http://www.jewishworldreview.com/0514/cancer_treatment_success.php3

*Promising New Cancer Treatment Works For 80% Of Cancers *


May 11, 2014

Samantha Olson

Scientists have created a new method tailored to treat patients' tumors
with their own immune systems, which may lead to widespread therapy
treatments for 80 percent of all cancers. The National Cancer
Institute<http://www.nih.gov/news/health/may2014/nci-08.htm>(NCI) has
discovered how to trigger an immune system response to attack
against specific types of tumors produced by cancers, which is outlined in
the May 9 journal issue of *Science*.

“Our study <http://www.sciencemag.org/content/344/6184/641.short> deals
with the central problem in human cancer immunotherapy, which is how to
effectively attack common epithelial cancers,” said Dr. Steven A.
Rosenberg, the study’s lead researcher and chief of the Surgery Branch in
NCI’s Center for Cancer Research.

All malignant tumors harbor genetic alterations, some of which may lead to
the production of mutant proteins that are capable of triggering an
antitumor immune response. All cancerous and life-threatening tumors
contain within them genetic mutations, which have the ability to turn into
mutant proteins. The NCI researchers’ key findings were that these mutant
proteins can trigger an antitumor immune response and ultimately a way to
fight off cancerous cells.

“The method we have developed provides a blueprint for using immunotherapy
to specifically attack sporadic or driver mutations, unique to a patient’s
individual cancer,” Dr. Rosenberg said.

This is an innovative form of immunotherapy, in that scientists will
manipulate the body’s own immune system to help fight the cancerous tumors.
In the past, researchers found through immunotherapy treatments, immune
cells could mutate and react well to treat rare cancers such as melanoma
and kidney tumors.

The production of  tumor-infiltrating lymphocytes
<http://www.cancer.gov/drugdictionary?cdrid=41004>(TILS) is what makes
immunotherapy’s adoptive cell
therapy<http://www.ncbi.nlm.nih.gov/pubmed/20700700>(ACT) an effective
treatment for more than 80 percent of all cancers made
of epithelial cells. Epithelial cell cancers, such as digestive, lung,
pancreas, and bladder cancers,  are the cells that line the body’s internal
and external surfaces and amount to 80 percent of all cancers. Previously,
scientists did not know if the immune system could create a strong amount
of cells — enough to be able to attack epithelial cell cancers, which is
why they figured out a way to expand the army themselves.

For the experiment they extracted the strongest tumor-fighting TILs of a
43-year-old woman who had gastrointestinal cancer and wasn’t responding to
standard chemotherapy. Scientists then analyzed and identified the cell
mutations and helped cultivate and grow them in a laboratory in order to
create a larger quantity.

The patient’s cancer had also spread to her lung and livers, but once
scientists quadrupled her immune system’s TIL cancer-fighting cells, and
transferred the 42.2 billion fighters back into her body, the lung and
liver cancers stabilized. Thirteen months later they followed up with
another treatment of adoptive cell therapy and her tumors began regression
over a six-month period.

This proved to scientists that if a patient’s immune system fighters can be
nurtured and grown in a laboratory setting and then implanted back into the
patient, tumor regression is possible and another step in the direction of
treatment can been taken. This breakthrough could lead to developing
individualized immunotherapies for each cancer.

“Given that a major hurdle for the success of immunotherapies for
gastrointestinal and other cancers is the apparent low frequency of
tumor-reactive T cells, the strategies reported here could be used to
generate a T-cell adoptive cell therapy for patients with common cancers,”
said Rosenberg.

Source: Rosenberg S, Yang J, Parkhurst M, et al. Cancer immunotherapy based
on mutation-specific CD4+ T cells in a patient with epithelial cancer.
*Science*. 2014




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