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Tumor-directed immune activation is a therapeutic strategy rather than a single molecular target. It encompasses various approaches designed to stimulate the host's immune system specifically within the tumor microenvironment (TME) to identify and destroy cancer cells [PMID: 33024326]. This is often achieved through the use of bispecific antibodies, chimeric antigen receptor (CAR) T-cells, or tumor-targeted cytokines that bridge immune effector cells, such as T-cells or NK cells, to tumor-associated antigens [PMID: 30610225]. By localizing the immune response, these therapies aim to enhance anti-tumor efficacy while reducing the systemic side effects typically associated with non-specific immune stimulation [PMID: 24419461]. Common molecular targets involved in this process include CD3 on T-cells and various tumor-specific markers such as CD19, BCMA, or HER2 [PMID: 29158371]. However, the potent activation of immune cells can lead to significant safety concerns, most notably cytokine release syndrome (CRS) and neurotoxicity [PMID: 30033249].
Selective stimulation of the immune system within the tumor microenvironment to recognize and eliminate malignant cells, typically achieved by bridging immune effector cells to tumor-associated antigens or delivering immunostimulatory agents directly to the tumor site.
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