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Christian Joffroy

Antiestrogens induce immunosuppression


Tamoxifen and Fulvestrant lead to TGFß-mediated immunosuppression in breast cancer
2010. 116 S. 220 mm
Verlag/Jahr: SÜDWESTDEUTSCHER VERLAG FÜR HOCHSCHULSCHRIFTEN 2010
ISBN: 3-8381-1671-2 (3838116712)
Neue ISBN: 978-3-8381-1671-6 (9783838116716)

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Antiestrogens (AE) like tamoxifen belong to the most commonly used drugs in the therapy of estrogen receptor positive breast cancer. Nevertheless, relapses frequently occur during treatment indicating development of drug resistance. Concerning the underlying mechanisms, the finding of AE induced TGFß in breast cancer cells appears to be relevant both with respect to TGFß´s cell autonomous function as a mediator of cancer progression and its function as an immune regulator. To investigate the potential role of tumor derived, AE induced TGFß as a suppressor of the host´s immune response, heterologous and autologous in vitro assays have been established in this work. Application of AE led to an impaired antitumor immune response, which could be restored by a neutralizing TGFß antibody. The work at hand thus provides evidence for an AE treatment induced, TGFß driven immunosuppression in the tumor microenvironment, a mechanism that could critically contribute to development of AE resistance during therapy.
Christian Joffroy was born in Ostfildern, Ruit in 1978. After studying biology at the University of Hohenheim he conducted his diploma thesis at the Fraunhofer Society. His dissertationwas performed at the Dr. Margarete Fischer-Bosch Institute for Clinical Pharmacology in Stuttgart.