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Updated: May 9, 2026

Co-Culture In Vitro Systems to Reproduce the Cancer-Immunity Cycle
Published on: June 7, 2024
Immune system: a double-edged sword in cancer
Bodduluru Lakshmi Narendra1, Kasala Eshvendar Reddy, Saladi Shantikumar
1Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research (NIPER), Balanagar, 500037 Hyderabad, India.
The immune system plays a dual role in cancer, with some immune cells like CD8+ cytotoxic T lymphocytes (CTL) and NK cells fighting tumors, while others promote cancer growth. Understanding this complex interaction is key to cancer immunotherapy.
Area of Science:
- Immunology
- Oncology
- Cancer Research
Background:
- The immune system protects against pathogens and transformed cells.
- Recent research reveals the immune system can also promote tumor growth.
Purpose of the Study:
- To examine the dual role of innate and adaptive immune cells in cancer.
- To review the mechanisms of immune surveillance, immunoediting, and immune evasion in tumors.
Main Methods:
- Comprehensive literature search of PubMed, Scopus, and Web of Science databases.
- Focused on natural killer (NK) cells, macrophages, CD4+, and CD8+ T cells in cancer.
- Manual reference searching of relevant articles.
Main Results:
- CD8+ cytotoxic T lymphocytes (CTL), CD4+ T helper (TH)1 cells, and NK cells with interferon (IFN)-γ are key antitumor effector cells.
- CD4+TH2 cells and myeloid-derived suppressor cells (MDSCs) promote tumor growth.
- Macrophages, regulatory T cells (Treg), and TH17 cells exhibit dual roles in cancer progression.
Conclusions:
- The immune system acts as a double-edged sword in cancer, capable of both inhibiting and promoting tumor development.
- Immune evasion by tumor cells is facilitated by immunosuppressive mechanisms.
- Targeting specific immune cell functions holds potential for cancer therapy.
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