Immune responses to malignancies - 11/08/11

Abstract |
Immune responses to tumor-associated antigens (TAs) are often detectable in tumor-bearing hosts, but they fail to eliminate malignant cells or prevent the development of metastases. Patients with cancer generate robust immune responses to infectious agents (bacteria and viruses) perceived as a “danger signal” but only ineffective weak responses to TAs, which are considered as “self.” This fundamental difference in responses to self versus nonself is further magnified by the ability of tumors to subvert the host immune system. Tumors induce dysfunction and apoptosis in CD8+ antitumor effector cells and promote expansion of regulatory T cells, myeloid-derived suppressor cells, or both, which downregulate antitumor immunity, allowing tumors to escape from the host immune system. The tumor escape is mediated by several distinct molecular mechanisms. Recent insights into these mechanisms encourage expectations that a more effective control of tumor-induced immune dysfunction will be developed in the near future. Novel strategies for immunotherapy of cancer are aimed at the protection and survival of antitumor effector cells and also of central memory T cells in the tumor microenvironment.
Le texte complet de cet article est disponible en PDF.Key words : Cancer, immunity, tumor escape, immune suppression, effector T cells
Abbreviations used : Anx, APC, APM, β2 m, CTL, DC, FasL, FOXP3, iNOS, MDSC, NK, PD-1, PD-L1, PGE2, ROS, STAT3, TA, TAM, TCR, TIL, Treg, VEGF
Plan
| Supported in part by National Institutes of Health grant PO1-CA109688 to Theresa L. Whiteside. |
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| Disclosure of potential conflict of interest. T. L. Whiteside has declared that she has no conflict of interest. |
Vol 125 - N° 2S2
P. S272-S283 - février 2010 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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