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Immune surveillance and natural resistance: an evaluation

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Summary

Concepts in tumour immunology are changing fundamentally.

Around 1970 tumour immunology contained the following related concepts: 1. Thousands of tumour cells arise de novo each day. 2. Tumour cells are antigenic in their host. 3. All these antigenic tumour cells are killed by a strong immune surveillance system.

A more likely set of concepts looks as follows: 1. Tumour cells do not arise frequently. 2. Tumour cells may be antigenic or not. 3. There is no need to postulate a very strong immune surveillance or natural resistance system.

In this paper I am reviewing our present knowledge of immune surveillance and natural resistance. Only scanty information appears to be available. This information suggests that virally induced tumours are usually killed by cytotoxic T lymphocytes, and natural killer cells, whereas immune surveillance and natural resistance against other tumours may be quite weak.

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Den Otter, W. Immune surveillance and natural resistance: an evaluation. Cancer Immunol Immunother 21, 85–92 (1986). https://doi.org/10.1007/BF00199854

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