Journal
SCIENCE
Volume 331, Issue 6024, Pages 1565-1570Publisher
AMER ASSOC ADVANCEMENT SCIENCE
DOI: 10.1126/science.1203486
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Funding
- National Cancer Institute
- Cancer Research Institute
- Ludwig Institute for Cancer Research
- National Health and Medical Research Council of Australia (NHMRC) Australia
- Association for International Cancer Research
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Understanding how the immune system affects cancer development and progression has been one of the most challenging questions in immunology. Research over the past two decades has helped explain why the answer to this question has evaded us for so long. We now appreciate that the immune system plays a dual role in cancer: It can not only suppress tumor growth by destroying cancer cells or inhibiting their outgrowth but also promote tumor progression either by selecting for tumor cells that are more fit to survive in an immunocompetent host or by establishing conditions within the tumor microenvironment that facilitate tumor outgrowth. Here, we discuss a unifying conceptual framework called cancer immunoediting, which integrates the immune system's dual host-protective and tumor-promoting roles.
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