W3 LECT 1: Immunology of cancer Flashcards

1
Q

what is the tumour microenvironment TME?

A

The tumor microenvironment (TME) refers to the complex and dynamic ecosystem surrounding and infiltrating a tumor, which includes not only cancer cells but also a variety of other cell types, signaling molecules, and the extracellular matrix.

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2
Q

what are the key component of TME?

A
  • immune cells (such as T cells, macrophages, and dendritic cells)
  • stromal cells (like fibroblasts)
  • endothelial cells forming blood vessels
  • various signaling molecules (cytokines, growth factors)
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3
Q

WHAT is the function of the TME?

A
  • The interactions within the TME are critical for tumor growth, progression, and metastasis.
  • Cancer cells can manipulate the TME to promote their survival and immune evasion, creating an environment that supports tumor development and resistance to therapies.
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4
Q

how do cells acquire genetics and epigenetic alterations?

A

-Carcinogens
* Infection:
-H pylori: Increased risk of
gastric cancer
-HPV: Increased risk of
cervical, oropharyngeal,
penile, vaginal cancer

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5
Q

inflammation in wound healing:

A
  • In wound healing, inflammation is a controlled and beneficial response to tissue injury.
  • It involves the recruitment of immune cells (like neutrophils and macrophages) to the injury site, which helps to eliminate pathogens, remove debris, and initiate tissue repair.
  • This process is characterized by a well-orchestrated sequence of events: inflammation, tissue formation, and remodeling, ultimately leading to the restoration of normal tissue structure and function.
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6
Q

inflammation in cancer:

A
  • Inflammation can be detrimental and is often chronic rather than acute.
  • Cancer-related inflammation can arise from various sources, including persistent infections, environmental factors, and genetic mutations.
  • This chronic inflammation creates a tumor-promoting environment through the release of pro-inflammatory cytokines and growth factors that support cancer cell proliferation, survival, and metastasis.
  • Furthermore, inflammatory cells in the tumor microenvironment can contribute to immune suppression, enabling cancer cells to evade immune detection and destruction.
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7
Q
A
  • genetic mutations
  • epigenetic changes
  • tumour microenvironment
    -chronic inflammation
  • immune invasion
  • angiogenesis
  • metabolic reprogramming
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8
Q

what are the processes of the immunoediting hypothesis?

A
  • Elimination
  • equilibrium
  • escape
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9
Q

outline NK cells in brief?

A
  • Characterised typically
    CD56bright/dimCD16high/low
  • Balance – activating and
    inhibitory receptors
  • NK cell induced lysis,
    cytokine production for
    immune modulation
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10
Q

function of nk cells?

A

NK cells can recognize and kill cells that are stressed, infected, or transformed (such as cancer cells) without the need for prior sensitization to specific antigens.

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11
Q

what do NK cells do in the TME?

A
  • tumour recognition and killing thru downregulation of receptors
  • supression in tme (impaired cytotoxicity)
  • Interaction with Other Immune Cells
  • Metabolic Challenges
  • Potential for Therapeutic Targeting
  • Prognostic Value
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12
Q

macrophages in tme?

A
  • Tumor-Associated Macrophages (TAMs)
  • Phenotypic Plasticity
    -Pro-Tumor Activities
  • Immune Modulation
  • Interaction with Tumor Cells
  • Therapeutic Targeting
  • Prognostic Implications
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13
Q

t lymphocytes in the tme functions:

A

CTL:tom our cell lysiss
TH1:
TH2:

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14
Q

t- lymphocytes in the tme functions:

A

TH9:
TH17:
Treg:

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15
Q

outline the immunological synapse?

A

-Interface between
APC/target and
lymphocyte (SMAC)
* TCR
* Adhesion molecules
* Costimulatory
/Checkpoint molecules
- Spatiotemporal
engagement

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16
Q

outline the immune checkpoint therapy:

A

-Evolutionary conserved
checkpoint molecules
* Negative regulators of T cell
activity
* Inhibition enhances anti-
tumour effects
-CTLA4 blockade
* Ipilimumab (2000) -
melanoma
- PD-1/PDL-1 blockade
* Nivolumab (2014) -
melanoma

17
Q

outline the adoptive t cell therapy:

A

-ACT: Autologous/allogenic
T cells reinfused into
patient
-Engineering lymphocytes:
CAR T
* Clinical success: CAR T cell
therapy in B cell acute
lymphoblastic leukaemia;
multiple myeloma (2021)
* Limitations: neurotoxicity,
cytokine release syndrome

18
Q

what are the cancer vaccines?

A

-Prophylactic vaccines:
* HPV, Hepatitis B
-Therapeutic vaccines:
* Dependent on tumour-
associated antigens
* Most TAAs recognised
as self
* Viral antigens/
neoantigens better
targets
-Personalised vaccines:
* NGS needed to find
targets + algorithms
-Strategies for delivery:
* Synthetic peptides
* mRNA
* Viral/DNA plasmids
* Or antigen-loaded APC
-Limitations:
* Cost, diversity for
matching to MHCII

19
Q

B lymphocytes in the tme?

A
  • immune cell recruitment and organisation
  • prime, shape, and amplify t cell responses
  • activation of innate immunity
  • direct antibody effects
  • immunosuppression