immunotherapy Flashcards
what is immunotherpy
way of treating disease by activating or surpressing the immune system
earliest immunotherapy
1) variolation
2) oriental sore
1) protection from smallpox
2) exposure to sandflies infected with leishmainia to ensure protection from facial scarring
approaches to immunotherapy
1) non specific statagies
2) vaccination stratagies:
-garsadil/carvarix
-HPV16/18
-HPV 6
2) -for cervical cancer
-HPV16/18 cause 70% of cervical cancer
-HPV 6 cause 90% of genital warts
approaches to immunotherapy
3) antibody therpies
-monoclonals for therapy
-example of cytokine cascade in rheumatoid arthritis. (TNF)
-mocks immune system to fight infection
TNF places most crucial role in RA inflammation.
therefore blockage of RA cytokine TNF controls disease by using monoclonal antibodies
what are checkpoint inhibitors for monoclonal antibodies
-example of checkpoints blocked CTLA-4 and PD-1
immunotherapy drugs which acts by blocking specific molecules that regulate the immune system
4) cell based therapy
-most common HSC transplantation
-treats blood disorders and leukaemia by bone marrow and haemopoietic stem cell transplantation
-autologous (self)
effects of virus specific T cell
-EBV (epstein barr virud)
-PTLD (post transplant lymphoproliferative disorder)
virus specifc T cells can be used on EBV B cell lymphoma which can lead to PTLD.
engineering T cell with cancer specific receptors
e.g. CAR- T cells
-genetic modification of patients T cells (autologous)