[HTML][HTML] Tregs and rethinking cancer immunotherapy

TJ Curiel - The Journal of clinical investigation, 2007 - Am Soc Clin Investig
The Journal of clinical investigation, 2007Am Soc Clin Investig
Tumors express antigens that should induce immune-mediated rejection, but spontaneous
rejection of established tumors is rare. Recent work demonstrates that one reason for the
lack of tumor rejection is that tumors actively defeat host immunity. This concept forces us to
rethink current approaches to harnessing potent, specific host immunity to battle cancer,
most of which are based on the paradigm that inducing more antitumor immune cells alone
is therapeutic. However, as I discuss in this Personal Perspective, a newer paradigm …
Tumors express antigens that should induce immune-mediated rejection, but spontaneous rejection of established tumors is rare. Recent work demonstrates that one reason for the lack of tumor rejection is that tumors actively defeat host immunity. This concept forces us to rethink current approaches to harnessing potent, specific host immunity to battle cancer, most of which are based on the paradigm that inducing more antitumor immune cells alone is therapeutic. However, as I discuss in this Personal Perspective, a newer paradigm predicts that reducing tumor-driven immune suppression will be clinically beneficial. CD4+CD25+ Tregs are one mechanism of tumor-driven immune evasion that provide prototypical targets for testing novel anticancer treatment strategies within the newer paradigm.
The Journal of Clinical Investigation