4/28/17 Tumor immunology Flashcards

1
Q

What type of macrophages have secretion of IFN gamma and TNF alpha and leads to anti-tumor inflammatory environment?

A

-M1

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2
Q

What type of macrophages or myeloid derived suppressor cells can actually promote tumor growth by inhibiting appropriate immune responses?

A

-M2

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3
Q

How does cellular immunity kill tumor cells?

A

-CD8 T cells recognize the antigen on the target cell

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4
Q

How do granzymes enter the tumor cell?

A

-Via perforin holes

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5
Q

When there is a connection of FasL and Fas what occurs to the cell?

A

-Apoptosis

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6
Q

What are four types of tumor antigens?

A
  • Mutate self protein
  • Product of oncogene or mutated tumor suppressor gene
  • Overexpressed or aberrantly expressed self protein
  • Oncogenic virus
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7
Q

What are different ways tumor vaccines have been developed?

A
  • Dendritic cells transfected with plasmid expressing tumor antigen
  • Vaccinate with tumor-antigen presenting dendritic cell
  • Dendritic cells pulsed with tumor antigens
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8
Q

T/F Most cancer vaccines to date have been prophylactic rather than therapeutic

A

False

-They have been therapeutic rather than prophylactic

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9
Q

What is the antibody approach to kill tumor cells?

A
  • Block the CTLA4 and PD1 response to keep the T cells going

- Block the CD20 to eliminate transformed B cells

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10
Q

What are the three E’s of cancer immunoediting?

A
  • Elimination
  • Equilibrium
  • Escape
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11
Q

What is one of the first things to happen during the elimination phase?

A

-Produce IFN-Gamma

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12
Q

What does IFN-gamma do for cancer elimination?

A

-Tells some tumor cells to die by anti-proliferative and apoptotoic mechanisms

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13
Q

What happens during the second part of the elimination phase?

A

-Tumor cell debri’s taken up by DCs to lymph nodes

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14
Q

What happens in the third phase of the elimination phase?

A

CD4 T cells and CD8 T cells are recruited

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15
Q

What happens in the fourth phase of the elimination phase?

A

-Tumor specific CD4 and CD8 T cells attempt to destroy remaining antigen bearing tumor cells

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16
Q

What is the equilibrium process?

A

-It is any tumor variant that has survived elimination and enters a dynamic equilibrium

17
Q

What is the escape process of tumor cells?

A

-Surviving tumor variants have acquired insensitivity to immune detection/elimination and begin to expand

18
Q

What are five examples of how tumor cells avoid the immune response?

A
  • Low immunogenecity
  • Tumor treated as self antigen
  • Antigenic modulation
  • Tumor-induced immune suppression
  • Tumor-induced privleged site
19
Q

Do you want the M1 type or M2 type if you are trying to kill cancer cells?

A

-M1

20
Q

When do you see Myeloid derived suppressor cells?

A

-When someone has a tumor