[Immunodiagnosis of retinoblastoma]

Vestn Oftalmol. 1992 May-Jun;108(3):34-6.
[Article in Russian]

Abstract

To improve the accuracy of early diagnosis of retinoblastoma, the authors have examined a number of cellular and humoral immunity parameters in 188 children with retinoblastomas, in 57 ones with nontumorous conditions of the eyes, and in healthy controls. Stages III-IV retinoblastoma was found associated with reduced blood levels of IgG and IgA and a still more marked reduction of both in the lacrimal fluid (4-fold), with reduced blood T lymphocyte count (by 1.5 times), decreased lymphocyte blastogenesis response to phytohemagglutinin (by 8-9 times), reduced leukocyte migration activity (MI = 79 +/- 10%), reduced serum thymic activity (by 2.5 times). The early (I-II) stage of the disease involves a lowering of only lacrimal fluid IgA (2-fold) and of the leukocyte migration index (MI) (89 +/- 2%). This index was found to be an important specific indicator for the early preoperative diagnosis of retinoblastoma. Leukocyte migration inhibition (MI less than 95%) by retinoblastoma antigens was observed only if this tumor was present. In cases with the nontumorous conditions and in health retinoblastoma antigens as a rule stimulated the leukocyte migration (MI over 95%).

Publication types

  • English Abstract

MeSH terms

  • Cell Migration Inhibition
  • Child, Preschool
  • Eye Neoplasms / complications
  • Eye Neoplasms / diagnosis*
  • Eye Neoplasms / immunology
  • Humans
  • IgA Deficiency / diagnosis*
  • IgA Deficiency / etiology
  • IgG Deficiency / diagnosis*
  • IgG Deficiency / etiology
  • Immunodiffusion
  • Infant
  • Leukocyte Count
  • Lymphopenia / diagnosis*
  • Lymphopenia / etiology
  • Retinoblastoma / complications
  • Retinoblastoma / diagnosis*
  • Retinoblastoma / immunology
  • Rosette Formation
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / pathology