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Target Discovery and Validation Reviews and Protocols

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Overview of Immune System 299<br />

(44). Th cells can be further subdivided functionally by the pattern of cytokines<br />

they produce (46). Th1 cells produce IL-2 <strong>and</strong> interferon (IFN)γ, whereas Th2<br />

cells produce IL-4, -5, <strong>and</strong> -6. Th1-type response plays a major role in cellular<br />

immunity, whereas Th2-type response is critical for cellular immunity. In<br />

mice, IgG2 B-cell response is associated with a Th1-like immune response<br />

<strong>and</strong> IgG1 with a Th2-like response (45). Human type 1 immunity is usually<br />

associated with IgG1 <strong>and</strong> IgG3 subclasses, <strong>and</strong> type 2 immunity is associated<br />

with the IgG4 isotype <strong>and</strong> IgE (47). There is one other Th subset, Th3, that<br />

secrets mainly the cytokine transforming growth factor (TGF)β, which can<br />

have suppressive activity on Th1 <strong>and</strong> Th2 cells (48,49). These T-cells may<br />

derive from either thymic Treg cells or peripheral T CD4+ Th cells under certain<br />

stimulation conditions (Fig. 7).<br />

CD8+ Tc cells are directly cytotoxic to cells bearing their specific antigen<br />

<strong>and</strong> are expected to play important role in tumor immunology through a process<br />

of cell-mediated cytotoxicity that involves Fas, perforin, or both. Perforinmediated<br />

lysis requires a cognate interaction between the antigen-specific TCR<br />

on a T-lymphocyte <strong>and</strong> the specific antigen (usually a peptide) presented on an<br />

MHC molecule on the target cell’s plasma membrane. Fas-mediated cytotoxicity<br />

involves the ligation of Fas on the target cell by Fas lig<strong>and</strong> on T-cells, but it does<br />

not require a cognate recognition interaction via the TCR. Cytotoxicity also<br />

may be signaled via the tumor necrosis factor (TNF) receptor on a target cell<br />

(8). It has been shown that the CD8+ T-cells also can be subdivided into IFNγproducing<br />

Tc1 cells <strong>and</strong> IL-4–producing Tc2 cells similar to the Th subsets.<br />

Innate effector cells, such as DCs, NK, natural killer T-cells (NKT), <strong>and</strong> γδ T-cells,<br />

produce several cytokines, including Th1 <strong>and</strong> Th2 cytokines. Thus, several<br />

immunoregulatory cells in addition to T-cells control the outcome of an immune<br />

response. A type 1 immunity, which is regulated by IL-12 <strong>and</strong> IFNγ, plays a crucial<br />

role for eradication of tumors in vivo.<br />

10. Immune Response to Tumors<br />

Based upon the immunosurveillance model (1), the immune system can<br />

play a protective role in tumor development by recognizing <strong>and</strong> destroying<br />

nascent transformed cells. The first question for many of us was whether<br />

tumor-specific antigens exist, <strong>and</strong>, if so, whether there is immunological<br />

recognition of these antigens in humans. Studies in mice showed that the<br />

immune system can recognize <strong>and</strong> reject certain tumors <strong>and</strong> that immunodeficient<br />

mice, lacking INF-γ <strong>and</strong> RAG-2, have an increased incidence of cancer<br />

(50,51). In humans, the incidence of some cancers is increased in<br />

immunodeficient patients <strong>and</strong> is increased with age, owing to the immunosenescence.<br />

Evidence provided by autologous typing indicated the presence of<br />

patient-restricted antigens <strong>and</strong> shared antigens. Moreover, the presence of

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