Block 3 Lecture 2 -- Tumor Immunology Flashcards

1
Q

What is tumor-specific antigen (TSA)?

A

mutation of a normal protein

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2
Q

What is tumor-associated antigen (TAA)?

A

1) reactivation of embryonic genes

or 2) overexpression of self

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3
Q

What are the phases of the immune response to cancer?

A

1) priming phase

2) effector phase

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4
Q

What are the 2 macrophage populations?

A

1) anti-tumor (M1)

2) pro-tumor (M2)

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5
Q

How are anti-tumor macrophages induced?

A

LPS, IFN-gamma

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6
Q

How are pro-tumor macrophages induced?

A

hypoxia

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7
Q

How are tumor cells destroyed by the immune system?

A

1) Ab-mediated complement lysis
2) direct NK killing
3) ADCC
4) non-specific macrophage toxicity
5) tumor-specific CTL response

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8
Q

What are the components of ADCC?

A

perforin, granzyme, degranulation

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9
Q

What do anti-tumor macrophages produce?

A

1) cytokines/chemokines
2) ROS/RNS
3) MMPs
4) tumor lysis

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10
Q

What do pro-tumor macrophages produce?

A

1) cytokines/chemokines
2) ROS/RNS
3) MMPs
4) tissue factor
5) angiogenic cytokines/enzymes

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11
Q

What are the 3 phases of immunoediting?

A

1) elimination
2) equilibrium
3) escape

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12
Q

What percent of tumors do infectious agents cause?

A

15%

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13
Q

What infectious agents cause cancer?

A

HPV, HBV, H. pylori

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14
Q

What is the vaccine to HPV?

A

Gardasil

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15
Q

What cytokines/proteins are involved in the elimination phase of immunoediting?

A

anti-tumor

    • perforin, TRAIL, TNFa, FasL
    • IL-1, IL-12
    • IFN a,b,g
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16
Q

What cytokines are involved in the equilibrium phase of immunoediting?

A

anti-tumor

    • IL-12
    • IFN-g

pro-tumor

    • IL-10
    • IL-23
17
Q

What cytokines are involved in the escape phase of immunoediting?

A

anti-tumor
– none

pro-tumor

    • PD1, CTLA-4 on immune cells
    • PDL-1 on tumor
    • IL-23, IL-10, TGF-b
    • VEGF
18
Q

What is the Treg effect when found in tumors?

A

downregulate MHC