Interactive Immunology Lecture Search information on Immuno-therapies based on monoclonal antibody immune blockade (CTLA-4 or PD-1). 1.How could Immuno-therapies help autoimmune diseases? - Targeted treatment against autoimmune diseases where the immune system attacks and destroys healthy body tissues Through the use of antigen-specific immunotherapy, it is possible to target cells that cause autoimmunity and to ultimately reverse their function Aggressive cells can be converted into cell that are able to protect against disease/ targeted bacteria / infectious agents It also involves administering certain parts of the proteins into the body to allow a host response to occur The proteins are targets for attack and so increasing the dosage and injections of these antigenic fragments the autoimmune response can correct itself 2.What strategies might be successful at improving the immune response to cancer? 3.How best should these agents be used? 4.Who will most likely benefit from these agents? - - It can boost body’s natural defence to fight cancer Monoclonal antibodies target specific proteins on surface of cancer cells (cells that support the growth of cancer cells) Allows for the immune system to destroy cancer cells, the monoclonal antibodies can mark cancer cells by attaching to specific parts of cancer cells that are not found on healthy cells It may prevent cancer cell growth, monoclonal antibodies can block receptors and prevent growth signalling pathways from getting through the cell Non-specific immunotherapy; help destroy cancer cells Interferon’s can help fight cancer or glow growth of cancer cells (detection) E.g. INF-alfa activated natural killer cells and dendritic cells, used in treatment for melanoma and Kaposi sarcoma Interleukins may be utilised as they produce cells that destroy cancer E.g. IL-2 is responsible for the production of antibodies by B cells these can target cancer cells Aldesleukin has been a treatment used to fight metastic kidney & melanoma there are a variety of treatments being used and even more continue to undergo clinical trials and further research A number of therapies are used to treat different cancer, depends on the cancer and the cells that are being manipulated 5. How current research in drug development is affected by the development of new Immunotherapy’s based on blocking immune signals with monoclonal Ab? - - - Monoclonal antibodies are antibodies which have the ability to bind to specific antigens expressed by cell, these are derived in a laboratory environment under genetic engineering Some of the monoclonal antibodies can excite an immune response to destroy cancer cells, the antibodies attach to the cancer cell surface and trigger the destruction via the immune system Ritumixmab is this type of monoclonal antibody, it targets CD20 antigen that is located on non-Hodgkin lymphoma cells Another is alemtuzmab targets CD52 antigen located on chronic lymphocytic leukaemia cells- on the B cell Ipilimumab is used to treat metastic melanoma, this monoclonal antibody stimulated an immune response against cancer by attaching to receptors on the surface of immune cells and inhibiting signals to ensure immune cells do not undergo a self-attack USEFUL WEBSITES http://www.cancer.gov/cancertopics/treatment/types/immunotherapy/bio-therapiesfact-sheet https://www.fightaging.org/archives/2014/09/antigen-specific-immunotherapy-to-treatautoimmune-disease.php http://www.cancerresearchuk.org/about-cancer/cancers-in-general/treatment/cancerdrugs/interferon