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Jedd Wolchok Cancer's Off Switch Analysis

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The research presented in Jedd D. Wolchok “Cancer’s Off Switch” examines two different forms of immunotherapy used to treat cancer cells by boosting the patient's own immune system defenses. The article provides a comprehensive history of the scientific discoveries and previous research that lead to the immunotherapy treatments, specifically the different levels of the immune system. In addition, the article addresses two different methods of immunotherapy currently in testing in clinical use. The research is educationally significant because it focuses on the body's internal defense system and attempts to disable the brakes cancer cells enforce on the immune system, which has shown progress in both tumor size regression and improvements in …show more content…

Allison hypothesized that “if the CTLA-4 molecular brake could be temporarily disabled, the immune system would be able to launch a more vigorous attack on cancer cells, resulting in the shrinkage of tumors. ” From this hypothesis, Allison and his colleagues set out to test the theory by delivering a synthetically developed antibody that obstructs CTLA-4 activity to mice. Wolchok did not identify a research question of hypothesis for the studies involving a second immune system-braking molecule known as PD-1, which is a molecule on the surface of many T cells that initiates self-destruction of a cell after coming in contact with cancer cells. Other than the hypothesize provided by James Allison, Wolchok does not provide other specific hypothesis or research questions that are intended to be …show more content…

Wolchok does not name specific instruments used for measurements, discuss reliability in terms of type and size of reliability coefficients, or name specific control procedures. The success rates of the different types of treatments are determined by visible tumor growth difference after treatment is administered as well as overall survival. Wolchok also notes that measuring success among immunotherapy treatments can be difficult and take nearly double the time to see results than other treatment methods. Even in patients whose brain scans show tumor growth 12 weeks after the treatment has begun, the growth may be indicative of T cells and other immune cells flooding the tumor. Henceforth, the difficulty of determining success among patients being treated with immunotherapies is far more perplexing than patients who have undergone chemotherapy or

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