Introduction of Tumor Immunology• Bei-Chang Yang ( 楊倍昌 ), Ph.D.

Department of Microbiology & Immunologyext 5637; y1357@mail.ncku.edu.tw

• Pin Ling ( 凌 斌 ), Ph.D. ext 5632; lingpin@mail.ncku.edu.tw

• References: 1. Tumor Immunology and Cancer Vaccines (Samir Khleif, Publisher: Springer; 1st edition 2005) 2. Cancer Immunotherapy-Advances in Immunology, Vol. 90 (James Allison, Glen Dranoff; Publisher: Academic Press 2006)

GoalGoalss of This of This CourseCourse

• Build up the concepts of Tumor Immunology • Learn the current development of Tumor Immunology, including immunotherapy & cancer vaccines.• Not only deliver the knowledge but

exercise thinking

Outline of Lecture Outline of Lecture TopicsTopics

• Discuss the interactions between the immune system and the cancer development, covering the following topics:

(1) Basic concepts of tumor immunology(2) Immunosurveillance and immunoediting of cancer(3) Mechanisms of immune evasion by tumors (4) Cancer vaccine development Cancer immunotherapy(5) Inflammation & Cancer, and other topics

Lectures & Paper Lectures & Paper DiscussionDiscussion

• Run the class with “Lectures” and “Paper discussion”• Lectures deliver the basic concepts of fields. • Paper discussion focuses on the latest articles

related to specific topics. • Research Project discussion- Choose a type of cancer as the topic of cancer immunotherapy- Apply the knowledge from this course to cancer treatment

1. 4 sections of Paper discussion and 2 sections of Project discussion2. 2 paper presentations each time for 4 sections (Total 9 students)

3. 2 project presentations each time for2 sections (Total 4 groups)

4. Each presentation: 40 min talk and 10 min discussion

Paper & Project Discussion

EvaluationEvaluation

1. Attendance – 60%

2. Paper & Project Presentation – 20 %

3. Class performance – 20%

1. Tumorigenesis2. Discovery of the protective immune response against tumors.3. T cells recognize specific antigens on tumors4. Tumors can escape in many ways5. Immunotherapy for tumors

Overview of Tumor Immunology

How does cancer arise?

Dysregulated cell growth & proliferation => Transformation

A clone of cells expanding indefinitely => A tumor

Tumor cells => the body and cause diseases => Cancer

How does cancer arise? How does cancer arise? IIII

Q: What causes dysregulated cell growth & proliferation?• Intrinsic factors - Genetic mutations on Oncogenes & Tumor suppressor genes • Environmental factors – Radiation, Carcinogens• Microbial infections – Viruses (viral oncogenes)

Bacteria

The Strategies for Cancer The Strategies for Cancer TherapyTherapy

The best scenario – Kill all the tumor cells without destroy others in the body

1. Surgery – remove tumor cells & tissues physically 2. Radiotherapy – non-selective, strong side effect3. Chemotherapy - non-selective, strong side effect4. Gene therapy – relatively selective5. Targeted therapy - relatively selective6. Immunotherapy => manipulate an immune

response against tumor cells but not normal cells => quite selective

Key Concepts in Tumor immunity1. Tumors express Ags that are recognized as foreign by the host immune system.

2. Immune responses frequently fail to prevent the growth of tumors.

3. The immune system can be activated by external stimuli to effectively kill tumor cells and eradicate tumors.

4. Various strategies have been developing to enhance the

anti-tumor immune responses.

Discovery of Immune surveillance

of tumors

Discovery of Immune surveillance

of tumors1. Immune Surveillance- Macfarlane Burnet in 1950s 2. Use syngeneic mouse strain => Transplantation exp3. Immunization w/ irradiated tumor X cells protects a syngeneic mouse w/ live X tumor cells but not Y tumor cells. 4. Antigens expressed by tumors, termed tumor antigens.5. Defense against tumors is mainly mediated by T cells

Immune surveillance of tumors-II

Identification of tumor Ags by CTLs

Examples of tumor antigens-I

Examples of tumor antigens-II

Tumor antigens arise by point mutations in self

proteins

Tumor antigens arise by reactivated genes or overexpressed genes

IInduction nduction of of T cell responses to T cell responses to tumortumorssCross-priming (cross-presentation) mediated by APCs, ex. DCs

Immune responses to tumors1. Adaptive immune responses to tumors: a. CD8 CTLs are the key players on the killing effect of tumors. b. CD4 T helper cells => cytokines => CTLs c. Abs => activating complements or Ab-dep cell-med toxicity => preventing oncogenic viruses2. Innate immune responses to tumors: a. NK cells kill many types of tumor cells that have reduced class-I but express ligands for activating NK cells. b. Macrophages => Ab-med phagocytosis => Cytokines (TNF-a), ROS, & NO

1. Tumorigenesis2. Discovery of the protective immune response against tumors.3. T cells recognize specific antigens on tumors4.4. Tumors can escape in many waysTumors can escape in many ways5. Immunotherapy for tumors

Overview of Tumor Immunology

1. Tumorigenesis2. Discovery of the protective immune response aga

inst tumors.3. T cells recognize specific antigens on tumors4. Tumors can escape in many ways5. Immunotherapy for tumors

Overview of Tumor Immunology

Q: Why tumors still develop in the body if the immune system has the ability to recognize them?

Tumors develop many ways to escape from immune attacks

Mechanisms of Tumor Mechanisms of Tumor evasionevasion

Tumors w/FasTreg infiltrating

Tumor loss of MHC-I as a evasion mechanism

Dunn et al. Nature Reviews Immunology 6, 836–848 (November

2006) | doi:10.1038/nri1961

Immunoediting of Cancer

The progress in Immunology & Molecular Biology in past few decades make possible to manipulate the immune responses against tumors.

Enhancing Tumor Immunogenicity Enhancing Anti-Tumor Responses

1. Tumorigenesis2. Discovery of the protective immune response against tumors.3. T cells recognize specific antigens on tumors4. Tumors can escape in many ways5. 5. Immunotherapy for tumorsImmunotherapy for tumors

Overview of Tumor Immunology

Tumor vaccines-Targeting DCs

Types of Tumor Vaccines

Enhancement of tumor immunogenicity

Immunotherapy with cytokine gene-transfected tumor cells

Systemic cytokine therapy for tumors

Passive Immunotherapy for tumorsAdoptive cellular

therapy

Therapy with Anti-tumor Monoclonal Abs

Approved Anti-tumor mAb

SUMMARY1. Cancer is a complex and progressive genetic disease.2. Tumors express Ags that could be recognized by the immune system. But some tumors are weakly immunogenic and the immune system often fails to eradicate them. 3. Cancer from clinical cases usually represents the leading of cancer development over the anti-cancer immune responses.

4. The imperative issue in the field of tumor immunology is

to improve the capability of immune defenses to fight cancer.

Paper Discussion on March 18SCIENCE VOL 319 11 JANUARY 2008

Recognition of a Ubiquitous Self Antigen by Prostate Cancer–Infiltrating CD8+ T Lymphocytes

Peter A. Savage,1 Keith Vosseller,2 Chulho Kang,3 Kevin Larimore,4 Elyn Riedel,5Kathleen Wojnoonski,1 Achim A. Jungbluth,6 James P. Allison1*

Nature. 2007 Jan 4;445(7123):106-10. Epub 2006 Nov 19

A human colon cancer cell capable of initiating tumour growth in immunodeficient mice.

O’Brien CA, Pollett A, Gallinger S, Dick JE.Division of Cell and Molecular Biology, University Health Network, Toronto, Ontario, M5G 1L7, Canada.

The End & Thank you