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30 Cards in this Set

  • Front
  • Back
metastasos
single/group of cells break off from primary tumor and seed some other tumor
malignancy:
capacity to invade surrounding tissue. benign tumore has a defined edge
where do cancers arise from?
a single cell-- clocal
2 properties that define cancer cells
1. have escaped normal constraints of growth control and thus proliferate out of control

2. invade and colonize areas of the body normally occupied by other cells
ex of heritable changes
genetic
epigenetic
genetic
alterations in the DNA of cell
epigenetic
changes in tehpattern of cellular gene expression withouut changes in teh DNA sequences
3 classes of cancer causing agents
chemical carcinogens
UV and ionizing radiation
viruses
what kinds of viruses have the potential to cause cancer?
DNA
usually RNA b/c they have reverse tran scriptase to turn RNA into DNA
sources of tumor antigens
after cell undergoes mutation, it may present mutant peptide
NK cells and recognition
NK cells recognize that cancer cells don't have MHC Class I (NK cells activated by lack of these)

NK cells recognize receptors on the surface of cancer cells
what happens once NK cells are activated?
IFN gammais produced --> macrophages, DC, increase in MHC Class II, I and CD80/86
T cell response to tumors
CD8 T cells can be induced by cross priming by APCs which have processed tumor cells.

IFN is v imp
tumor escape mechanisms
induction of tolerance
expression of FasL or TNF
lack of costim molec
production of TGF beta or IL-10
induce non cytolytic Abs that msk TUmor Ags
produce substances that mask tumor Ags
immune priveledged sites
locations in body where immune response to antigens is not destructive or is suppressed
examples of immune priveleged sites
brain
testis
effect of latering MHC Class I expresing on CTL and NK cell killing
when MHC Class I is expressed, CTL kill, when not expressed-- opposite
tumor cells must have the ability to----
stimulate angiogenesis
myeloid derived suppressor cels
are alternately activated macrophages they decreases production of IL-12

IL-12 is involved with developemtn of TH1 which makes IL-2 which stimulates CD8 T cells
CTLA4
downregulates activation of T cells
IL-17
proinflammatory

but also induces angiogenesis tthat helps tumore cells smetastasize
gm-csf
powerful growth factor for the development of a DC
tumor cell transfection to enhance IR
by vaccinating with tumor cell expressing costim or IL-2

IL-2 will enhanve proliferation and differentiation of tumor-specific T cells

costim molec witll activate tumor specific T cell
anti tumor monoclonal Ab
transfer of these antibodies with toxic substances attach helps target drugs
why are attentuated better than dead vaccines
a killed/inactivated pathogen won't infect cells, so it won't stimulate TLR ery well
features of effective vaccines
safe
protective
gives sustained protection
induces neutralizing antibody
induces protective T cells
practical considerations
advantages of live attenuated vaccines
limited viral replication which can be a good stimulus to the immune system

progeny virions are often contained at the site of infection , which both limits spread and has an adjuvant effect

infection induces a mild/subclinicaldiesase
disadvan of live attenutated vaccines
reversion to wt virulence by mutation of virus

recombination with other viruses giving rise to a new virulent strain of virus

virsu can also be contracted
adjuvants
activate an inflammatory response by throwing something to activate TLR --> better innate response
ISCOM: immune stimulating complexes
lipid micelles that contain viral peptides

way of directly loading cells with specific proteins

activate CD8 T cells