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group_3_presentation_2_-_oncolytic_immunotherapy [2016/03/11 22:59]
domazee
group_3_presentation_2_-_oncolytic_immunotherapy [2018/01/25 15:19] (current)
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 The mechanisms of oncolytic immunotherapy can be broken down into two major effects: the local effects and the systemic effects.<​sup>​1</​sup>​ The local effects consist of tumour cell lysis.<​sup>​1</​sup>​ The oncolytic virus (OV) must first selectively target cancer cells and replicate.<​sup>​1</​sup>​ Next, the tumour cells lyse, thus representing the oncolytic effect.<​sup>​ 1 </​sup> ​ Furthermore,​ the systemic effects include the tumour-specific immune response, which activates antigen presenting immune cells.<​sup>​ 1 </​sup>​ This primes the adaptive immune response and leads to a series of downstream effects that result in death of distant cancerous cells.<​sup>​2</​sup> ​ The mechanisms of oncolytic immunotherapy can be broken down into two major effects: the local effects and the systemic effects.<​sup>​1</​sup>​ The local effects consist of tumour cell lysis.<​sup>​1</​sup>​ The oncolytic virus (OV) must first selectively target cancer cells and replicate.<​sup>​1</​sup>​ Next, the tumour cells lyse, thus representing the oncolytic effect.<​sup>​ 1 </​sup> ​ Furthermore,​ the systemic effects include the tumour-specific immune response, which activates antigen presenting immune cells.<​sup>​ 1 </​sup>​ This primes the adaptive immune response and leads to a series of downstream effects that result in death of distant cancerous cells.<​sup>​2</​sup> ​
  
-<​box ​65% round | > {{:​screen_shot_2016-03-10_at_4.12.12_pm.png?​650|}} </box| Figure 1 - Summary of local and systemic effects of T-VEC in healthy vs. tumour cells (Andtbacka et al., 2015). >+<​box ​55% round | > {{:​screen_shot_2016-03-10_at_4.12.12_pm.png?​550|}} </box| Figure 1 - Summary of local and systemic effects of T-VEC in healthy vs. tumour cells (Andtbacka et al., 2015). >
  
 ===== Oncolytic Immunotherapy ===== ===== Oncolytic Immunotherapy =====
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-<​box ​46% round right | >​{{:​screen_shot_2016-03-11_at_2.00.21_pm.png?​450|}} </box| Figure 2 - Treatment with oncolytic immunotherapy at baseline (left) and at 6 months (right) (IMWJ, 2010).>+<​box ​40% round right | >​{{:​screen_shot_2016-03-11_at_2.00.21_pm.png?​400|}} </box| Figure 2 - Treatment with oncolytic immunotherapy at baseline (left) and at 6 months (right) (IMWJ, 2010).>
  
  
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 The activation of cytotoxic CD8 cells occurs through two methods. The first method of activation of CD8 cells occurs in a very similar manner to the CD4 cells. In this case, the CD8 cell co-receptor binds to the peptide:MHC Class I complex.<​sup>​13</​sup>​ The binding of the B7 co-stimulatory ligand to the CD28 co-stimulatory receptor is required for CD8 cell activation as well.<​sup>​13</​sup>​ When CD8 cells are activated by these intracellular interaction,​ they synthesize interleukin (IL) -2, which is a cytokine, and the IL-2 receptor.<​sup>​13</​sup>​ This subsequent interaction allows for proliferation and differentiation of CD8 cells.<​sup>​13</​sup>​ If this process does not provide sufficient co-stimulation,​ the CD4 effector cells can help to activate naïve virus-specific CD8 cells as well.<​sup>​13</​sup>​ In this case, the DC interacts with both CD4 and CD8 T-cells through interactions with the peptide:MHC Class II complex and the peptide:MHC Class I complex, respectively.<​sup>​13</​sup>​ In addition, the IL-2 cytokine that is secreted by the CD4 cell binds to the IL-2 receptor on the CD8 cell, which leads to proliferation and differentiation of the CD8 cell.<​sup>​13</​sup>​ The activated cytotoxic CD8 cells can now exit the lymph nodes and travel throughout the body to kill distant tumour cells. ​ The activation of cytotoxic CD8 cells occurs through two methods. The first method of activation of CD8 cells occurs in a very similar manner to the CD4 cells. In this case, the CD8 cell co-receptor binds to the peptide:MHC Class I complex.<​sup>​13</​sup>​ The binding of the B7 co-stimulatory ligand to the CD28 co-stimulatory receptor is required for CD8 cell activation as well.<​sup>​13</​sup>​ When CD8 cells are activated by these intracellular interaction,​ they synthesize interleukin (IL) -2, which is a cytokine, and the IL-2 receptor.<​sup>​13</​sup>​ This subsequent interaction allows for proliferation and differentiation of CD8 cells.<​sup>​13</​sup>​ If this process does not provide sufficient co-stimulation,​ the CD4 effector cells can help to activate naïve virus-specific CD8 cells as well.<​sup>​13</​sup>​ In this case, the DC interacts with both CD4 and CD8 T-cells through interactions with the peptide:MHC Class II complex and the peptide:MHC Class I complex, respectively.<​sup>​13</​sup>​ In addition, the IL-2 cytokine that is secreted by the CD4 cell binds to the IL-2 receptor on the CD8 cell, which leads to proliferation and differentiation of the CD8 cell.<​sup>​13</​sup>​ The activated cytotoxic CD8 cells can now exit the lymph nodes and travel throughout the body to kill distant tumour cells. ​
  
-<​box ​42% round centre | >​{{:​picture1.png?​400|}} </box| Figure 8 - CD4 T cells can assist with the activation of CD8 T cells through the interaction of IL-2 on the CD8 T cell (Parham, 2015). >+<​box ​31% round centre | >​{{:​picture1.png?​300|}} </box| Figure 8 - CD4 T cells can assist with the activation of CD8 T cells through the interaction of IL-2 on the CD8 T cell (Parham, 2015). >
  
 === Cytotoxicity of CD8 Cells=== ​ === Cytotoxicity of CD8 Cells=== ​
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