Tumour Immunology

Tumour immunology studies the role of the immune system in cancer. Knowledge of unique and tumour-associated antigens in various tumours opens the possibility of activating the immune system against the tumours. Several immunotherapeutic approaches against different tumours are discussed.

Keywords: tumour; immune response; vaccination; immunotherapy; tumour antigen

Figure 1. Immune escape mechanisms of tumour cells. Recognition of tumour cells by T cells requires a tumour-associated peptide (pep) to be presented by a major histocompatibility complex (MHC) molecule and recognition of this peptide–MHC complex by the T-cell receptor (TCR) and ligation with CD4/CD8 molecules. The TCR consists of an chain, and recognition leads to a signal through the CD3 complex (, (two), and (two) chains). To activate the T cell, the signal needs to reach the nucleus through downstream molecules such as p56 lck, p59 fyn and zeta-associated protein of 70 kDa (ZAP-70). Downregulation or inactivation of any of the molecules involved in this cascade will prevent T-cell activation and lead to subsequent killing of the tumour cell. Inability to release peptides from a protein, or to load the peptide on the MHC molecule, will prevent recognition of the tumour cell. Finally, expression of Fas ligand on tumour cells may induce apoptosis (programmed cell death) in the specific T cell, which prevents the tumour cell from being eradicated.
Figure 2. Adoptive transfer refers to the injection of immune cells or antibodies obtained from another source into a naive mouse (host) in order transfer immunity passively to this mouse (host). Most common sources of immune cells are spleens of vaccinated mice or in vitro established T-cell clones. Antibodies can be obtained from serum of vaccinated mice or from monoclonal antibody-producing B cells in vitro.
Figure 3. Bispecific monoclonal antibodies. The fusion of cells that produce a T cell-activating monoclonal antibody with a cell that produces a tumour cell-specific monoclonal antibody will result in a cell that produces bispecific antibodies. The bispecific antibodies bridge the tumour cell with a T cell and hold them together. When the bispecific antibody activates the T cell, the tumour cell will be killed.
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 Further Reading
    book Boon T and Old LJ (eds) (1997) "Cancer". Current Opinion in Immunology 9: 681–722.
    book DeVita VT Jr, Hellman S and Rosenberg SA (eds) (1995) Biologic Therapy of Cancer. Philadelphia: JB Lippincott.
    Disis ML and Cheever MA (1996) Oncogenic proteins as tumor antigens. Current Opinion in Immunology 8: 637–642.
    Fleuren GJ, Gorter A, Kuppen PJK, Litvinov SV and Warnaar SO (1995) Tumor heterogeneity and immunotherapy of cancer. Immunological Reviews 145: 91–122.
    Hahne M, Rimoldi D, Schröter M et al. (1996) Melanoma cell expression of Fas (APO-1/CD95) ligand: Implications for tumor immune escape. Science 274: 1363–1366.
    Pardoll DM (1998) Cancer vaccines. Nature Medicine Vaccine Supplement 4: 525–531.
    Riethmüller G, Holz E, Schlimok G et al. (1998) Monoclonal antibody therapy for resected Dukes' C colorectal cancer: seven-year outcome of a multicenter randomized trial. Journal of Clinical Oncology 16: 1788–1794.
    book Schreiber H (1998) "Tumor immunology". In: Paul WE (ed.) Fundamental Immunology, 4th edn, chap. 37, pp. 1287–1270. Philadelphia: Lippincott–Raven Publishers.
    Van den Eynde BJ and Van der Bruggen P (1997) T cell defined tumor antigens. Current Opinion in Immunology 9: 684–693.
    Velders MP, Schreiber H and Kast WM (1998) Active immunization against cancer cells: impediments and advances. Seminars in Oncology 25 (6): 697–706.
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Kast, W Martin, Schreiber, Hans, and Velders, Markwin P(Apr 2001) Tumour Immunology. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1038/npg.els.0001429]