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Drugs in Immunology Evolution of Immunology in Cancer to Immune-Oncology Leveraging Self Immunity to Prevent & Treat Cancer 1908 Advertisement Touting Cancer Cure Immunology Drugs in Cancer 1980s Interferon ❖ ❖ ❖ Group of signaling proteins made and released by host cells in response to the presence of pathogens, such as viruses, bacteria, parasites, or tumor cells. First described in 1957 by Alick Isaacs and Jean Lindenmann at the National Institute for Medical Research in London Human beta interferon messenger RNA was prepared by Tan's lab for Cetus corp. to clone the human beta interferon gene in bacteria My Involvement In Immunology 1985 My Involvement In Immunology 1985 1984: The Nobel Prize in Physiology Or Medicine Niels K. Jerne Georges J.F. Köhler César Milstein Hybridoma Technology Immortalizing Antibody Producing Cells ❖ ❖ 1974 Georges J.F. Köhler and César Milstein describe the hybridoma technique for production of monoclonal antibodies Immortalized antibody producing cell is fused with tumor cells to produce unlimited amounts of monoclonal antibodies with predetermined specificity 1990s: First Cancer Biologics The first therapeutic monoclonal antibodies, rituximab (Rituxan) and trastuzumab (Herceptin) approved for lymphoma and breast cancer, respectively Immunology Drugs in Cancer Cancer Vaccines ❖ ❖ ❖ ❖ Long & drawn out history Mixed results Two approved vaccines: Provenge, Oncophage 2010-2020: A period of Renaissance in Cancer Vaccines? Immunology in Cancer Treatment Ipilimumab The “Immune-Oncology" Drug Immuno-Oncology Blockade of Immune Checkpoints Key Questions… ❖ How will the space of I/O evolve ❖ What will be the role of non-checkpoint blockade mechanisms in treating cancers ❖ How do we deal with issues of cost and value ❖ How do we deal with patient selection ❖ What are the critical success factors for I/O agents ❖ How do we differentiate between different molecules Welcome