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The clinical relevance of immunogenic cell death associated signalling and molecules in cancer therapy
Holíček, Peter ; Palich Fučíková, Jitka (advisor) ; Říhová, Blanka (referee) ; Starková, Júlia (referee)
The clinical relevance of immunogenic cell death-associated signaling and molecules in cancer therapy The capacity of cancer cells to induce anticancer immune responses relies on multiple factors, including the antigenic repertoire of cancer cells and their ability to provide adjuvant signals, as represented by danger-associated molecular patterns (DAMPs), which are exposed and released by malignant cells during immunogenic cell death (ICD). The release and secretion of DAMPs can orchestrate the activation of innate and adaptive tumor-targeting immunity, resulting in tumor regression. Various chemotherapies, radiation therapy, physical modalities, and targeted anticancer agents have been described as potent ICD inducers, which besides being directly cytotoxic, can activate clinically relevant anticancer immune responses. Therefore, patients whose tumor microenvironment (TME) is shows defective DAMP release or downstream DAMP-sensing signaling pathways do not fully benefit from ICD-inducing treatments, which can lead to overall therapeutic failure. My dissertation contributes to this field by exploring the impact of ICD on the development of innate anticancer immune responses, with a particular focus on natural killer (NK) cells, showing that surface-exposed calreticulin (ecto-CALR) positively impacts the...
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Tumor microenvironment of soft tissue sarcomas and it's predictive significance in modern oncological treatment
Ozaniak, Andrej ; Ozaniak Střížová, Zuzana (advisor) ; Büchler, Tomáš (referee) ; Posová, Helena (referee)
Soft tissue sarcomas (STSs) are malignant tumors of mesenchymal origin, characterized by an extreme heterogeneity in histological composition, biological behavior, and clinical manifestation. Most STSs are chemo- and radiotherapy resistant. A key prognostic factor predicting the risk of distant metastases and affecting the overall survival is the tumor grade. However, grade has not been associated with the risk of local recurrence. Radical surgical procedure is in many cases the only possible treatment modality or at least plays a main role in the multimodal treatment. For patients with distant metastases, the treatment options are very limited. The chemosensitivity of STSs is generally very low, with the exception of several less common subtypes, and accounts for only 5-10% of the cases. In many cases, radiotherapy is a standard part of the treatment protocol. It is usually given in either neoadjuvant or adjuvant settings. However, radiotherapy administration in generalized patients does not improve the prognosis. Cancer immunotherapy is a therapeutic modality that utilizes the physiological cytotoxic antitumoral abilities of the immune cells. Therefore, it does not target the rapidly proliferating tumor cells but rather stimulates the immune cells. A wide variety of different strategies have been...
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