Immunity to melanoma: Unraveling the relation of tumor immunity and autoimmunity Journal Article


Authors: Ramirez-Montagut, T.; Turk, M. J.; Wolchok, J. D.; Guevara-Patiño, J. A.; Houghton, A. N.
Article Title: Immunity to melanoma: Unraveling the relation of tumor immunity and autoimmunity
Abstract: Cancer cells express self-antigens that are weakly recognized by the immune system. Even though responses against autologous cells are difficult to induce, the immune system is still able to mount a response against cancer. The discovery of the molecular identity of antigens that are recognized by the immune system of melanoma patients has led to the elucidation of tumor immunity at a cellular and molecular level. Multiple pathways in both the priming and effector phases of melanoma rejection have been described. Animal models' active immunotherapies for melanoma show a requirement for the cellular compartment of the immune system in the priming phase, primarily CD4+T cells. More diverse elements are required for the effector phase, including components from the innate immune system (macrophages, complement and/or natural killer cells) and from the adaptive immune system (CD8+T cells and B cells). Minor differences in amino-acid sequences of antigens must determine the particular mechanisms involved in tumor rejection. Since the immune system contains T and B cells that recognize and reject autologous cells, a consequence of tumor immunity is potential autoimmunity. There are distinct pathways for tumor immunity and autoimmunity. The requirements for autoimmunity at the priming phase seem to be CD4+/IFN-γ dependent while the effector mechanisms are alternative and redundant. Vitiligo (autoimmune hypopigmentation) can be mediated by T cells, FcγR + macrophages and/or complement.
Keywords: unclassified drug; human cell; review; cd8 antigen; antigen expression; cd8-positive t-lymphocytes; animals; cell compartmentalization; melanoma; germ cell; tumor antigen; b lymphocyte; animalia; germ cells; cellular immunity; amino acid sequence; immunotherapy; antigens, neoplasm; gamma interferon; molecular recognition; antigen recognition; natural killer cell; tumor immunity; fc receptor; effector cell; autoimmunity; cd4 antigen; antibodies; tyrosinase related protein 1; t lymphocyte activation; antigens, differentiation; differentiation; immunity, cellular; tyrosinase related protein 2; vitiligo; macrophage activation; tumor escape; complement activation; cancer; humans; human; priority journal; tyrosinase tyrp1 gp75; tyrosinase tyrp2 dct
Journal Title: Oncogene
Volume: 22
Issue: 20
ISSN: 0950-9232
Publisher: Nature Publishing Group  
Date Published: 2003-05-19
Start Page: 3180
End Page: 3187
Language: English
DOI: 10.1038/sj.onc.1206462
PUBMED: 12789294
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 25 September 2014 -- Source: Scopus
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  1. Mary Turk
    10 Turk
  2. Jedd D Wolchok
    905 Wolchok
  3. Alan N Houghton
    364 Houghton