From “magic bullets” to specific cancer immunotherapy

The immune system is able to specifically target antigen-expressing cancer cells. The promise of immunotherapy was to eliminate cancer cells without harming normal tissue and, therefore, with no or very few side effects. Immunotherapy approaches have, for several decades, been tested against s...

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Main Authors: Carsten Riether, Christian Schürch, Adrian Ochsenbein
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2013-01-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/1644
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author Carsten Riether
Christian Schürch
Adrian Ochsenbein
author_facet Carsten Riether
Christian Schürch
Adrian Ochsenbein
author_sort Carsten Riether
collection DOAJ
description The immune system is able to specifically target antigen-expressing cancer cells. The promise of immunotherapy was to eliminate cancer cells without harming normal tissue and, therefore, with no or very few side effects. Immunotherapy approaches have, for several decades, been tested against several tumours, most often against malignant melanoma. However, although detectable immune responses have regularly been induced, the clinical outcome has often been disappointing. The development of molecular methods and an improved understanding of tumour immunosurveillance led to novel immunotherapy approaches in the last few years. First randomised phase III trials proved that immunotherapy can prolong survival of patients with metastatic melanoma or prostate cancer. The development in the field is very rapid and various molecules (mainly monoclonal antibodies) that activate the immune system are currently being tested in clinical trials and will possibly change our treatment of cancer. The ultimate goal of any cancer therapy and also immunotherapy is to cure cancer. However, this depends on the elimination of the disease originating cancer stem cells. Unfortunately, cancer stem cells seem resistant to most available treatment options. Recent developments in immunotherapy may allow targeting these cancer stem cells specifically in the future. In this review, we summarise the current state of immunotherapy in clinical routine and the expected developments in the near future.
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spelling doaj.art-49d7be0839d44b99a2fa6bf4cdc51c8c2022-12-22T04:42:31ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972013-01-01143030410.4414/smw.2013.13734From “magic bullets” to specific cancer immunotherapyCarsten RietherChristian SchürchAdrian Ochsenbein The immune system is able to specifically target antigen-expressing cancer cells. The promise of immunotherapy was to eliminate cancer cells without harming normal tissue and, therefore, with no or very few side effects. Immunotherapy approaches have, for several decades, been tested against several tumours, most often against malignant melanoma. However, although detectable immune responses have regularly been induced, the clinical outcome has often been disappointing. The development of molecular methods and an improved understanding of tumour immunosurveillance led to novel immunotherapy approaches in the last few years. First randomised phase III trials proved that immunotherapy can prolong survival of patients with metastatic melanoma or prostate cancer. The development in the field is very rapid and various molecules (mainly monoclonal antibodies) that activate the immune system are currently being tested in clinical trials and will possibly change our treatment of cancer. The ultimate goal of any cancer therapy and also immunotherapy is to cure cancer. However, this depends on the elimination of the disease originating cancer stem cells. Unfortunately, cancer stem cells seem resistant to most available treatment options. Recent developments in immunotherapy may allow targeting these cancer stem cells specifically in the future. In this review, we summarise the current state of immunotherapy in clinical routine and the expected developments in the near future. https://www.smw.ch/index.php/smw/article/view/1644antibodiesCancercancer stem cellscytotoxic T cellsImmunotherapy
spellingShingle Carsten Riether
Christian Schürch
Adrian Ochsenbein
From “magic bullets” to specific cancer immunotherapy
Swiss Medical Weekly
antibodies
Cancer
cancer stem cells
cytotoxic T cells
Immunotherapy
title From “magic bullets” to specific cancer immunotherapy
title_full From “magic bullets” to specific cancer immunotherapy
title_fullStr From “magic bullets” to specific cancer immunotherapy
title_full_unstemmed From “magic bullets” to specific cancer immunotherapy
title_short From “magic bullets” to specific cancer immunotherapy
title_sort from magic bullets to specific cancer immunotherapy
topic antibodies
Cancer
cancer stem cells
cytotoxic T cells
Immunotherapy
url https://www.smw.ch/index.php/smw/article/view/1644
work_keys_str_mv AT carstenriether frommagicbulletstospecificcancerimmunotherapy
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