HomeHealth articlescancer immunotherapyWhat Is a Two-For-One Approach in Cancer Immunotherapy?

Two-For-One Approach in Cancer Immunotherapy

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By targeting the tumor and its surrounding tissue, the "Two-For-One" cancer immunotherapy offers improved results and efficacy.

Written by

Dr. Leenus A. E

Medically reviewed by

Dr. Rajesh Gulati

Published At January 11, 2024
Reviewed AtJanuary 11, 2024

Introduction

Within the complex terrain of cancer immunotherapy, tumor heterogeneity, and immune evasion pose two significant problems that can be addressed using the innovative "Two-For-One" approach. Due to the genetic diversity of malignancies and the capacity of cancer cells to elude immune monitoring, traditional immunotherapeutic approaches have frequently encountered obstacles. To combat these obstacles, on the other hand, is the "Two-For-One" paradigm, which targets the immunosuppressive microenvironment and cancer cells, respectively.

With this novel approach, therapeutic drugs or tactics that target cancer cells directly while simultaneously modifying the immunological environment around them are developed. The "Two-For-One" strategy aims to have a complete and synergistic effect by simultaneously disrupting the processes cancers use to evade detection and stimulating a strong anti-tumor immune response. Including this dual-focused approach could result in improved response rates, more effective treatment, and even longer patient survival. The "Two-For-One" strategy arises as a ray of hope in the search for more effective and adaptable cancer immunotherapies as researchers delve into the molecular details of cancer and the immune system.

What Is Cancer Immunotherapy?

An approach to cancer treatment called immunotherapy boosts the body's defenses against the disease. The body fights off infections and other illnesses with the aid of the immune system. It comprises organs, lymphatic system tissues, and white blood cells. Among the biological therapy types is immunotherapy. One cancer treatment called biological therapy employs materials derived from living things. The immune system's regular role includes identifying aberrant cells, eliminating them, and probably stopping the growth of most malignancies. For example, immune cells have occasionally been observed within and surrounding tumors. Tumor-infiltrating lymphocytes, or TILs, indicate the immune system reacts to the tumor.

Individuals whose cancers have TILs frequently have better outcomes than those whose tumors do not. Cancer cells can find ways around the immune system to avoid destruction, even though the immune system can stop or delay cancer growth. For instance, cancer cells may possess proteins on their surface that inhibit immune cells, have genetic alterations that render them less detectable to the immune system, or alter the normal cells around the tumor in a way that compromises the immune system's ability to fight the cancer cells. Immunotherapy improves the immune system's ability to combat cancer. Many forms of cancer can now be treated using immunotherapy medications. Nevertheless, immunotherapy is still less common than radiation, chemotherapy, or surgery.

Depending on the type of cancer and its stage of progression, the frequency and duration of immunotherapy treatments vary, as does the reaction of the patient's body to the treatment. One might receive therapy every day, week, or month. Specific immunotherapy treatments are administered in cycles. A cycle consists of one time of therapy and one period of recovery. The body can mend, respond to immunotherapy, and produce new, healthy cells during rest. Immunotherapy might be given to people in a hospital outpatient department, clinic, or doctor's office. Being an outpatient implies that one only stays for a while at the hospital.

What Is a “Two-For-One” Approach in Cancer Immunotherapy?

Future melanoma treatments may be guided by the insights gained by Sanford Burnham Preby's new research, which also helps to clarify how the disease eludes the immune system. An immune-cell-known protein was revealed to be active within melanoma cells, potentially promoting tumor growth. Published in the journal Science Advances, the findings imply that melanoma tumors may be severely damaged by novel treatments that target this protein. The protein under investigation is implicated in both, making it a prime target for novel cancer treatments. The immune system's control of a tumor is influenced by internal factors within tumor cells and factors from the surroundings of the tumors. The invention of immunotherapy, a strategy that helps boost the immune system's capacity to fight cancer independently without hazardous chemotherapy medications, is one of the most significant advances in cancer therapy in the previous century. The success of immunotherapy is limited since many malignancies either don't respond to it or develop resistance to it over time, according to Kim.

Currently, immunotherapy is the first-line therapy for several cancers. The enhancement of immunotherapy's efficacy is still a crucial objective. Researchers analyzed patient tumor data to determine genes associated with immunotherapy response to discover strategies to improve immunotherapy in melanoma patients. Due to this, a protein known as NR2F6, present in both tumor cells and the surrounding noncancerous cells, was discovered to aid in the immune system's evasion of tumors. Kim notes that it is frequently the case that a protein functions differently outside of tumors than inside of them, making therapy less successful. It was discovered that NR2F6 also causes the same alteration in the tissues surrounding the tumor, suggesting a synergistic impact. Consequently, therapies that inhibit the action of this protein may have twice as high of an efficacy. Using genetic manipulation, the researchers eliminated the NR2F6 protein from melanoma tumors and their surroundings to validate their results in mice.

The decreased NR2F6 in tumors and their surrounding tissues also improved the cancer's response to immunotherapy. This indicates that NR2F6 aids in melanoma's immune system evasion; in its absence, the immune system can more easily suppress tumor growth. The group collaborates with the Institute's Conrad Prebys Center for Chemical Genomics to find novel medications targeting NR2F6 to further their discoveries.

Conclusion

The invention of immunotherapy, a strategy that helps boost the immune system's capacity to fight cancer independently without hazardous chemotherapy medications, is one of the most significant advances in cancer therapy in the previous century. Immunotherapy is the first-line therapy for several cancers now, but the success of immunotherapy is limited because many cancers either don't respond to it or become resistant over time. An important goal remains to improve the effectiveness of immunotherapy. The research team used tumor data analysis to locate genes associated with patients' responsiveness to immunotherapy to find strategies to improve immunotherapy in melanoma patients.

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Dr. Rajesh Gulati
Dr. Rajesh Gulati

Family Physician

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