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Journal of Dental Research
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Emerging Mechanisms of Immunosuppression in Oral Cancers

A. Jewett1,*, C. Head2 and N.A. Cacalano3

1 The Jane and Jerry Weintraub Center for Reconstructive Biotechnology, and Division of Oral Biology and Medicine, Jonsson Comprehensive Cancer Center (JCCC),
2 Department of Head and Neck surgery, and
3 Department of Radiation Oncology, UCLA School of Dentistry and Medicine, 10833 Le Conte Ave., University of California, Los Angeles, CA 90095-1668, USA


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Figure 1. Hypothetical representation of the steps involved in recruitment, activation, and expansion of NK cells by HEp2- I{kappa} B(S32AS36A) cells. NF{kappa}B knock-down HEp2 tumor cells, by producing large amounts of chemokines MCP-1 and RANTES, recruit NK cells. Due to a decrease in inhibitory signals—provided, for instance, by inhibitory MHC Class I antigens, IL-6 cytokine, and VEGF—NK cells remain viable and increase their functional activation at the site of pathology. Increased survival, in addition to augmented proliferation, results in significant expansion of the NK cells.

 

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Figure 2. Cytokines and growth factors produced by tumor cells impair host anti-tumor immunity by activating STAT3 signaling in both tumor cells and professional antigen-presenting cells. Tumor cells expressing constitutively active NF{kappa}B and STAT3 produce greatly reduced levels of RANTES and IP-10, thereby impairing T-cell infiltration and migration to the sites of tumor growth. In addition, several tumor-derived cytokines and growth factors activate STAT3 in immature dendritic cells, which blocks DC differentiation and expression of co-stimulatory molecules such as CD80 and CD86. High levels of immature DCs (iDC) can actively induce T-cell tolerance to tumor antigens and promote cancer progression.

 

Journal of Dental Research, Vol. 85, No. 12, 1061-1073 (2006)
DOI: 10.1177/154405910608501201


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