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CTLA-4 et Toll-like récepteurs: de nouvelles cibles en immunothérapie

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Les thérapies ciblées

Part of the book series: Oncologie pratique ((ONCOLPRAT))

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Abstrait

Plusieurs données cliniques suggèrent que la modulation des réponses immunitaires peut être une stratégie anti-tumorale efficace. Ládministration de BCG est reconnue comme un traitement efficace des cancers superficiels de la vessie. Par analogie avec les vaccinations contre certains pathogènes intracellulaires, des protocoles de vaccination ont utilisé le BCG comme adjuvant et permis ľobtention de résultats cliniques intéressants. Ľallogreffe de cellules hématopoïétiques a montré de longue date sa capacité à éradiquer des maladies leucémiques réfractaires aux traitements conventionnels. Récemment, ľintroduction des anticorps monoclonaux dans ľarsenal thérapeutique de ľoncologie médicale et de ľhématologie a étayé ľimportance du système immunitaire anti-tumoral. Ces résultats ont motivé un plus ample développement des bithérapies favorisant les réponses immunitaires anti-tumorales. Ainsi, nous aborderons ici les données fondamentales et cliniques concernant ľutilisation de ligands agonistes des récepteurs de la famille TOLL et des anticorps neutralisant la molécule CTLA-4.

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Bedel, R., Borg, C., Saas, P. (2008). CTLA-4 et Toll-like récepteurs: de nouvelles cibles en immunothérapie. In: Les thérapies ciblées. Oncologie pratique. Springer, Paris. https://doi.org/10.1007/978-2-287-36008-4_12

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