title: Immune system: a double-edged sword in cancer.
abstract: OBJECTIVE
  The objective of the review is to examine the role of innate and adaptive immune cells in cancer.
  
  
  BACKGROUND
  Immune system functions as a host defensive mechanism protecting against invading pathogens and transformed cells, including cancer. However, a body of research carried out over the last few decades has disclosed the unexpected role of immune system in fostering the tumor growth.
  
  
  METHODS
  A computer-based online search was performed in the PubMed, Scopus and Web of Science databases for articles published, concerning natural killer (NK) cells, Macrophages, CD4+ and CD8+ T cells with relevance to cancer. After finding relevant articles within these search limits, a manual search was conducted through the references from these articles.
  
  
  CONCLUSIONS
  This review summarizes the role of immune system in Immunosurveillance and Immunoediting. It then focused mainly on role of macrophages, regulatory T cells (Treg), TH17 cells and on the immunosuppressive mechanisms, which facilitate immune evasion of tumor cells. Our results shows that, immune cells, such as CD8+ cytotoxic T lymphocytes (CTL), CD4+ T helper (TH)1 cells and NK cells along with their characteristic cytokine interferon (IFN)-γ, function as major antitumor effector cells. Whereas CD4+TH2 cells, myeloid-derived suppressor cells (MDSCs) and their derived cytokines function as dominant tumor-promoting forces. In contrast to these cells, macrophages, Treg, and TH17 cells show a dual effect in cancer. Thus, it appears that most components of the immune system are potentially endowed with dual functions i.e., promoting tumor development on the one hand and restraining tumor development on the other and hence immune system can be considered as a double-edged sword in cancer.
authors.affiliation: Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research (NIPER), Balanagar, 500037 Hyderabad, India.
authors.forename: Bodduluru
authors.initials: B
authors.lastname: Lakshmi Narendra
authors.forename: Kasala
authors.initials: K
authors.lastname: Eshvendar Reddy
authors.forename: Saladi
authors.initials: S
authors.lastname: Shantikumar
authors.forename: Sistla
authors.initials: S
authors.lastname: Ramakrishna
mesh_terms: D056704:Adaptive Immunity / Q000502:physiology*; D016207:Cytokines / Q000502:physiology; D006801:Humans; D007113:Immunity, Innate / Q000502:physiology*; D007165:Immunosuppression Therapy; D008264:Macrophages / Q000502:physiology; D009369:Neoplasms / Q000276:immunology* / Q000503:physiopathology*; D050378:T-Lymphocytes, Regulatory / Q000502:physiology; D058504:Th17 Cells / Q000502:physiology
chemical_list: D016207:Cytokines