Cancer Immunotherapies

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Key points

  • The immune system is generally divided into 2 primary components: the innate immune response and the highly specific but more slowly developing adaptive or acquired immune response.

  • Immune responses can be further separated by whether they are induced by exposure to a foreign antigen (an “active” response) or if they are transferred through serum or lymphocytes from an immunized individual (a “passive” response).

  • The ideal cancer immunotherapy agent should be able to discriminate between cancer

Cellular Components

The immune system is generally divided into 2 primary components: the innate immune response and, the highly specific but more slowly developing, adaptive or acquired immune response. Innate immunity is rapidly acting but typically not very specific and includes physicochemical barriers (eg, skin and mucosa), blood proteins such as complement, phagocytic cells (macrophages, neutrophils, dendritic cells [DCs], and natural killer [NK] cells), and cytokines that coordinate and regulate the cells

Overview

The ultimate goal for a tumor immunotherapy with a specific target is elicitation of an antitumor immune response, which results in clinical regression of a tumor and/or its metastases. There are numerous types of specific tumor immunotherapies in phase I–III trials across a wide range of tumor types. Responses to cancer vaccines and other cancer immunotherapies may take several months or more to appear due to the slower speed of induction of the adaptive arm of the immune system as outlined in

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    Disclosure Statement: Dr P.J. Bergman is a coinventor on patent US7556805B2 and was the veterinary principal investigator for the canine melanoma vaccine Oncept, which received USDA-CVB conditional licensure in 2007 and full licensure in 2009. He also receives a minority royalty stream payment from Merial.

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