文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

人类癌症免疫介导的自发消退的直接证据:激励制药公司研发新型抗癌疫苗。

Direct evidence on the immune-mediated spontaneous regression of human cancer: an incentive for pharmaceutical companies to develop a novel anti-cancer vaccine.

作者信息

Saleh F, Renno W, Klepacek I, Ibrahim G, Dashti H, Asfar S, Behbehani A, Al-Sayer H, Dashti A

机构信息

Faculty of Medicine, Health Sciences Centre, Department of Anatomy, Kuwait University, and Department of Surgery, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.

出版信息

Curr Pharm Des. 2005;11(27):3531-43. doi: 10.2174/138161205774414556.


DOI:10.2174/138161205774414556
PMID:16248806
Abstract

To develop an effective pharmaceutical treatment for a disease, we need to fully understand the biological behavior of that disease, especially when dealing with cancer. The current available treatment for cancer may help in lessening the burden of the disease or, on certain occasions, in increasing the survival of the patient. However, a total eradication of cancer remains the researchers' hope. Some of the discoveries in the field of medicine relied on observations of natural events. Among these events is the spontaneous regression of cancer. It has been argued that such regression could be immunologically-mediated, but no direct evidence has been shown to support such an argument. We, hereby, provide compelling evidence that spontaneous cancer regression in humans is immunologically-mediated, hoping that the results from this study would stimulate the pharmaceutical industry to focus more on cancer vaccine immunotherapy. Our results showed that patients with >3 primary melanomas (very rare group among cancer patients) develop significant histopathological spontaneous regression of further melanomas that they could acquire during their life (P=0.0080) as compared to patients with single primary melanoma where the phenomenon of spontaneous regression is absent or minimal. It seems that such regression resulted from the repeated exposure to the tumor which mimics a self-immunization process. Analysis of the regressing tumors revealed heavy infiltration by T lymphocytes as compared to non-regressing tumors (P<0.0001), the predominant of which were T cytotoxic rather than T helper. Mature dendritic cells were also found in significant number (P<0.0001) in the regressing tumors as compared to the non regressing ones, which demonstrate an active involvement of the different arms of the immune system in the multiple primary melanoma patients in the process of tumor regression. Also, MHC expression was significantly higher in the regressing versus the non-regressing tumors (P <0.0001), which reflects a proper tumor antigen expression. Associated with tumor regression was also loss of the melanoma common tumor antigen Melan A/ MART-1 in the multiple primary melanoma patients as compared to the single primary ones (P=0.0041). Furthermore, loss of Melan A/ MART-1 in the regressing tumors significantly correlated with the presence of Melan A/ MART-1-specific CTLs in the peripheral blood of these patients (P=0.03), which adds to the evidence that the phenomenon of regression seen in these patients was immunologically-mediated and tumor-specific. Such correlation was also seen in another rare group of melanoma patients, namely those with occult primary melanoma. The lesson that we could learn from nature in this study is that inducing cancer regression using the different arms of the immune system is possible. Also, developing a novel cancer vaccine is not out of reach.

摘要

为开发针对某种疾病的有效药物治疗方法,我们需要充分了解该疾病的生物学行为,尤其是在治疗癌症时。目前可用的癌症治疗方法可能有助于减轻疾病负担,或在某些情况下提高患者的生存率。然而,彻底根除癌症仍是研究人员的期望。医学领域的一些发现依赖于对自然事件的观察。这些事件中包括癌症的自发消退。有人认为这种消退可能是由免疫介导的,但尚未有直接证据支持这一观点。在此,我们提供了令人信服的证据,证明人类癌症的自发消退是由免疫介导的,希望本研究结果能促使制药行业更加关注癌症疫苗免疫疗法。我们的研究结果表明,与单发原发性黑色素瘤患者(自发消退现象不存在或很轻微)相比,患有>3处原发性黑色素瘤的患者(在癌症患者中属于非常罕见的群体)在其生命过程中可能获得的进一步黑色素瘤会出现显著的组织病理学自发消退(P = 0.0080)。似乎这种消退是由于反复接触肿瘤,这类似于自身免疫过程。对消退肿瘤的分析显示,与未消退肿瘤相比,T淋巴细胞大量浸润(P <0.0001),其中主要是细胞毒性T细胞而非辅助性T细胞。与未消退肿瘤相比,在消退肿瘤中还发现大量成熟的树突状细胞(P <0.0001),这表明免疫系统的不同分支积极参与了多原发性黑色素瘤患者的肿瘤消退过程。此外,消退肿瘤中的MHC表达显著高于未消退肿瘤(P <0.0001),这反映了肿瘤抗原的适当表达。与肿瘤消退相关的是,与单发原发性黑色素瘤患者相比,多原发性黑色素瘤患者中黑色素瘤常见肿瘤抗原Melan A/MART-1也有所缺失(P = 0.0041)。此外,消退肿瘤中Melan A/MART-1的缺失与这些患者外周血中Melan A/MART-1特异性CTL的存在显著相关(P = 0.03),这进一步证明这些患者中观察到的消退现象是由免疫介导的且具有肿瘤特异性。在另一组罕见的黑色素瘤患者,即隐匿性原发性黑色素瘤患者中也观察到了这种相关性。我们从本研究中可以从自然中学到的经验是,利用免疫系统的不同分支诱导癌症消退是可能的。而且,开发一种新型癌症疫苗并非遥不可及。

相似文献

[1]
Direct evidence on the immune-mediated spontaneous regression of human cancer: an incentive for pharmaceutical companies to develop a novel anti-cancer vaccine.

Curr Pharm Des. 2005

[2]
Autonomous histopathological regression of primary tumours associated with specific immune responses to cancer antigens.

J Pathol. 2003-7

[3]
Primary melanoma tumour regression associated with an immune response to the tumour-associated antigen melan-A/MART-1.

Int J Cancer. 2001-11

[4]
Clonal expansion of Melan A-specific cytotoxic T lymphocytes in a melanoma patient responding to continued immunization with melanoma-associated peptides.

Int J Cancer. 2000-5-15

[5]
An expanded peripheral T cell population to a cytotoxic T lymphocyte (CTL)-defined, melanocyte-specific antigen in metastatic melanoma patients impacts on generation of peptide-specific CTLs but does not overcome tumor escape from immune surveillance in metastatic lesions.

J Exp Med. 1999-9-6

[6]
Immunosensitization of melanoma tumor cells to non-MHC Fas-mediated killing by MART-1-specific CTL cultures.

J Immunol. 2001-3-1

[7]
Novel approach to the characterization of melanoma associated-peptide-specific CTL lines from Japanese metastatic melanoma patients.

Int J Oncol. 2008-9

[8]
A new generation of Melan-A/MART-1 peptides that fulfill both increased immunogenicity and high resistance to biodegradation: implication for molecular anti-melanoma immunotherapy.

J Immunol. 2001-11-15

[9]
Melan-A-specific cytotoxic T cells are associated with tumor regression and autoimmunity following treatment with anti-CTLA-4.

Clin Cancer Res. 2009-4-1

[10]
Simultaneous CD8+ T cell responses to multiple tumor antigen epitopes in a multipeptide melanoma vaccine.

Cancer Immun. 2003-10-28

引用本文的文献

[1]
MHC class II-mediated spontaneous rejection of breast carcinomas expressing model neoantigens.

J Immunother Cancer. 2025-4-5

[2]
Adjuvant therapy options in renal cell carcinoma - targeting the metastatic cascade.

Nat Rev Urol. 2023-3

[3]
Human Plasmacytoid Dendritic Cells and Cutaneous Melanoma.

Cells. 2020-2-11

[4]
Replication Study: The CD47-signal regulatory protein alpha (SIRPa) interaction is a therapeutic target for human solid tumors.

Elife. 2017-1-19

[5]
Immune microenvironment in tumor progression: characteristics and challenges for therapy.

J Oncol. 2012-8-8

[6]
A new hypothesis for the cancer mechanism.

Cancer Metastasis Rev. 2012-6

[7]
Phenotype, functions and fate of adoptively transferred tumor draining lymphocytes activated ex vivo in mice with an aggressive weakly immunogenic mammary carcinoma.

BMC Immunol. 2010-11-4

[8]
Melanoma induces immunosuppression by up-regulating FOXP3(+) regulatory T cells.

J Surg Res. 2007-7

[9]
The polycomb group proteins, BMI-1 and EZH2, are tumour-associated antigens.

Br J Cancer. 2006-11-6

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索