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Biological Therapies
Everyone accepts that the body has an immune system which helps to
defend it against disease. This system is generally seen at the level of specialised blood
cells, called macrophages, which recognise an invading foreign threat to the system - i.e.
a bacterium or virus. They engulf these antigens and break them down to smaller proteins.
Macrophages also release substances called cytokines, which alert other cells, the
lymphocytes, to respond. There are two types of lymphocyte: B-lymphocytes, which produce
antibodies, and T lymphocytes, which have the task of recording and memorising the
antigens for the future. They also attack foreign invaders directly. There are other cells
such as the white blood cells, whose job is to eat up the foreign invaders and destroy
them.
The idea behind biological therapies is that these defences can be
activated to target cancer cells - and if they can be activated, the cancer cell will be
destroyed by the body's own immune system. Sometimes this happens spontaneously.
In order to replicate this process, a large number of biological
substances, extracted from tumour and immune cells, have been investigated: interleukins,
interferon's, tumour necrosis factor, prostaglandin and others. All of these substances
have been trailed on cancer patients. Some have very minor side effects; some cause
flu-like symptoms and some, such as interleukin-2, and have severe and life-threatening
effects.
This is a relatively new form of treatment, still highly experimental
in its strategies and substances used. There is no doubt that some previously terminal
patients are alive today because of this form of treatment.
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