Abstract
‘Biological response modifier’ (BRM) is a term recently coined to include the many agents and approaches to the treatment of cancer whose mechanism of action involves modulation of the individual’s own biological responses. Although activation of host responses, particularly the host-immune response, has been the goal of therapists for many generations, recent technologic advances have improved our understanding of biological responses making manipulation of them for therapy a practical goal. In particular, tremendous strides have been made in the last three to five years in molecular biology with respect to nucleic acid sequencing and translation, protein sequencing and synthesis, isolation and purification of biological products, mass cell culture, and ‘genetic engineering’ of eukaryotic genes in bacteria, yeasts and into eukaryotic cells. The advent of these ‘new technologies’ has led the way to a greater understanding of biologics which may exist in exceedingly minute quantities but have tremendous amplifying powers with respect to their effect on host responses. Historically, ‘activity’ has been detected in many biological preparations, but the isolation and purification of the active factor has been fraught with many difficulties. The technology is now available for large-scale production of biologics, the isolation and purification of these products, and eventually their production by genetic engineering or by chemical synthesis. Because of these recent advances, biological response modifying therapy is now a reality and our understanding of BRMs will likely be of great value in understanding cancer biology and improving cancer therapeutics in this decade.
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Smalley, R.V., Long, C.W., Sherwin, S.A., Oldham, R.K. (1983). Biological Response Modifiers: Current Status and Prospects as Anti-Cancer Agents. In: Herberman, R.B. (eds) Basic and Clinical Tumor Immunology. Cancer Treatment and Research, vol 14. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3873-4_7
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