinaus das T-Zellsystem eine Bedeutung für die Pathogenese von B-Zellneoplasien hat.
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Dörken, B. et al. (1984). Onkologie. In: 90. Kongreß. Verhandlungen der Deutschen Gesellschaft für Innere Medizin, vol 90. J.F. Bergmann-Verlag, Munich. https://doi.org/10.1007/978-3-642-85457-6_63
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DOI: https://doi.org/10.1007/978-3-642-85457-6_63
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