Abstract
The relationship between the development of a tumor and the immune system is depicted by the fundamental model of “cancer immunoediting”: a tumor will only grow if the immune system is not capable of eliminating immune-resistant tumor cells (“tumor immune escape”). Both the adaptive and innate immunity play a key-role in this process. Multiple tumor-associated antigens have been described in gliomas and the expression of these antigens is very heterogeneous with important inter- and intra-individual differences. This is in contrast with other tumors, such as malignant melanoma, where tumor-associated antigens are almost universally expressed in all tumor cells. Several studies have shown that antigens can drain from the central nervous system to the cervical lymph nodes, where antigen-specific T cells can be activated by antigen-presenting cells. These activated T cells can subsequently migrate into the brain parenchyma to the sites of antigen challenge. This points to possible, naturally occurring immune responses eventually also against tumors, and indicates that the central nervous system is not an “immune-silent” environment. Therefore, it seems that the immune system can provide us with some interesting tools to treat gliomas. Several types of immunotherapy have been used and the most promising strategy for the induction of durable immune responses seems to be active, specific immunotherapy, or the so-called tumor vaccination. Further research has to be done, however, to establish the value of this form of immunotherapy in the treatment of gliomas.
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Acknowledgements
This translational research program has been supported by the Olivia Hendrickx Research Fund (http://www.olivia.be). Support was also obtained from Electrabel Netmanagement Vlaanderen, CAF Belgium, Baxter, the Herman Memorial Research Fund (http://www.hmrf.be), the James E. Kearney Memorial Fund and gifts from private families and service clubs. Additionally, grants were obtained from “Stichting tegen Kanker,” IWT (TBM project), the Stem Cell Institute Leuven, the Emmanuel van der Schueren Fund, the International Union against Cancer, the Klinisch Onderzoeksfonds UZ Leuven, and the Fund for Scientific Research – Flanders (FWO-V). We are very grateful for the technical assistance from KatjaVandenbrande, Goedele Stegen, Vallentina Schaiko, Elke Nackers and Anaïs Van Hoylandt. We thank the neurooncology team in the hospital for fruitful patient discussion, and the staff of the Laboratory of Experimental Immunology for basic scientific discussions.
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Ardon, H., De Vleeschouwer, S., Van Calenbergh, F., Van Gool, S.W. (2011). High-Grade Gliomas: Dendritic Cell Therapy. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 2. Tumors of the Central Nervous System, vol 2. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0618-7_32
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