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Cancer Immune Therapy Edited by G. Stuhler and P. Walden ...

Cancer Immune Therapy Edited by G. Stuhler and P. Walden ...

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Fig. 5.5 Different immune effector mechanisms.<br />

(A) MHC class I molecules are crucial<br />

structures for antigen presentation to T lymphocytes<br />

<strong>and</strong> the physiological lig<strong>and</strong>s for NK receptors.<br />

Two distinct signals are required for the initiation<br />

<strong>and</strong> maintenance of an effective immune<br />

response. The first is provided <strong>by</strong> the interaction<br />

of MHC class I/peptide complex with the TCR,<br />

the second is mediated <strong>by</strong> a number of co-stimulatory<br />

molecules, e.g. B7/CD28. MHC class I<br />

Color Plates<br />

molecules often disappear from the tumor cell<br />

surface to escape T cell recognition. Therefore<br />

patients must be monitored for the expression<br />

of these molecules prior to T cell-based immunotherapy.<br />

(B) Tumor cells lacking MHC class I<br />

molecules could be efficiently recognized <strong>by</strong> NK<br />

cells. (C) HLA-G expression of tumor cells can<br />

inhibit NK cell-mediated lysis suggesting that<br />

HLA-G expression is a novel immune escape<br />

mechanism.<br />

XXI

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