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Cancer Care7 Minute Read

A Closer Look at Immunotherapy

immunotherapy
Reviewed By: Dr. Mehmet Hepgur
Published: Thursday Nov. 2, 2023
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Fighting cancer can be tough, but there's a new method called cancer immunotherapy that helps your body's immune system find and kill cancer cells. It's like giving your immune system a super boost to fight off cancer. This is different from traditional treatments like chemotherapy and radiation, which aim to kill the cancer cells directly. Immunotherapy has reshaped how we treat cancer, giving new hope to patients worldwide. In simple terms, cancer immunotherapy is like giving your immune system a "training" to make it stronger and smarter to find and kill cancer cells.

Immunotherapy has revolutionized cancer treatment. Instead of directly killing cancer cells like chemotherapy or radiation, it powers up the immune system to fight the disease. It makes the immune system smarter and better equipped to find and kill cancer cells. There are different types of immunotherapies like cancer vaccines, monoclonal antibodies, immune checkpoint inhibitors, and T-cell transfer. They all do different things, but their aim is the same: to make the immune system better at fighting cancer. This method has shown amazing results in treating different kinds of cancer and has given hope to many patients who had no other treatment options.

Different Kinds of Immunotherapy

Cancer Vaccines- Cancer vaccines are a kind of immunotherapy that helps the body's immune system find and destroy cancer cells. Unlike regular vaccines that prevent diseases, cancer vaccines are usually given after someone has been diagnosed with cancer. They work by putting a target marker (antigen) into the body, so the immune system knows what to look for and destroy.

There are two main types of cancer vaccines: preventive vaccines and treatment vaccines. Preventive vaccines are used to stop cancer from happening in the first place. The vaccines for HPV (Human Papillomavirus) and Hepatitis B are examples of this. Treatment vaccines, however, are used to treat existing cancer by giving the body's natural defenses a boost. They're often used when the cancer is resistant to standard treatments, or to stop the cancer from coming back.

How and when you get a cancer vaccine can depend on different things like the type of vaccine and your health condition. Some vaccines are given through a vein (intravenously), while others are given through a shot in the muscle (intramuscularly) or under the skin (subcutaneously). The timing and number of vaccines can also vary. And although cancer vaccines are a promising approach to treating cancer, they're usually used along with other cancer treatments as part of a detailed treatment plan.

T-Cell Transfer Therapy- T-cell transfer therapy provides an innovative solution in the fight against cancer. In more straightforward terms, think of T-cell transfer therapy as a specialized team of soldiers drafted out from your body's army. These soldiers, which are T-cells - a type of immune cell, are removed from your body and trained to recognize and fight cancer cells specifically.

In this process, scientists select the T-cells that are already trying to fight cancer but are not strong enough to win. They multiply these cells in the lab, making them far more numerous and powerful. This large, reinvigorated group of T-cells is then returned to your body, where they are now better equipped to seek out, identify, and destroy cancer cells.

This method is a bit like training and creating an elite task force from your body's own soldiers to fight cancer more effectively. While it's a promising treatment, it's important to remember that it's usually part of a larger overall treatment plan, and its application and effectiveness can vary depending on the type of cancer and the individual patient's condition.

Monoclonal Antibodies- Monoclonal antibodies are a type of immunotherapy that can be thought of as 'designer soldiers' in the body's fight against cancer. Imagine them as very specialized soldiers whose only job is to find specific targets and lock onto them. In this case, these targets are certain proteins on cancer cells.

These antibodies are produced in a lab, designed to bind tightly to these specific proteins on cancer cells. Once attached, they serve two main functions: Firstly, they mark the cancer cells as a clear threat that the immune system needs to attack. Secondly, some monoclonal antibodies are able to block signals that the cancer cells send to grow and divide, slowing or even stopping their growth.

Monoclonal antibodies are usually given through a vein (intravenous) and can be used alone or combined with other cancer treatments. Though they bring tremendous hope in cancer treatment, the effectiveness of monoclonal antibodies can vary depending on the type of cancer and the patient's overall health.

Immune Checkpoint Inhibitors- Immune checkpoint inhibitors are like unlocking the brakes on your immune system. Normally, our immune system has a built-in mechanism to prevent overactivity and damage to healthy cells. This "brake" keeps the immune system in check so that it doesn't attack healthy cells by mistake. But cancer can take advantage of this mechanism, making the immune system unable to recognize and attack it. Immune checkpoint inhibitors work by blocking these "brakes", allowing the immune system to target and destroy cancer cells.

These inhibitors have shown remarkable success in treating different types of cancer, including melanoma, lung cancer, and kidney cancer. Like other immunotherapies, they may be used alone or in combination with other treatments. However, they can also lead to side effects like an overactive immune system response, which requires careful monitoring and management by healthcare professionals.

Benefits and Risks of Cancer Immunotherapy

Cancer immunotherapy is a powerful tool in the fight against cancer, but like all treatments, it has both benefits and risks. One of the major benefits of immunotherapy is that it uses your own body's defense system to combat cancer, making it a more natural form of treatment compared to chemotherapy and radiation. It's like training your immune system to become a super soldier against cancer cells. Additionally, it has shown success in treating some types of cancer that have been resistant to other treatments.

However, it's not all positive. The risks of immunotherapy come from it being really good at boosting your immune system. Sometimes, it can boost it too much, leading to an overactive immune system that starts attacking healthy cells in the body, mistaking them for cancer cells. This can cause side effects like fatigue, cough, nausea, skin rash, and in severe cases, damage to vital organs like the heart and lungs.

Remember, every person's body is different. What works well for one patient might not work as well for another. That's why it's important to talk to your healthcare provider about the benefits and risks before starting any new treatment. They can help you weigh the pros and cons and determine if cancer immunotherapy is the best option for you.

Potential Side Effects

Cancer immunotherapy, while promising, can trigger a range of side effects due to an overactive immune response. These potential side effects can range from mild to severe and may include symptoms like fatigue, fever, chills, weakness, nausea or vomiting, dizziness, and high or low blood pressure. Skin reactions at the needle site are also common. More severe side effects might entail heart palpitations, shortness of breath, fluid retention or swelling, and in some extreme cases, organ damage. It's crucial to remember that side effects will differ from patient to patient, as everyone’s body responds differently. It's essential to monitor symptoms closely and report any changes or concerns to your healthcare provider promptly. They can offer strategies to manage these side effects and adjust treatment plans as necessary, ensuring the best possible patient care and comfort.

Effectiveness in Cancer Treatment

The effectiveness of cancer immunotherapy has been proven in various clinical trials and real-world applications, establishing it as a valued treatment approach in oncology. Its success rate widely varies depending on the type of cancer, the stage of the disease, and the individual's overall health condition. Some patients have witnessed a significant reduction in tumor size, and in certain cases, the treatment has even resulted in complete remission. Moreover, immunotherapy has been successful where traditional treatments have failed, providing hope for patients with resistant forms of cancer. Nevertheless, it's critical to note that immunotherapy, like any treatment, doesn't guarantee success and its effectiveness can fluctuate among patients. It is also often used in conjunction with other cancer treatments as part of a comprehensive treatment plan. Therefore, it is crucial for patients to have an open discussion with their healthcare providers to understand the potential benefits and risks involved and to determine the best course of treatment.

Key Takeaways

Cancer immunotherapy has emerged as a revolutionary approach in the fight against the disease, offering a more natural, targeted, and effective treatment method. Instead of directly attacking the cancer cells, it empowers and fine-tunes our body's immune system to detect and eradicate these cells. The different types of immunotherapies, such as cancer vaccines, T-cell transfer therapy, monoclonal antibodies, and immune checkpoint inhibitors, work in diverse ways to bolster the immune response against cancer. While the effectiveness of these strategies can vary based on the type of cancer and an individual's overall health, they have shown remarkable success in various cases and provided hope where traditional treatments have failed. However, like all treatments, immunotherapy comes with its own set of potential side effects, primarily due to an overactive immune system, and it's essential to be vigilant about monitoring these symptoms.

Remember, individual responses to cancer and its treatment are unique. It's crucial to discuss all treatment options, including immunotherapy, with your healthcare provider to determine the best course of action according to your specific health condition. Despite the challenges, the advancements in immunotherapy give us hope for a future where cancer can be more effectively and personally treated, leading to higher success rates and improved quality of life for patients worldwide.

Broward Health, providing service for more than 85 years, is a nationally recognized system in South Florida that offers world-class healthcare to all. The Broward Health system includes the statutory teaching hospital Broward Health Medical Center, Broward Health North, Broward Health Imperial Point, Broward Health Coral Springs, Salah Foundation Children’s Hospital, Broward Health Weston, Broward HealthPoint, Broward Health Physician Group, Broward Health Urgent Care, Broward Health International, and Broward Health Foundation. For more information, visit BrowardHealth.org.