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Volume 355:2705-2707 December 21, 2006 Number 25
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Use of Statins and Outcome of BCG Treatment for Bladder Cancer

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To the Editor: The intravesical administration of bacille Calmette–Guérin (BCG) vaccine for high-risk, non–muscle-invasive bladder cancer and carcinoma in situ is one of the most successful immunotherapies to date.1 Studies in animals have shown that the generation of effector cells, called BCG-activated killer cells, depends on type 1 helper T (Th1)–type cytokines.2 In humans, a high Th1-biased urinary cytokine profile after several weekly intravesical instillations of BCG correlates with a better clinical response.3

Statins have cholesterol-lowering properties and also immunomodulating actions. Several reports have indicated that statins can induce antiinflammatory type 2 helper T (Th2)–type cytokines (interleukin-4, interleukin-5, and interleukin-10) . . . [Full Text of this Article]


Related Letters:

Statins and the Effect of BCG on Bladder Cancer
Kamat A. M., Wu X., Orsola A., Cecchini L., Bellmunt J., Hoffmann P., Roumeguère T., van Velthoven R.
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N Engl J Med 2007; 356:1276-1277, Mar 22, 2007. Correspondence

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