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TUMOR
introduction
Cancer is a major health problem worldwide and one of the
most important causes of morbidity and mortality in
children and adults.
Cancer arise from the uncontrolled proliferation and
spread of clones of transformed cells.
The concept of immune surveillance of cancer, which was
proposed by Macfarlane Burnet in the 1950s, states that a
physiologic function of the immune system is to recognize
and destroy clones of transformed cells before they grow
into tumors and to kill tumors after they are formed.
01
GENERAL FEATURES
OF TUMOR IMMUNITY
Tumors stimulate specific adaptive immune responses that can prevent or limit the
growth and spread of the cancers. ( Many tumors are surrounded by mononuclear cell
infiltrates composed of T-lymphocytes, naturalkiller [NK] cells, and macrophages, and
that activated lymphocytes and macrophages are present in lymph nodes draining the
sites of tumor growth)
The first experiment demonstration that tumors can induce protective immune
responses came from studies of transplanted tumors performed in the 1950s
(Methylcholanthrene, MCA)
Immune response frequently fail to prevent the growth of tumors:
~ First, tumor cells are derived from host cells (weakly immunogenic)
~ Second, the rapid growth and spread of tumors
~ Third, many tumors have specialized mechanisms for evading host
The modern classification of tumor antigens relies on the molecular structure and source of the antigens
To purify and characterize these antigens were based on producing monoclonal antibodies specific for
tumor antigens
A more recently developed approach for identification of tumor antigens specifically is called serologic
analysis of recombinant cDNA expression (SEREX)
Tumor antigens (peptides) that are recognized by T cells are likely to be the major inducers of tumor
immunity and the most promising candidates for tumor vaccines
NEOANTIGENS: ANTIGENS ENCODED BY MUTATED GENES
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