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RE: NCRP 136 / Immunology, DNA repair, cancer...
>I never realized that "cancer is determined by how the body is able to
defend itself." So, I guess the 25% of the population that get cancer have
defective immune systems.
---
In order for the immune system to function on a cellular level there must be
antigens that the immune system can react against. These antigens must in
some way be "specific" to the tumor. In principle there are no such specific
antigens (an exception is for testis tumors where certain antigens are
immunologically invisible in the healthy individual).
A tumor that has lost important histocompatibility functions cannot be
attacked by the immune system. Cellular immune defence works if the normal
histocompatibility antigens are expressed. Any attack on tumors by the
immunity system must be against tumor _associated_ antigens (as opposed to
specific). A tumor that loses its antigens (HLA expressed) becomes
"invisible" in an immunological sense (associated with more aggressive
stages of the tumors).
No antitumoral immununity effect has ever been shown. The only tumor that
may provide an exception (but it is not clear at all) is chronic myeloid
leukemia.
Any cellular mess on an immunological level (HLA antigens etc) can be
expected to be more pronounced at later stages when there already is other
types of chaos (on a DNA level) inside the cell. This is the overwhelming
evidence. What seems to initiate and drive the startup of most tumors are 1/
mutations relating to DNA integrity (DNA repair, chromatin structure etc) 2/
mutations relating to the cell cycle.
Mutations in tumors that relate to receptor antigens, signals on a membrane
level etc seem to statistically belong to a later stage. This is, according
to my opinion, the overall impression.
Therefore, I don't think that the immunology has any important role in the
protection against cancer.
For clarification: DNA repair is not a function relating to immunology.
Induced DNA repair or protection (could be phycico-chemical in nature) can
be induced however but that is another issue.
My personal opinion,
Bjorn Cedervall bcradsafers@hotmail.com
http://www.geocities.com/bjorn_cedervall/
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