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Immunotherapy, An Issue of Neurosurgery Clinics - E-Book

Immunotherapy, An Issue of Neurosurgery Clinics - E-Book

Isaac Yang | Michael J Lim

(2010)

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Book Details

Abstract

For this issue, Dr. Michael Lim of Johns Hopkins and Dr. Isaac Yang of UCSF team up to deliver a packed issue on the latest developments in Immunotherapy. The issue covers hot topics such as immunostimulants, Passive Antibody Mediated Immunotherapy, Clinical Applications of A Peptide Based Vaccine, Challenges for Clinical Design of Immunotherapy Trials, The EGFRv3 Peptide Vaccine, Stem Cell Therapy and Dendritic Cell Vaccines, Dendritic Glioma Fusion Vaccine, Adoptive Cellular Immunotherapy, Virus Mediated Immunotherapy, and so much more.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contents vii
Neurosurgery Clinics of North America xiii
Preface xiv
Chapter 1. Biologic Principles of Immunotherapy for Malignant Gliomas 1
TUMOR-ASSOCIATED IMMUNOSUPPRESSION 1
IMMUNOTHERAPY 3
MULTIMODALITY IMMUNOTHERAPY 8
SUMMARY 8
REFERENCES 8
Chapter 2. Mechanisms of Local Immunoresistance in Glioma 17
THE TUMOR IMMUNE MICROENVIRONMENT 17
SUMMARY 24
REFERENCES 24
Chapter 3. Glioblastoma-Derived Mechanisms of Systemic Immunosuppression 31
CAVEATS IMPORTANT TO CONSIDER WHEN EVALUATING PRIORWORK 32
OBSERVATIONS OFCELLULAR IMMUNITY IN PATIENTS WITHMALIGNANTGLIOMA 33
SUPPRESSIVE SURFACEMARKERS EXPRESSED ONGLIOMACELLS 34
GLIOMA-SECRETED FACTORS WITH POTENTIAL IMMUNOSUPPRESSIVEEFFECTS 35
ABNORMALITIES OFMONOCYTIC POPULATIONS IN PATIENTS WITHGBM 36
IDENTIFICATION AND CHARACTERIZATION OF T CELLSWITH REGULATORY CHARACTERISTICS IN GBM 36
SUMMARY 38
REFERENCES 39
Chapter 4. Microglia and Central Nervous System Immunity 43
ORIGIN OFMICROGLIA 44
MICROGLIA ASA SYSTEMOFACTIVE SURVEILLANCE 44
MICROGLIA ASMEDIATORS OFINFLAMMATION 45
MICROGLIA INCNS GLIOMAS 46
REFERENCES 48
Chapter 5. Immunostimulants for Malignant Gliomas 53
THEIMMUNE SYSTEM’S ROLEINCANCER GENESIS 53
IMMUNOSTIMULANTS 54
CYTOKINES 54
IL-2 55
IL-4 55
IL-12 56
GRANULOCYTE^MACROPHAGE COLONY-STIMULATING FACTOR 56
TNF-a 56
MISCELLANEOUS CYTOKINES 57
IFN 57
PATHOGEN-ASSOCIATEDMOLECULAR PATTERN ASADJUVANTS 58
OLIGODEOXYNUCLEOTIDES 59
POLY-ICLC/HILTONOL 59
SUMMARY 60
REFERENCES 60
Chapter 6. Passive Antibody-Mediated Immunotherapy for the Treatment of Malignant Gliomas 67
MONOCLONAL ANTIBODIES 67
TARGET DETERMINATION OF PASSIVE ANTIBODY IMMUNOTHERAPY 68
ANTI-EGFR THERAPY 68
ANTI-EGFRVIII THERAPY 70
ANTIANGIOGENESIS THERAPIES 70
SEROTHERAPY AGAINST EXTRACELLULAR MATRIX PROTEINS 71
DISCUSSION 72
REFERENCES 73
Chapter 7. Interferon-gamma in BrainTumor Immunotherapy 77
INTERFERON-GAMMA ANDTHECELLCYCLE 77
INTERFERON-GAMMA SIGNALING 78
MAJOR HISTOCOMPATIBILITYCOMPLEX REGULATION BY INTERFERON-GAMMA 78
GENE THERAPYUSING INTERFERON-GAMMA TRANSFECTION 79
INTERFERON-GAMMA INHIBITSTUMOR ANGIOGENESIS 80
INTERFERON-GAMMA IN COMBINED IMMUNOTHERAPY 80
CLINICALTRIALS 81
SUMMARY 81
REFERENCES 82
Chapter 8. The Epidermal Growth Factor Variant III Peptide Vaccine for Treatment of Malignant Gliomas 87
MALIGNANTGLIOMASAND PEPTIDE VACCINATION 87
EPIDERMALGROWTHFACTORVARIANT III 88
PRECLINICALTRIALSSTUDYING ACTIVE IMMUNIZATION WITH EPIDERMALGROWTH FACTORVARIANT III 89
CLINICALTRIALSSTUDYING ACTIVE IMMUNIZATION WITH EPIDERMALGROWTH FACTORVARIANT III 90
DISCUSSION 91
REFERENCES 92
Chapter 9. Clinical Applications of a Peptide-Based Vaccine for Glioblastoma 95
IMMUNOTHERAPY 95
IMMUNE SYSTEM COMPONENTS 97
CENTRAL NERVOUS SYSTEM IMMUNE PRIVILEGE 97
TUMOR-RELATED IMMUNE SUPPRESSION 99
MONOCLONAL ANTIBODIES AS THERAPEUTICS 99
TUMOR-ASSOCIATED AND TUMOR-SPECIFIC ANTIGENS 100
PEPTIDE VACCINATION TRIALS 102
EPIDERMAL GROWTH FACTOR RECEPTOR VARIANT III VACCINE TRIALS 103
SUMMARY 104
REFERENCES 105
Chapter 10. Heat Shock Proteins in Glioblastomas 111
VACCINES AND IMMUNOTHERAPY 111
HSP CANCER VACCINES 115
MORE EFFICIENT ANTIGEN PRESENTATION ON MHC 116
REFERENCES 118
Chapter 11. The Role ofTregs in Glioma-Mediated Immunosuppression: PotentialTarget for Intervention 125
BIOLOGIC ROLEOF TREGS IN PATIENTS WITHGLIOMA 127
PROGNOSTIC SIGNIFICANCEOF TREGS IN PATIENTS WITHGLIOMA 127
MECHANISMS OFMODULATINGTREG RESPONSES 128
FUTUREDIRECTIONS 131
REFERENCES 132
Chapter 12. Dendritic Cell Vaccines for Brain Tumors 139
ANIMALMODELS 142
CLINICALTRIALS 142
CURRENT STATUS OFDC VACCINES FOR BRAIN TUMORS 145
SUMMARY 154
REFERENCES 154
Chapter 13. Glioma Stem Cell Research for the Development of Immunotherapy 159
CSC BRAIN TUMOR STEM CELL AND CD133 CSCS 159
GLIOMA CSCS AND CLINICAL TREATMENT 160
TARGETING SIGNALING PATHWAYS IN CSCS 161
TARGETING CSCS USING PASSIVE IMMUNOTHERAPY 161
TARGETING CSCS USING ACTIVE IMMUNOTHERAPY 162
SUMMARY 163
REFERENCES 163
Chapter 14. Virally Mediated Immunotherapy for BrainTumors 167
VIRALTHERAPYFOR BRAIN TUMORS 167
IMMUNECOMPARTMENTS, BRAIN TUMORS, ANDVIRUSES 169
IMMUNITYANDTHERAPEUTIC ANTICANCER VIRUSES 170
SUPPRESSING ANTIVIRAL IMMUNITY DURING ONCOLYTIC VIRALTHERAPYOFGLIOMA 172
ENHANCING ANTIGLIOMA IMMUNITY THROUGH ONCOLYTIC VIRALTREATMENT 173
IMMUNOTHERAPEUTIC TARGETINGOF VIRAL ANTIGENSASTHERAPY 176
SUMMARY 176
REFERENCES 177
Chapter 15. Distinguishing Glioma Recurrence from Treatment Effect After Radiochemotherapy and Immunotherapy 181
TREATMENT-EFFECT NECROSIS 181
PSEUDOPROGRESSION 182
IDENTIFYINGTREATMENT EFFECTON IMAGING AFTER IMMUNOTHERAPY 182
RADIOGRAPHIC ADVANCES IN DISTINGUISHING TUMOR RECURRENCEFROMTREATMENT EFFECT 183
MANAGEMENT OFPATIENTS WITH RADIOGRAPHICCHANGES AFTER GBM RESECTIONS 184
SUMMARY 184
REFERENCES 184
Chapter 16. Immunotherapy Combined with Chemotherapy in the Treatment of Tumors 187
POSSIBLE MECHANISMS OF ACTION OF COMBINED CHEMOTHERAPY AND IMMUNOTHERAPY 188
LABORATORY STUDIES 188
CLINICAL STUDIES 189
SUMMARY 190
REFERENCES 190
Chapter 17. Monitoring Immune Responses After Glioma Vaccine Immunotherapy 195
T-CELL MEDIATED RESPONSES AND T-CELL FUNCTION ASSAYS 195
ENZYME-LINKED IMMUNOSORBENT ASSAY 196
ELISPOT 196
TETRAMER ANALYSIS 196
CHROMIUM RELEASE ASSAY 196
DISCUSSION 197
REFERENCES 198
Chapter 18. Challenges in Clinical Design of Immunotherapy Trials for Malignant Glioma 201
TARGET IDENTIFICATION 203
IMMUNOMODULATION 205
ACTIVEIMMUNOTHERAPY 208
SUMMARY 209
ACKNOWLEDGMENTS 210
REFERENCES 210
Index 215