Search: id:"swepub:oai:gup.ub.gu.se/185476" >
Immunotherapeutic s...
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Martner, Anna,1979Gothenburg University,Göteborgs universitet,Sahlgrenska Cancer Center
(author)
Immunotherapeutic strategies for relapse control in acute myeloid leukemia
- Article/chapterEnglish2013
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LIBRIS-ID:oai:gup.ub.gu.se/185476
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https://gup.ub.gu.se/publication/185476URI
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https://doi.org/10.1016/j.blre.2013.06.006DOI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Despite that the initial phases of chemotherapy induce disappearance of leukemic cells in many patients with acute myeloid leukemia (AML), the prevention of life-threatening relapses in the post-remission phase remains a significant clinical challenge. Allogeneic bone marrow transplantation, which is available for a minority of patients, efficiently prevents recurrences of leukemia by inducing immune-mediated elimination of leukemic cells, and over the past decades, numerous immunotherapeutic protocols have been developed aiming to mimic the graft-versus-leukemia reaction for the prevention of relapse. Here we review past and present strategies for relapse control with focus on overcoming leukemia-related immunosuppression in AML. We envisage future treatment protocols, in which systemic immune activators, such as vaccines, dendritic cell-based therapies, engineered variants of IL-2, or IL-15, are combined with agents that counter immunosuppression mediated by, e.g., the PD/PDL interaction, CTLA-4, CD200, reactive oxygen species, IDO expression, CXCR4, or the KIR/class I interaction, based on characteristics of the prevailing malignant clone. This combinatorial approach may pave the way for individualized immunotherapy in AML.
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Bergh Thorén, Fredrik,1976Gothenburg University,Göteborgs universitet,Sahlgrenska Cancer Center(Swepub:gu)xthofr
(author)
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Aurelius, Johan,1980Gothenburg University,Göteborgs universitet,Sahlgrenska Cancer Center(Swepub:gu)xaurjo
(author)
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Hellstrand, Kristoffer,1956Gothenburg University,Göteborgs universitet,Sahlgrenska Cancer Center(Swepub:gu)xhellk
(author)
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Göteborgs universitetSahlgrenska Cancer Center
(creator_code:org_t)
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In:Blood Reviews: Elsevier BV27:5, s. 209-2160268-960X
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