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[免疫抗癌反应:肾细胞癌治疗的最新进展]

[Immune anticancer response: recent advances in the treatment of renal cell carcinoma].

作者信息

Bouet F, Catros V

机构信息

UPRES 2261, Faculté de médecine de Rennes, Laboratoire de génétique et biologie cellulaire, CHRU Pontchaillou, 35033 Rennes.

出版信息

Ann Biol Clin (Paris). 2004 May-Jun;62(3):257-68.

Abstract

Recent advances in the field of immunobiology have provided many opportunities for anticancer-immunotherapy. Because they express tu-mor antigen, tumor cells can be kill by T cells. Renal Cell Carcinoma (RCC) is an immunogenic tumor and metastatic RCC is presently treated by cytokines. Anticancer immunity may be achieved by different strategies: allogeneic hematopoietic cell transplantation, vaccination with peptides, vaccination with loaded dendritic cells or adoptive cellular therapy in which specific T cells are isolated and expanded in vitro and then infused to patients. In our group, we have chosen the adoptive transfer of in vitro activated T cells with autologous tumor antigen loaded dendritic cells. To determine the best strategy of anticancer-immunotherapy, we need rigorous control of the specificity and the phenotype of the cell therapy product linked with the immunological status of the patient (before and after infusion) and with the clinical response.

摘要

免疫生物学领域的最新进展为抗癌免疫疗法提供了许多机会。由于肿瘤细胞表达肿瘤抗原,它们可被T细胞杀死。肾细胞癌(RCC)是一种免疫原性肿瘤,转移性肾细胞癌目前通过细胞因子进行治疗。抗癌免疫可通过不同策略实现:同种异体造血细胞移植、肽疫苗接种、负载树突状细胞的疫苗接种或过继性细胞疗法,即在体外分离并扩增特异性T细胞,然后输注给患者。在我们小组中,我们选择了用负载自体肿瘤抗原的树突状细胞过继转移体外活化的T细胞。为了确定最佳的抗癌免疫治疗策略,我们需要严格控制与患者免疫状态(输注前后)以及临床反应相关的细胞治疗产品的特异性和表型。

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