BCG in Bladder Cancer Immunotherapy

BCG is a live attenuated strain of <i>Mycobacterium bovis</i> that is primarily used as a vaccine against tuberculosis. In the past four decades, BCG has also been used for the treatment of non-muscle invasive bladder cancer (NMIBC). In patients with NMIBC, BCG reduces the risk of tumor...

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Main Authors: Song Jiang, Gil Redelman-Sidi
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/13/3073
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author Song Jiang
Gil Redelman-Sidi
author_facet Song Jiang
Gil Redelman-Sidi
author_sort Song Jiang
collection DOAJ
description BCG is a live attenuated strain of <i>Mycobacterium bovis</i> that is primarily used as a vaccine against tuberculosis. In the past four decades, BCG has also been used for the treatment of non-muscle invasive bladder cancer (NMIBC). In patients with NMIBC, BCG reduces the risk of tumor recurrence and decreases the likelihood of progression to more invasive disease. Despite the long-term clinical experience with BCG, its mechanism of action is still being elucidated. Data from animal models and from human studies suggests that BCG activates both the innate and adaptive arms of the immune system eventually leading to tumor destruction. Herein, we review the current data regarding the mechanism of BCG and summarize the evidence for its clinical efficacy and recommended indications and clinical practice.
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spelling doaj.art-a586be96cd534024bc477df925acbb7d2023-11-23T19:43:56ZengMDPI AGCancers2072-66942022-06-011413307310.3390/cancers14133073BCG in Bladder Cancer ImmunotherapySong Jiang0Gil Redelman-Sidi1Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USAInfectious Diseases Service, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USABCG is a live attenuated strain of <i>Mycobacterium bovis</i> that is primarily used as a vaccine against tuberculosis. In the past four decades, BCG has also been used for the treatment of non-muscle invasive bladder cancer (NMIBC). In patients with NMIBC, BCG reduces the risk of tumor recurrence and decreases the likelihood of progression to more invasive disease. Despite the long-term clinical experience with BCG, its mechanism of action is still being elucidated. Data from animal models and from human studies suggests that BCG activates both the innate and adaptive arms of the immune system eventually leading to tumor destruction. Herein, we review the current data regarding the mechanism of BCG and summarize the evidence for its clinical efficacy and recommended indications and clinical practice.https://www.mdpi.com/2072-6694/14/13/3073BCGbladderimmunotherapy
spellingShingle Song Jiang
Gil Redelman-Sidi
BCG in Bladder Cancer Immunotherapy
Cancers
BCG
bladder
immunotherapy
title BCG in Bladder Cancer Immunotherapy
title_full BCG in Bladder Cancer Immunotherapy
title_fullStr BCG in Bladder Cancer Immunotherapy
title_full_unstemmed BCG in Bladder Cancer Immunotherapy
title_short BCG in Bladder Cancer Immunotherapy
title_sort bcg in bladder cancer immunotherapy
topic BCG
bladder
immunotherapy
url https://www.mdpi.com/2072-6694/14/13/3073
work_keys_str_mv AT songjiang bcginbladdercancerimmunotherapy
AT gilredelmansidi bcginbladdercancerimmunotherapy