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过敏与肿瘤学——过敏在肿瘤学中的影响:欧洲变态反应和临床免疫学会立场文件

AllergoOncology - the impact of allergy in oncology: EAACI position paper.

作者信息

Jensen-Jarolim E, Bax H J, Bianchini R, Capron M, Corrigan C, Castells M, Dombrowicz D, Daniels-Wells T R, Fazekas J, Fiebiger E, Gatault S, Gould H J, Janda J, Josephs D H, Karagiannis P, Levi-Schaffer F, Meshcheryakova A, Mechtcheriakova D, Mekori Y, Mungenast F, Nigro E A, Penichet M L, Redegeld F, Saul L, Singer J, Spicer J F, Siccardi A G, Spillner E, Turner M C, Untersmayr E, Vangelista L, Karagiannis S N

机构信息

The Interuniversity Messerli Research Institute, University of Veterinary Medicine Vienna, Medical University of Vienna, Vienna, Austria.

Institute of Pathophysiology & Allergy Research, Center of Pathophysiology, Infectiology & Immunology, Medical University Vienna, Vienna, Austria.

出版信息

Allergy. 2017 Jun;72(6):866-887. doi: 10.1111/all.13119. Epub 2017 Jan 23.

Abstract

Th2 immunity and allergic immune surveillance play critical roles in host responses to pathogens, parasites and allergens. Numerous studies have reported significant links between Th2 responses and cancer, including insights into the functions of IgE antibodies and associated effector cells in both antitumour immune surveillance and therapy. The interdisciplinary field of AllergoOncology was given Task Force status by the European Academy of Allergy and Clinical Immunology in 2014. Affiliated expert groups focus on the interface between allergic responses and cancer, applied to immune surveillance, immunomodulation and the functions of IgE-mediated immune responses against cancer, to derive novel insights into more effective treatments. Coincident with rapid expansion in clinical application of cancer immunotherapies, here we review the current state-of-the-art and future translational opportunities, as well as challenges in this relatively new field. Recent developments include improved understanding of Th2 antibodies, intratumoral innate allergy effector cells and mediators, IgE-mediated tumour antigen cross-presentation by dendritic cells, as well as immunotherapeutic strategies such as vaccines and recombinant antibodies, and finally, the management of allergy in daily clinical oncology. Shedding light on the crosstalk between allergic response and cancer is paving the way for new avenues of treatment.

摘要

Th2免疫和过敏性免疫监视在宿主对病原体、寄生虫和过敏原的反应中起着关键作用。大量研究报告了Th2反应与癌症之间的重要联系,包括对IgE抗体和相关效应细胞在抗肿瘤免疫监视和治疗中的功能的深入了解。2014年,欧洲变态反应和临床免疫学会赋予了过敏肿瘤学这一跨学科领域特别工作组的地位。附属专家小组专注于过敏反应与癌症之间的界面,应用于免疫监视、免疫调节以及IgE介导的抗癌免疫反应的功能,以获得对更有效治疗方法的新见解。随着癌症免疫疗法临床应用的迅速扩展,在此我们综述了这一相对较新领域的当前最新进展、未来转化机会以及挑战。最近的进展包括对Th2抗体、肿瘤内先天性过敏效应细胞和介质、树突状细胞介导的IgE介导的肿瘤抗原交叉呈递的进一步了解,以及疫苗和重组抗体等免疫治疗策略,最后是日常临床肿瘤学中的过敏管理。阐明过敏反应与癌症之间的相互作用正在为新的治疗途径铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3721/6492449/828a5e961297/ALL-72-866-g001.jpg

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