CELLULAR IMMUNITY IN THE TREATMENT AND PROGNOSIS OF BREAST CANCER
Main researcher
: LUKAČ, JOSIP (26756) Assistants
KORDIĆ-FRGAČIĆ, DARKA (12492)
KONČAR, MIRJANA (96723)
BOLANČA, ANTE (145512)
VARNAI, MAGDOLNA (150504)
GALIĆ, SLOBODAN (900035)
Type of research: applied Duration from: 07/01/91. to 11/03/99. Papers on project (total): 38
Papers on project quoted in Current Contents: 13
Institution name: Bolnica "Sestre milosrdnice", Zagreb (134) Department/Institute: Department of Nuclear Medicine and Oncology Division for immunology and genetics Address: Vinogradska c.29 City: 10000 - Zagreb, Croatia
Communication
Phone: 385 (0)1 17 46 66
Fax: 385 (0) 1 17 24 53
Summary: Investigation of some less known aspects of cellular
immunity involved in tumor defence in breast cancer patients is proposed:
the number and activity of NK cells, granulocyte and monocyte phagocytic
functions (ingestion and microbicidity), production of interleukin-1
(IL-1) and tumor-necrosis factor (TNF) upon lipopolysaccharide activation
of monocytes. Parameters of immunocompetence will be compared with
cytogenetic (karyotype instability of peripheral blood lymphocytes),
pathohistological (histological differentiation), clinical (degree of
dissemination) and therapeutic (radiotherapy, chemotherapy, hormonal
therapy) in order to seek for new indicators of prognosis and indicators
of effects of applied therapy. Thic could contribute to more specific and
more individual tailoring of therapy in each case.
Research goals: Actual empirical approach in breast cancer
treatment most probably is not going to significantly improve the therapy.
More insight to biological heterogenity of tumors and metastasing process
would enable creating of more efficient treatment modalities. In this
context, better knowledge of immunological functions related to tumor
defence, taken together with other indicators of tumor biology -
cytogenetical, histological, clinical and therapeutical - probably will
help (a) in follow up of beneficial and undesirable effects of applied
therapy; (b) in disease prognosis, and (c) in choosing more adequate
modalities of cytotoxic and/or hormonal therapy. Although chemotherapeutics
are considedred as immunosuppressive, there is evidence that they also
could serve as immunomodulators. Hormonal therapy, particularly tamoxifen,
is reported to influence immunocompetence too. Therefore, it is proposed to
get more insight in some less known aspects of cellular immunity related to
host tumor defence in breast cancer patients: number and functions of NK
cells, phagocytic functions of granulocytes and monocytes - ingestion and
microbicidity, and production of IL-1 and TNF by in vitro activated
monocytes. Comparing these parameters with cytogenetical,
histopathological, clinical and therapeutical, new indicators of prognosis
and indicators of effects of applied therapy could be determined, which
would allow more specific and more individual therapy approach to each
patient.
COOPERATION - INSTITUTIONS
Name of institution
: Fakultet za defektologiju Sveučilišta u
Zagrebu, Odsjek za motoričke poremećaje i kronične bolesti Type of institution: Economical/Production City: 10000 - Zagreb, Croatia Other information about the project.