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Therapeutic clonotypic vaccines

Article Abstract:

A research study reported the results of vaccinating patients with B-cell lymphoma against their own cancer cells. B-cell lymphoma is a form of cancer that affects B-cells, or cells of the immune system that produce antibodies. Antibodies produced by lymphoma, or malignant, B-cells, were removed from each of the patients and fused with a protein that would cause an immune response. The protein-conjugate was suspended in a solution and injected into each of patient from whom the B-cell antibodies had been removed. Three out of nine patients produced antibodies that were capable of binding and clearing malignant B-cells from circulation. Five patients produced increased amounts of CD4 T-cells, or cells of the immune system, after injection of the vaccine. A similar type of vaccine is being developed to treat patients with autoimmune diseases involving T-cells.

Author: Schwartz, Robert S.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1992
Care and treatment, Research, Usage, Vaccines, Lymphomas, Tumor antigens

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The new immunology -- the end of immunosuppressive drug therapy?

Article Abstract:

Research on immunology has led to the possibility of inactivating specific T cells while leaving others unaffected. T cells become activated against a foreign protein when antigen-presenting cells bind to them. However, if the binding is impaired in some way, the T cell enters a dormant state called anergy. In this state, it is incapable of responding to the foreign protein. A 1999 study of 12 leukemia patients found that exposing both donor and recipient T cells to a chemical that causes T cells to become anergic to donor cells significantly reduced the need for immunosuppressive drugs following bone marrow transplantation.

Author: Schwartz, Robert S.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1999
Health aspects, Prevention, Bone marrow, Bone marrow transplantation, Immunosuppression, Graft versus host reaction, Graft vs. host disease

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Hodgkin's disease - time for a change

Article Abstract:

Research is needed to discover why Reed-Sternberg cells survive even though they have gene rearrangements that should kill them. Reed-Sternberg cells are found in patients with Hodgkin's disease and are thought to originate from B cells. Studies have shown that Reed-Sternberg cells in some biopsy samples all have the same gene rearrangements, indicating that they developed from a single cell. Many of the gene rearrangements are not compatible with life, yet the cells still survive. Infection with the Epstein-Barr virus may prevent the cells from dying.

Author: Schwartz, Robert S.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1997
Hodgkin's disease, Physiological aspects, Genetic aspects, Cancer cells

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Subjects list: Editorial
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