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Immunological treatment of liver tumors
Authors:Chiriva-Internati Maurizio  Grizzi Fabio  Jumper Cynthia A  Cobos Everardo  Hermonat Paul L  Frezza Eldo E
Affiliation:1. Department of Microbiology and Immunology, Texas Tech University Health Sciences Center and Southwest Cancer Treatment and Research Center, Lubbock, TX 79430, United States
2. Scientific Direction, Istituto Clinico Humanitas,20089 Rozzano, and Foundation "M. Rodriguez" - Institute for Quantitative Measures in Medicine, 20100 Milan, Italy
3. Department of Internal Medicine, Texas Tech University Health Sciences Center and Southwest Cancer Treatment and Research Center, Lubbock, TX 79430,United States
4. Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205,United States
5. Department of Surgery, Texas Tech University Health Sciences Center and Southwest Cancer Treatment and Research Center, Lubbock, TX 79430, United States
Abstract:Although multiple options for the treatment of liver tumors have often been described in the past, including liver resection, radiofrequency ablation with or without hepatic pump insertion, laparoscopic liver resection and the use of chemotherapy, the potential of immunotherapy and gene manipulation is still largely unexplored. Immunological therapy by gene manipulation is based on the interaction between virus-based gene delivery systems and dendritic cells. Using viruses as vectors, it is possible to transduce dendritic cells with genes encoding tumor-associated antigens, thus inducing strong humoral and cellular immunity against the antigens themselves. Both chemotherapy and radiation therapy have the disadvantage of destroying healthy cells, thus causing severe side-effects. We need more precisely targeted therapies capable of killing cancer cells while sparing healthy cells. Our goal is to establish a new treatment for solid liver tumors based on the concept of cytoreduction, and propose an innovative algorithm.
Keywords:Liver  Tumors  Surgery  Dendritic cell  Cytoreduction  Immunotherapy  Gene manipulation
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