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Yagawa et al.                                                                                                                                                                          Cancer immunity and hyperthermia

           regard to biological effects are found until now.  DECLARATIONS

           Overall, hyperthermia is considered a convenient   Authors’ contributions
           therapeutic method so long as it is used appropriately.   Designed and wrote the manuscripts: Y. Yagawa
           Paradoxically, the safety of hyperthermia is maintained   Conducted  IFN-γ  and  IL-2  production  assays:  Y.
           by avoiding excess irradiation with the purpose of deep   Kobayashi
           heating, because it is still difficult to aggregate the heat   Provided suggestions on the revision of the
           effect only in cancer tissue. By using hyperthermia   manuscripts: M. Yamamoto
           in combination with chemotherapy or radiotherapy,   Built Figures 1, 4 and 5 and revised the manuscript:
           the dose of these therapies may be reduced to ease   K. Tanigawa
           their side-effects without reducing therapeutic effects,
           because hyperthermia has the potential to augment   Financial support and sponsorship
           the effect of chemotherapy or radiotherapy in a less   None.
           invasive manner.
                                                              Conflicts of interest
           CONCLUSION                                         There are no conflicts of interest.
                                                              Patient consent
           This report shows that hyperthermia increases the   Not applicable.
           advantage  of  the  following  biological  features.  Heat
           stress lowers the survival rate of all cells, but normal   Ethics approval
           tissues are better able to tolerate this than cancerous   Not applicable.
           tissues.  Heat has a potential to  augment immune
           responses while decreasing immune suppression.
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