Cancer immunoprevention refers to the modulation of the host immune response to control the initiation or development of cancer. The significant role of host immunity in early tumorigenesis has only recently been confirmed, as a better understanding of the mechanisms, molecules and cells involved in tumor immunology have been elucidated over the past two decades. Of utmost importance, preclinical and clinical evidences have demonstrated that early neoplastic cells (transformed cells that initiate cancer formation) express antigens that allow the immune system to distinguish them from normal cells. Furthermore, recognition of the aberrant cell by the immune cells activates a complex interaction of mutual modulation between the immune cells, the tumor and the tumor microenvironment that may result not only in inhibition but also promotion of cancer. The deepening understanding of cancer-related immunologic processes, properties, and components has spawned exploration of more rational, mechanism-based immunologic strategies (using vaccines, antibodies, and immune modulators) for cancer prevention. This introduction to the Cancer Prevention Research immunoprevention series will attempt to review the basics of the immune response modulation as a basis for potential application to cancer immunoprevention strategies with an emphasis on vaccines. Recognizing the fast-paced research in immune response modulation, the series will cover current understandings and future directions of cancer immunoprevention research. See all articles in this Cancer Prevention Research collection, "Cancer Immunoprevention Series." Cancer Prev Res; 7(11); 1067-71. Ó2014 AACR.
Mechanistic Bases of Immunoprevention: A Primer
Innate versus adaptive immunityThe concept of cancer immunomodulation is based on the physiologic immune response during the natural course of disease (1-3). The immune response has been historically divided into two types: innate and adaptive (4, 5). The innate immune response provides immediate, short-term protection against a variety of nonspecific antigens. In contrast, adaptive immune responses develop over a longer period of time, are specific, and provide long-term protection. Activation of innate and subsequent adaptive immunity is fundamental to effective immunologic eradication of exogenous and endogenous pathogens and undesirable endogenous cells (e.g., cancer cells).The essential components of each type of immunity differ, but their activities overlap. The elements of the innate immune system are (i) epithelial barriers, (ii) phagocytic leukocytes, (iii) dendritic cells (DC), (iv) natural killer (NK) cells, and (v) circulating plasma proteins. Elements of the adaptive immune system fall into two functional categories: humoral immunity, mediated by the antibodies produced by B lymphocytes, and cellular immunity, mediated by T lymphocytes (6). DCs are one of the major sentinels of both innate and adaptive immune responses.During the innate response, DCs scan for potential pathogens using Toll-like recepto...