Inflammatory reaction immune response

Dead or live bacteria may be effective to stimulate inflammatory reactions of phagocytic cells against tumor cells. The best-characterized treatment is the use of Bacillus Calmette Guerin (BCG) in the case of bladder cancer where activation of the immune response is capable of controlling tumor growth. 

The ghicocorticoids are used as replacement therapy for adrenocortical insufficiency, to treat allergic reactions, collagen diseases (eg, systemic lupus erythematosus), dermatologic conditions, rheumatic disorders, shock, and other conditions (see Display 50-1). The anti-inflammatory activity of these hormones make them valuable as anti-inflammatories and as immunosuppressants to suppress inflammation and modify the immune response... 

Immunoenhancement, which, as adverse effect, may lead to immune-mediated diseases such as hypersensitivity reactions and autoimmune diseases. Hypersensitivity reactions are the result of normally beneficial immune responses acting inappropriately, causing inflammatory reactions and tissue damage. The two most frequent manifestation of chemical-induced allergy are contact hypersensitivity and respiratory sensitization, both of which can have a serious impact on quality of life and represent a common occupational health problem. Hypersensitivity reactions are often considered to be increased at such a rate to become a major health problem in relation to environmental chemical exposure. 

Neuroimmunological reactions. The humoral immune response in CNS is different from the immune response usually observed in blood. As a main difference, we find no switch from the IgG-class response to a more speciflc IgG-class response in the course of inflammatory disease. The pattern of intrathecal IgG/IgA/IgM synthesis remains rather constant and depends on the causes, pathophysiology, and localization of the disease process (R4). 

In addition to the direct cytotoxic effect of PDT on the cells in the tissues and the vasculature targeting there are substantial documentation from in vivo models and some clinical documentation that immunological effects contribute to the therapeutic effect of PDT, in particular for cancer therapy [36-38]. Both attraction of inflammatory cells and other immune reactions have been observed after PDT, but this is beyond the scope of this review. However, the immune response and antitumor immunity induced by PDT as well as PCI of bleomycin has been described in several reviews [39, 40]. 

---