Modulation of Tumor Tolerance in Primary Central Nervous System Malignancies

Central nervous system tumors take advantage of the unique immunology of the CNS and develop exquisitely complex stromal networks that promote growth despite the presence of antigen-presenting cells and tumor-infiltrating lymphocytes. It is precisely this immunological paradox that is essential to t...

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Main Authors: Theodore S. Johnson, David H. Munn, Bernard L. Maria
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2012/937253
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author Theodore S. Johnson
David H. Munn
Bernard L. Maria
author_facet Theodore S. Johnson
David H. Munn
Bernard L. Maria
author_sort Theodore S. Johnson
collection DOAJ
description Central nervous system tumors take advantage of the unique immunology of the CNS and develop exquisitely complex stromal networks that promote growth despite the presence of antigen-presenting cells and tumor-infiltrating lymphocytes. It is precisely this immunological paradox that is essential to the survival of the tumor. We review the evidence for functional CNS immune privilege and the impact it has on tumor tolerance. In this paper, we place an emphasis on the role of tumor-infiltrating myeloid cells in maintaining stromal and vascular quiescence, and we underscore the importance of indoleamine 2,3-dioxygenase activity as a myeloid-driven tumor tolerance mechanism. Much remains to be discovered regarding the tolerogenic mechanisms by which CNS tumors avoid immune clearance. Thus, it is an open question whether tumor tolerance in the brain is fundamentally different from that of peripheral sites of tumorigenesis or whether it simply stands as a particularly strong example of such tolerance.
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spelling doaj-art-0212c2be78774bf0b3e35cf0a6febbbf2025-02-03T05:53:30ZengWileyClinical and Developmental Immunology1740-25221740-25302012-01-01201210.1155/2012/937253937253Modulation of Tumor Tolerance in Primary Central Nervous System MalignanciesTheodore S. Johnson0David H. Munn1Bernard L. Maria2Department of Pediatrics, Georgia Health Sciences University, 1120 Fifteenth Street, BT-1852, Augusta, GA 30912, USADepartment of Pediatrics, Georgia Health Sciences University, 1120 Fifteenth Street, BT-1852, Augusta, GA 30912, USADepartment of Pediatrics, Georgia Health Sciences University, 1120 Fifteenth Street, BT-1852, Augusta, GA 30912, USACentral nervous system tumors take advantage of the unique immunology of the CNS and develop exquisitely complex stromal networks that promote growth despite the presence of antigen-presenting cells and tumor-infiltrating lymphocytes. It is precisely this immunological paradox that is essential to the survival of the tumor. We review the evidence for functional CNS immune privilege and the impact it has on tumor tolerance. In this paper, we place an emphasis on the role of tumor-infiltrating myeloid cells in maintaining stromal and vascular quiescence, and we underscore the importance of indoleamine 2,3-dioxygenase activity as a myeloid-driven tumor tolerance mechanism. Much remains to be discovered regarding the tolerogenic mechanisms by which CNS tumors avoid immune clearance. Thus, it is an open question whether tumor tolerance in the brain is fundamentally different from that of peripheral sites of tumorigenesis or whether it simply stands as a particularly strong example of such tolerance.http://dx.doi.org/10.1155/2012/937253
spellingShingle Theodore S. Johnson
David H. Munn
Bernard L. Maria
Modulation of Tumor Tolerance in Primary Central Nervous System Malignancies
Clinical and Developmental Immunology
title Modulation of Tumor Tolerance in Primary Central Nervous System Malignancies
title_full Modulation of Tumor Tolerance in Primary Central Nervous System Malignancies
title_fullStr Modulation of Tumor Tolerance in Primary Central Nervous System Malignancies
title_full_unstemmed Modulation of Tumor Tolerance in Primary Central Nervous System Malignancies
title_short Modulation of Tumor Tolerance in Primary Central Nervous System Malignancies
title_sort modulation of tumor tolerance in primary central nervous system malignancies
url http://dx.doi.org/10.1155/2012/937253
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