Endocrine Cancer Center, Department of Endocrinology, Diabetes, and Rheumatology, University Hospital Duesseldorf, Moorenstr.5, 40225 Duesseldorf, Germany.
J Oncol. 2010;2010:179491. doi: 10.1155/2010/179491. Epub 2010 Jun 29.
Up to now, there are no curative therapies available for the subset of metastasized undifferentiated/anaplastic thyroid carcinomas. This review describes the possible use of immunocompetent cells which may help to restore the antitumor immune recognition for treating an existing tumor or preventing its recurrence. The most prominent experimental strategy is the use of dendritic cells (DCs) which are highly potent in presenting tumor antigens. Activated DCs subsequently migrate to draining lymph nodes where they present antigens to naïve lymphocytes and induce cytotoxic T cells (CTL). Alternatively to DC therapy, adoptive cell transfer may be performed by either using natural killer cells or ex vivo maturated CTLs. Within this review article we will focus on recent advances in the understanding of anti-tumor immune responses, for example, in thyroid carcinomas including the advances which have been made for the identification of potential tumor antigens in thyroid malignancies.
到目前为止,对于转移性未分化/间变性甲状腺癌亚组,尚无有效的治疗方法。本综述描述了免疫活性细胞的可能用途,这可能有助于恢复抗肿瘤免疫识别,以治疗现有肿瘤或预防其复发。最突出的实验策略是使用树突状细胞(DC),它们在呈现肿瘤抗原方面非常有效。激活的 DC 随后迁移到引流淋巴结,在那里它们向幼稚淋巴细胞呈递抗原,并诱导细胞毒性 T 细胞(CTL)。作为 DC 治疗的替代方法,过继细胞转移可通过使用自然杀伤细胞或体外成熟的 CTL 来完成。在本文综述中,我们将重点介绍对肿瘤免疫反应的理解的最新进展,例如甲状腺癌,包括在鉴定甲状腺恶性肿瘤中的潜在肿瘤抗原方面取得的进展。