Immunity, inflammation, and cancer: an eternal fight between good and evil

J Clin Invest. 2015 Sep;125(9):3347-55. doi: 10.1172/JCI80007. Epub 2015 Sep 1.

Abstract

Cancer development and its response to therapy are strongly influenced by innate and adaptive immunity, which either promote or attenuate tumorigenesis and can have opposing effects on therapeutic outcome. Chronic inflammation promotes tumor development, progression, and metastatic dissemination, as well as treatment resistance. However, cancer development and malignant progression are also associated with accumulation of genetic alterations and loss of normal regulatory processes, which cause expression of tumor-specific antigens and tumor-associated antigens (TAAs) that can activate antitumor immune responses. Although signals that trigger acute inflammatory reactions often stimulate dendritic cell maturation and antigen presentation, chronic inflammation can be immunosuppressive. This antagonism between inflammation and immunity also affects the outcome of cancer treatment and needs to be considered when designing new therapeutic approaches.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antigen Presentation*
  • Antigens, Neoplasm / immunology*
  • Dendritic Cells / immunology*
  • Dendritic Cells / pathology
  • Humans
  • Immune Tolerance*
  • Inflammation
  • Neoplasm Metastasis
  • Neoplasms / immunology*
  • Neoplasms / therapy

Substances

  • Antigens, Neoplasm