Immune surveillance is a theory that the immune system patrols the body not only to recognize and destroy invading pathogens but also host cells that become cancerous. Perhaps potential cancer cells arise frequently throughout life, but the immune system usually destroys them as fast as they appear. There is some evidence for this attractive notion. There is also evidence that the immune system mounts an attack against established cancers although it often fails.For immune surveillance to work, cancer cells must express antigens that are not found on normal cells. Otherwise the immune system would see them as "self" and be tolerant of them. Some examples of tumor antigens:
Most lymphomas are malignant clones of a B cell. In principal, their BCR could serve as a target for destruction by T cells if fragments of the receptor, nestled in an MHC molecule, are "presented" to a T cell. Link to Antigen Presentation. In some lymphomas studied, the patient's T cells did respond and were able to kill the malignant cells (in vitro).
When mice with a normal immune system are given very low doses of a chemical carcinogen, a few develop rapidly-growing tumors but many do not. However, it turns out that malignant cells are present in the healthy animals as well, but something is holding them in check. That appears to be the adaptive immune system because, treating them with
Control animals treated with antibodies that did not target T-cells or their functions remained healthy.
A revealing example: Both recipients of a cadaver kidney from a woman, who had been seemingly cured of her melanoma 16 years before, developed melanomas that were genetically the woman's. The recipient's failure to reject those cells was because of the immunosuppressive measures they were receiving so as not to reject her kidney. She must have harbored melanoma cells all those years with her immune system keeping them in check.
Cancer patients whose tumors contain large numbers of tumor-infiltrating lymphocytes (TILs), e.g., Th1 cells and/or cytotoxic T lymphocytes (CTLs) and/or NK cells cope with their disease better than patients with only small numbers of these cells.
Perhaps most of the time it doesn't. Perhaps visible cancers represent a rare failure of a system that has been eliminating transformed cells throughout life.
But if that is true, what led to the rare failures?If a cell succeeds in starting down the path leading to uncontrolled mitosis [Link], it may acquire somatic mutations that increasingly protect it from attack by the host's immune system. Examples:
Whatever the importance of the body's innate response to cancer cells, there is no longer any question that the immune system can be manipulated to help against tumors. Some of the methods employed are described on a separate page: Cancer Immunotherapy.