Immunological basis in the pathogenesis and treatment of bladder cancer.

Immunological basis in the pathogenesis and treatment of bladder cancer.
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DOI:
10.1586/1744666x.2015.983082
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发表时间:
2015-02
影响因子:
4.4
通讯作者:
Agrawal DK
Agrawal DK
中科院分区:
医学3区
文献类型:
--
作者:
Thompson DB;Siref LE;Feloney MP;Hauke RJ;Agrawal DK

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The pathogenesis and transition of normal urothelium into bladder carcinoma are multifactorial processes. Chronic inflammation causes initiation and progression of the underlying pathophysiology of invasive and metastatic cancer. A dichotomy is observed in the role of immune cells in bladder cancer. While the immune response defends the host by suppressing neoplastic growth, several immune cells, including neutrophils, macrophages, and T-lymphocytes, promote tumor development and progression. The levels of human neutrophil peptide-1, -2, and -3, produced by neutrophils, increase in bladder cancer and might promote tumor angiogenesis and growth. The effect of macrophages is primarily mediated by pro-inflammatory cytokines, IL-6 and TNF-α. Additionally, the underlying immunological mechanisms of two treatments, BCG and cytokine gene-modified tumor vaccines, and future directions are critically discussed.