Cancer News
Immunotherapy, sometimes called biological therapy or biotherapy,
is the most natural of all therapies for it utilizes the body’s
own immune system to battle disease.
The immune system is the body’s defence against anything that is
considered as alien such as germs and cancer cells. In general, we don’t
notice how our immune system fights disease every second of our lives.
Thus we don’t realize that most sickness and disease that are latent
in our bodies has already been fought and defeated before they even manifest
into a full blown sickness. Immunotherapy can be of use in a wide variety
of treatments even including the simple allergy and even the malignant
cancer. Vaccination is a form of immunotherapy. Most of the time, these
germs and cancer cells are “nipped in the bud” so to speak
before they can even develop into a disease. But if you already have cancer,
your body would need all the extra help it can have to battle these rogue
cells. Immunotherapy will then be your body’s able partner in combating
cancer.
For many years, physicians relegated the power of the immune system only
in the combating of various diseases such as virus and infections but
not cancer. The history of immunotherapy dates back to the late 1800’s
when a New York surgeon Dr. William Coley, suspecting that the immune
system would have an impact on cancer induced bacteria on cancer patients.
With the invention of radiation and chemotherapy in cancer, immunotherapy
research for cancer treatment has been relegated to the background. However,
with fresh researches and breakthroughs, immunotherapy is gaining dominance
once again in cancer treatments. Years back, immunotherapy has proven
to be most effective in treating cancers when they are still at an early
phase. But now, recent breakthroughs are being done so that these important
advances create greater hopes for immunotherapy to work in cancer cases
even if they are already in the malignant stage. Astounding experiments
and scientific evidence now point out to the critical if not crucial role
of the immune system in curing cancer. Scientific breakthroughs are now
being made that make it possible for immunotherapy to condition the body
to defeat even malignant tumors.
Immunotherapy can be used alone or even alongside chemotherapy. It is
an authoritative weapon which is less toxic and can even reduce the side
effects of other treatments. Immunotherapy works by putting in additional
immune cells or molecules that increase immune cells and biochemical that
will assist the body to fight cancer. The advantage of immunotherapy is
that it will target rogue cells but it will have minimal impression on
healthy cells thereby lessening the impact of negative side effects. There
are however minor side effects of immunotherapy and these include the
feeling of nausea, general malaise, fever, flu or flu-like syndromes.
Thus there are two modes of treatment in immunotherapy. One is done by
adding immune cells just like adding more reinforcements in a battlefield.
In this mode we have the T-cell therapy and the B-cell therapy. By adding
T-cells into your immune system, it will be able to recognize tumors and
destroy them. There are cases when the T cells themselves are taken from
the patient’s tumours and processed so that as they are put back
into the patient’s body, they would be more powerful to do the job.
In the early stages of bladder cancer, live bacteria is put into the bladder
and in two out of three cases, recurrence has been prevented.
Advanced researches has already ventured in T cell genetic engineering
by cloning the good soldier cells which came from within the patient’s
body and putting them back. This has opened the doors for many breakthroughs
and promises a broad range of treatment in various types of cancer.
If you want an immune cell that is deliberately calculated to assail a
precise enemy, B-cells can do the job. The B-cell therapy is done by injecting
monoclonal antibodies in your system that would go direct into a target
battlefield and reinforce the fight against bacteria, viruses and toxins.
This is done intravenously. Monoclonal antibodies mean getting a good
cell and artificially cloning it many times before it would be induced
back to the body. The advantage of monoclonal bodies is that scientists
are now able clone various types of cells for various types of cancers.
This promises many possibilities and great strides for cancer immunotherapy
treatment. For example, many discoveries are being done such as the discovery
of the antibody Rituximab which is useful as a cure for non-Hodgkin’s
lymphoma. Another breakthrough is the discovery of Trastusumab which is
the treatment for breast cancers.
The other mode of treatment is is by strengthening the capacity of your
immune system to release more anti- bodies. Biological agents are used
to induce the immune system to release more antibodies, regulate the immune
system to be more healthy and strong, and strengthen the immune system
in general. An example of this is an immune enhancement cream called imiquimod
which can be used topically. This is an interferon producer that compels
the body’s T-cells to attack warts, cutaneous lymphoma, actinic
keratoses, squamous cell cancer, basal cell cancer, and superficial malignant
melanoma.
Dendritic cell based immunotherapy
This utilizes dendritic cells which are actually immune cells whose major
purpose is to present antigen (antibody generating) material to the body.
When antigen is presented to the cells, it would create a reaction among
the cells that would constitute an immune response. Dendritic cells are
taken from the patient and activated and put back into the patient. Activated
dendritic cells would then interact with T cells and B cells and would
start the whole process of immune response. These dendritic cells would
present these tumor antigens to the body creating a cytotoxic response
or the quality of being toxic to cells. The body would then respond by
creating an army with which to attack these cancer cells.
Preventive cancer vaccines are also used to strengthen the body’s
immune system against certain types of antigen causing cancer.
Another major stride in immunotherapy is the discovery and development
of sipuleucel-T. This is an active cellular immunotherapy directed at
fighting prostate cancer. Prostate cancer is a common non-skin cancer
in the whole world with about one million men having the disease in the
United States alone. This is now being reviewed by the FDA and is approaching
commercialization. Sipuleucel-T was developed by the Dendreon Company
and it operates by conditioning the body’s immune system to recognize
prostate cancer cells and annihilate them. In the experimental studies
done by Dendreon, all 100 prostate cancer patients responded positively
to treatment. At first it seemed that only those who have lesser than
malignant prostate cancer responded positively to treatment. Then after
two years and a half of observation, even those who have malignant cancer
responded positively. Here are some amazing statistics, 34% of those who
received treatment in the first trial were still alive after three years
compared to 11% of those who took a placebo. Those who took the treatment
had the median survival of 25.9 months while those who took the placebo
had only 21.4 month. Thus you have 4.5 months increase in survival. The
similar trial done on a different product yielded only a 2.5 month benefit.
Other findings include that Sipuleucel-T was able to slow the advance
of the cancer cells to metastasize. Patients who were administered with
Sipuleucel-T gave a ten to one hundred fold higher immune response than
those under placebo. As with regards to the safety of its use, the side
effects of Sipuleucel-T were only chills, fatigue, and fever. Thus it
was found out that Sipuleucel-T could really make a difference in adding
more precious and memorable days to one’s life.
Another explanation from Wikipedia, the free encyclopedia
Cancer immunotherapy is the use of the immune system to reject cancer.
The main premise is stimulating the patient's immune system to attack
the malignant tumor cells that are responsible for the disease. This can
be either through immunization of the patient, in which case the patient's
own immune system is trained to recognize tumor cells as targets to be
destroyed, or through the administration of therapeutic antibodies as
drugs, in which case the patient's immune system is recruited to destroy
tumor cells by the therapeutic antibodies.Since the immune system responds
to the environmental factors it encounters on the basis of discrimination
between self and non-self, many kinds of tumor cells that arise as a result
of the onset of cancer are more or less tolerated by the patient's own
immune system since the tumor cells are essentially the patient's own
cells that are growing, dividing and spreading without proper regulatory
control.In spite of this fact, however, many kinds of tumor cells display
unusual antigens that are either inappropriate for the cell type and/or
its environment, or are only normally present during the organisms' development
(e.g. fetal antigens). Examples of such antigens include the glycosphingolipid
GD2, a disialoganglioside that is normally only expressed at a significant
level on the outer surface membranes of neuronal cells, where its exposure
to the immune system is limited by the blood-brain barrier. GD2 is expressed
on the surfaces of a wide range of tumor cells including neuroblastoma,
medulloblastomas, astrocytomas, melanomas, small-cell lung cancer, osteosarcomas
and other soft tissue sarcomas. GD2 is thus a convenient tumor-specific
target for immunotherapies.Other kinds of tumor cells display cell surface
receptors that are rare or absent on the surfaces of healthy cells, and
which are responsible for activating cellular signal transduction pathways
that cause the unregulated growth and division of the tumor cell. Examples
include ErbB2, a constitutively active cell surface receptor that is produced
at abnormally high levels on the surface of breast cancer tumor cells.
From: http://en.wikipedia.org/wiki/Cancer_immunotherapy
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