La inhibición de los puntos de control inmunológico, una terapia en evolución: remembranza del Premio Nobel de Medicina 2018



Título del documento: La inhibición de los puntos de control inmunológico, una terapia en evolución: remembranza del Premio Nobel de Medicina 2018
Revista: Revista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000448948
ISSN: 0034-9887
Autores: 1
2
3
4
5
Instituciones: 1Universidad Bernardo O'Higgins, Facultad de Ciencias Médicas, Santiago de Chile. Chile
2Universidad de Chile, Facultad de Medicina, Santiago de Chile. Chile
3Hospital Regional de Valdivia, Unidad de Radioterapia, Valdivia. Chile
4Universidad de Magallanes, Escuela de Medicina, Punta Arenas, Magallanes. Chile
5Universidad San Sebastián, Facultad de Medicina y Ciencia, Concepción. Chile
Año:
Periodo: Ene
Volumen: 150
Número: 1
Paginación: 93-99
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Professors James P. Allison and Tasuku Honjo were awarded with the 2018 Nobel Prize in Medicine for their contributions in cancer immunotherapy. The latter is a breakthrough in cancer therapy, aimed to overcome tumor-induced immunosuppression, leading to the reactivation of the immune system against cancer cells. Under physiological conditions, the CTLA-4 and PD-1 proteins expressed on T-cells and discovered by the awarded scientists, lead to immune tolerance. Cancer cells exploit these control points to enhance the inhibition of T-cells. The expression of PD ligands (PD-L1) in tumor cells and CTLA-4 ligands in antigen presenting cells, which bind the PD-1 receptor and CTLA-4 respectively, block anti-tumor immunity. This situation led to a biotechnological race focused on the development of effective antibodies able to “turn-on” the immune system cheated by the tumor. Anti-CTLA-4 and anti-PD-1 antibodies improve life-expectancy in cancer patients. In this review, we perform an historical overview of Professors Allison and Honjo contribution, as well as the immunological basis of this new and powerful therapeutic strategy, highlighting the clinical benefits of such intervention
Disciplinas: Medicina
Palabras clave: Oncología,
Inmunología,
Cáncer,
Inmunoterapia,
Antígeno CTL-4,
Inhibidores de control inmunológico,
Muerte celular programada
Keyword: Oncology,
Immunology,
Cancer,
Immunotherapy,
CTLA-4 antigen,
Immune checkpoint inhibitors,
Programmed cell death
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