Zusammenfassung
Es werden neue Antitumorstrategien dargestellt, welche sich z. T. schon in der klinischen Testung befinden. Hierzu gehören: 1. Die aktive Immunisierung mit Tumorlysaten oder mit virusinfizierten Tumorzellen; 2. Die Therapie mit murinen monoklonalen Antikörpern (MAk), die gegen tumorassoziierte Moleküle gerichtet sind; 3. Behandlung mit Zytokinen wie Inter-leukin-2 (I1-2), Tumornekrosefaktor alpha (TNF-α), die entweder direkt oder über zytotoxi-sche T-Zellen auf den Tumor einwirken; 4. Behandlung mit extrakorporal lymphokinaktivier-ten Killerzellen (LAK) oder mit expandierten tumorinfiltrierenden Lymphozyten (TIL); 5. Behandlung mit molekularbiologisch veränderten, transfizierten Zellen.
Zum einen handelt es sich um eine Immunisierung mit Melanomzellen, die mit dem I1-2 Gen transfiziert wurden, zum anderen um eine Reinfusion von mit dem TNF-α Gen transfizierten TIL. Im ersteren Fall erwartet man durch die vermehrte I1-2 Produktion eine gesteigerte Aktivität von gegen den Tumor gerichteten Killerzellen, im zweiten Fall eine gezieltte TNF-α-Freisetzung am Tumor.
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© 1995 Springer-Verlag Berlin Heidelberg
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Roux, M., Mahrle, G. (1995). Möglichkeiten einer Immuno- und Zytokintherapie beim metastasierenden Melanom. In: Winter, H., Bellmann, KP. (eds) Operative Dermatologie. Fortschritte der operativen und onkologischen Dermatologie, vol 9. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79468-1_11
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DOI: https://doi.org/10.1007/978-3-642-79468-1_11
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