Inhibition of Immune Pathway May Trigger Melanoma Growth

Colocalization of immune inhibitory B7-H1 and tumor-infiltrating lymphocytes seen in melanocytes

MONDAY, April 2 (HealthDay News) -- Melanocyte expression of an immune inhibitory molecule, B7-H1, is associated with the presence of tumor-infiltrating lymphocytes (TILs), according to a study published in the March 28 issue of Science Translational Medicine.

In an effort to understand the association between B7-H1 and TILs, Janis M. Taube, M.D., from the Johns Hopkins Medical Institutions in Baltimore, and colleagues examined the expression of B7-H1 in melanocytes and primary and metastatic melanomas.

The researchers found that 98 percent of B7-H1+ tumors, and only 28 percent of B7-H1− tumors, were associated with TILs. The inflammatory cytokine interferon-γ, which induces B7-H1, was found at the interface of B7-H1+ tumors, but not B7-H1− tumors. The investigators theorized that TILs may secrete interferon-γ, triggering their own inhibition. Consistent with this, patients with B7-H1+ metastatic melanoma survived significantly longer than patients with B7-H1− metastatic melanomas.

"Induction of the B7-H1/PD-1 pathway may represent an adaptive immune resistance mechanism exerted by tumor cells in response to endogenous antitumor activity and may explain how melanomas escape immune destruction despite endogenous antitumor immune responses," Taube and colleagues conclude. "These observations suggest that therapies that block this pathway may benefit patients with B7-H1+ tumors."

Several authors disclosed receiving research support from Bristol-Myers Squibb.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

Abdominal Pain: An Approach to a Challenging Diagnosis
AACN Advanced Critical Care, July/September 2014
Free access will expire on October 13, 2014.


HIPAA Compliance Practice Tips
Professional Case Management, July/August 2014
Free access will expire on September 29, 2014.


Follow the leader: How does “followership” influence nurse burnout?
Nursing Management, August 2014
Free access will expire on September 29, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events