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Clinical and Experimental Medicine

, Volume 11, Issue 4, pp 199–210 | Cite as

Lymphocyte subpopulation and dendritic cell phenotyping during antineoplastic therapy in human solid tumors

  • Sara MariucciEmail author
  • Bianca Rovati
  • Mariangela Manzoni
  • Matteo Giovanni Della Porta
  • Giuditta Comolli
  • Sara Delfanti
  • Marco Danova
Review Article

Abstract

Patients with cancer show variable levels of immunosuppression at the time of the presentation, and cytotoxic antineoplastic therapy is the primary contributor to the clinical immunodeficiency often observed during the course of the disease. In both hematological and solid tumors, this phenomenon is primarily related to the T-cell depletion associated with inhibition of dendritic cell ability to induce both primary and secondary T- and B-cell responses. Complete restoration of immunocompetence following antineoplastic therapy implicates the progressive recovery of various cell subpopulations, and it is a complex process that also depends on the type, the dose, the scheduling, and the associations of the employed drugs. In the era of target therapies, several antiangiogenic drugs are increasingly used in combination with standard chemotherapy in the treatment of advanced solid tumors. Their clinical efficacy has been recently related not only to the specific antiangiogenic properties but also to an indirect hypothetical effect on the host immune system. In the present work, we have reviewed the most recent information regarding (1) the capacity of standard antineoplastic therapy to induce and maintain an immunodeficiency in patients with solid tumors and (2) the influence of the antiangiogenic treatment in association with standard chemotherapy on lymphocyte and dendritic cell subsets and the possible resulting additional antitumor mechanism.

Keywords

Lymphocyte subsets Dendritic cells Antineoplastic therapy Angiogenesis Solid tumors 

Notes

Acknowledgments

The present work was partly supported by a Research grant (scientific project n. 08010901/09 to M. Danova) from the “Fondazione IRCCS Policlinico S. Matteo”, Pavia.

Conflict of interest

None.

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Sara Mariucci
    • 1
    Email author
  • Bianca Rovati
    • 1
  • Mariangela Manzoni
    • 2
  • Matteo Giovanni Della Porta
    • 3
  • Giuditta Comolli
    • 4
  • Sara Delfanti
    • 2
  • Marco Danova
    • 2
  1. 1.S.C. Oncologia Medica, Laboratorio di Citofluorimetria e Terapie CellulariFondazione IRCCS Policlinico San Matteo e Università di PaviaPaviaItaly
  2. 2.S.C. Oncologia MedicaFondazione IRCCS Policlinico San Matteo e Università di PaviaPaviaItaly
  3. 3.Istituto di EmatologiaFondazione IRCCS Policlinico San Matteo e Università di PaviaPaviaItaly
  4. 4.S.C. Virologia e Microbiologia, Laboratori Sperimentali di Ricerca, Area BiotecnologieFondazione IRCCS Policlinico San Matteo e Università di PaviaPaviaItaly

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