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Transcript
3/12 TCOS IO symposium
Innate immunity is conferred by a diverse array of cellular and sub-cellular components, with
which an individual is born. They are always present and available at very short notice, to
protect the individual from challenges by foreign invaders.
Elements of the innate immune system include body surfaces and internal components, such
as skin, mucous membranes and the cough reflex; all of which present effective barriers to
environmental agents. Chemical influences, such as pH and secreted fatty acids, also
constitute effective barriers against invasion by many microorganisms.
Another non-cellular element of the innate immune system is the complement system. Other
features of innate immunity include fever; interferons; other substances released by
leucocytes; pattern recognition molecules (innate receptors), which can bind to various
microorganisms; and various serum proteins. All of these elements either affect pathogenic
invaders directly, or enhance the effectiveness of host reactions to them.
Phagocytic cells such as granulocytes, macrophages, and microglial cells of the central
nervous system, which participate in the destruction and elimination of foreign
material that has penetrated the body’s physical and chemical barriers, are also
considered to be part of the innate immune system.
The various elements that participate in innate immunity exhibit broad specificity against
foreign agents by recognising molecules not found in the host. By contrast, acquired or
adaptive immunity always exhibits antigenic specificity. As its name implies, acquired immunity
is a consequence of an encounter with a foreign substance.
The substance that induces the acquired immune response is termed an antigen, a term
initially coined because these compounds were known to cause antibody responses to be
generated. Of course, it is now known that antigens can generate both antibody-mediated
and T-cell-mediated responses.
Although an individual is born with the capacity to mount immune responses to a foreign
substance, the number of B- and T-cells available for initiating such responses must be
expanded before they can be said to be immune to that substance. This is achieved following
contact with an antigen by activation of lymphocytes bearing antigen-specific receptors.
Antigenic stimulation of B-cells, T-cells and antigen-presenting cells (APCs) initiates a chain of
events that leads to proliferation of activated cells, along with a genetic programme of
differentiation events that generate the B-cells or T-cells responsible for the humoral or
cell-mediated responses respectively, over a period of days or weeks.
Cancer treatment now is improved by immunotherapy. Drugs, from CTLA-4 to PD-1
inhibitor, from Melanoma to Lung cancer, 2015 even RCC was approved indication for
PD-1 agent, are providing us new hopes of cancer treatment.
In this meeting we will continue to discuss and share more research and experience
in immunotherapy.