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Dendritic cells are found in the bloodstream of everyone. They normally
function as one of nature's most efficient immune function cells. Their
usual function is to identify foreign substances, such as cancer cells,
process these foreign substances, and then jumpstart the immune response
by bringing these foreign substances to the attention of T cells. T cells,
which have been activated in this fashion, are then capable of circulating
throughout the whole body and destroying tumor cells. Unfortunately, left
alone, dendritic cells are not very effective at jumpstarting the immune
surveillance system. However, laboratory rats have shown that when
dendritic cells are grown in the presence of a synthetic copy of the
foreign materials of interests, a strong immune response can be initiated. In our study, we plan on using a patient's own dendritic cells, treating them in the testtube outside the body with the synthetic foreign material of interest, and then releasing the now modified dendritic cells back into the patient's own bloodstream. It is then hoped that these dendritic cells will be able to specifically train T cells to attack and kill all prostate and cancer cells that also have the same foreign material on their surface. (Source) Protocol/Procedures:
Blood
cells are removed from your body by a procedure called apheresis which
involves removal of your blood through a catheter from an IV in your arm
into a machine where cells called mononuclear cells will be separated from
other cells and saved. The rest of the blood will then flow back into your
body. This is a standard medical procedure which takes about three to four
hours. The isolated cells are then taken to a laboratory where they are
grown in sterile conditions. Isolated dendritic cells are then exposed to
the synthetic foreign material found in most prostate cancer cells (an
"antigen"). After 48 hours of processing, these cells are now
ready for reinfusion into your body. Two
days after your apheresis, your dendritic cells will be ready for
reinfusion. At that point, you will be seen in the Outpatient Infusion
Center UCSF/Mount Zion Cancer Center. Your own dendritic cells will be
reinfused through a vein in your body over the course of 30 minutes. After
being watched for an hour, you are free to leave. The
cycle of apheresis followed by infusion of your stimulated dendritic cells
occurs once every two weeks for a total of 3 times. We will then follow
your PSA once a month. If your disease condition is improved or stable and
if there have been no serious side effects, 3 months later one additional
apheresis and treatment might be undertaken. Other than the outpatient
visits for apheresis, and the short visits for infusion of your dendritic
cells, there are no hospitalizations, and no need for you to be in San
Francisco, if you do not live here.
(
Source) Benefits/Conditions
Treated: Biopulse
clinics offer vaccines for several types of cancers. Each patient's own
tumor antigens are used to create the vaccine. The first step is to obtain
the dendritic cells from the patient's (or a donor's) blood. This is done
through a process called apheresis. The dendritic cells are separated from
other blood cells and enriched through incubation. When they are ready,
the dendritic cells are activated with the antigens from the patient's
tumor cells for use as a vaccine. This process normally takes 5 to 7 days.
Biopulse-affiliated
clinics have a variety of specialized cancer treatments, but dendritic
cell therapy appears to be one of the most promising for many types of
cancer, said Dr.Schramm, Medical Director at the Biopulse clinic in
Mexico. "It shows promise especially for renal cell carcinoma and
metastatic melanoma. These are areas we are actively pursuing. BioPulse
International, Inc. (www.biopulse.com) identifies qualified clinics
outside the United States and provides management and referral services to
make it easier for people to find alternative and advanced treatments for
cancer and other health problems. For more information, contact Jonathan
Neville, president, Biopulse International, Inc.,
#801-523-0101. (Source)
Hopefully these treatments should be available in Europe but
no evidence at present time
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