The Study on the Mechanism of Radiotherapy-elicited Immune Response
NCT06393140 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 200
Last updated 2024-08-26
Summary
Radiotherapy plays an important role in multidisciplinary treatment of esophageal cancer. Data from many laboratories indicate that local radiation produces systemic, immune-mediated anti¬tumour and, potentially, antimetastatic effects. Additionally, the combination of local radiotherapy and immune-modulation can augment local tumour control and cause distant (abscopal) antitumour effects through increased tumour-antigen release and antigen-presenting cell (APC) cross-presentation, improved dendritic-cell (DC) function, and enhanced T cell priming. The generation of an effective antitumor immune response requires the presentation of tumor antigens to naïve CD8+ cells in tumor-draining lymph nodes (TDLN) . Tumor-draining lymph nodes, however, are often subject to the immunosuppressive activity of tumor-derived factors, such as cytokines and other bioactive molecules from tumor cells and their associated leukocytes in the primary tumor site that contribute to the overriding of effective rejection mechanisms. Thus, in TDLN a T cell tolerance rather than a T cell activation often occurs, thereby preventing immune attack and facilitating local tumor progression.
Conditions
- Esophageal Carcinoma Salivary Gland Type
- Radiotherapy
Sponsors & Collaborators
-
Fudan University
lead OTHER
Principal Investigators
-
Kuaile Zhao, MD · Fudan University
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-07-01
- Primary Completion
- 2026-07-20
- Completion
- 2026-07-31
Countries
- China
Study Locations
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