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Understanding Immunotherapy: A New Era in Cancer Treatment

Immunotherapy is revolutionizing cancer care by using the body's own immune system to fight tumors. Learn how it works and who can benefit.

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Key takeaways

  • Immunotherapy works by empowering the immune system to recognise and attack cancer cells rather than killing dividing cells directly
  • Checkpoint inhibitors take the brakes off the immune system so T-cells can attack tumours more aggressively
  • CAR T-cell therapy engineers a patient's own T-cells in a lab to target specific cancer proteins and infuses them back
  • Because the immune system has memory, immunotherapy can continue protecting against recurrence for longer than chemotherapy
  • Immunotherapy targets cancer cells more specifically, often sparing healthy tissue and reducing side effects compared with chemotherapy

Cancer treatment has evolved significantly over the years, from surgery and radiation to chemotherapy. Today, we have entered a new era with immunotherapy, a revolutionary approach that harnesses the body's own immune system to fight cancer.

What is Immunotherapy?

Unlike chemotherapy, which directly kills rapidly dividing cells (both cancerous and healthy), immunotherapy works by empowering your immune system to recognize and attack cancer cells. Cancer cells often have mechanisms to 'hide' from the immune system, but immunotherapy drugs can remove these disguises, allowing your body's defenses to do their job.

Types of Immunotherapy

  • Checkpoint Inhibitors: These drugs take the 'brakes' off the immune system, allowing T-cells to attack tumors more aggressively.
  • CAR T-cell Therapy: This involves collecting a patient's T-cells, engineering them in a lab to target specific cancer proteins, and infusing them back into the body.
  • Monoclonal Antibodies: Lab-made proteins that can bind to cancer cells and mark them for destruction by the immune system.

Benefits of Immunotherapy

Immunotherapy offers several advantages over traditional treatments:

  • Targeted Action: It specifically targets cancer cells, often sparing healthy tissues and reducing side effects compared to chemotherapy.
  • Long-lasting Protection: The immune system has a 'memory.' Once activated against cancer, it can continue to provide protection against recurrence for a longer period.
  • Treatment for Advanced Cancers: It has shown remarkable success in treating advanced stages of cancers like melanoma and lung cancer where other treatments had failed.

Who is it for?

Immunotherapy is currently approved for various types of cancers, including:

  • Melanoma
  • Lung Cancer
  • Kidney Cancer
  • Bladder Cancer
  • Certain types of Lymphoma

However, it is not yet a universal cure. Response rates vary, and ongoing research is helping us understand which patients will benefit the most.

Conclusion

Immunotherapy represents a beacon of hope for many patients. As research progresses, we expect it to become a frontline treatment for even more types of cancer, transforming the landscape of oncology.

Frequently asked questions

How is immunotherapy different from chemotherapy?
Chemotherapy directly kills rapidly dividing cells, both cancerous and healthy. Immunotherapy works by empowering your immune system to recognise and attack cancer cells, and often spares healthy tissue with fewer side effects.
What types of immunotherapy are available?
The main types include checkpoint inhibitors, which take the brakes off the immune system so T-cells attack tumours; CAR T-cell therapy, which engineers a patient's own T-cells; and monoclonal antibodies that mark cancer cells for destruction.
Does immunotherapy protect against cancer coming back?
The immune system has a memory. Once activated against cancer it can continue to provide protection against recurrence for a longer period, which is one of its advantages over traditional treatments.

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Dr. Amit Kumar Jain

Medically reviewed by

Dr. Amit Kumar Jain

Medical Oncologist & Hematologist · DrNB Medical Oncology

Bhagwan Mahaveer Jain Hospital, Vasanth Nagar, Bengaluru

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