cancer vaccine

癌症疫苗
  • 文章类型: Journal Article
    胰腺导管腺癌(PDAC)是美国第三大致死性癌症,导致中位生存期为6个月,5年总生存期(OS)不到5%。作为唯一可能治愈的治疗方法,由于诊断较晚,手术切除不适合多达90%的PDAC患者。具有免疫抑制性肿瘤微环境的高度纤维化PDAC限制了细胞毒性T淋巴细胞(CTL)的浸润和功能,从而导致全身疗法如基于树突状细胞(DC)的免疫疗法的成功有限。在这项研究中,我们研究了不可逆电穿孔(IRE)消融治疗联合DC疫苗治疗抗PDAC的潜在益处.
    我们进行了文献检索,以确定专注于DC疫苗治疗和IRE消融的研究,以增强针对PubMed索引的PDAC的治疗反应,WebofScience,和Scopus直到2月20日,2023年。
    IRE消融破坏肿瘤结构,同时保留细胞外基质和血管促进局部炎症。研究表明,IRE消融除了增强啮齿动物模型中的免疫反应外,还可以减少肿瘤纤维化并促进CTL肿瘤向PDAC肿瘤的浸润。与单独使用DC疫苗接种或IRE相比,在IRE消融后施用DC疫苗协同地增强治疗反应并延长OS率。此外,数据驱动方法的实施进一步允许在IRE+DC疫苗免疫消融后动态和纵向监测治疗反应和OS.
    IRE消融和DC疫苗免疫疗法的组合是增强PDAC患者治疗结果的有效策略。
    UNASSIGNED: Pancreatic ductal adenocarcinoma (PDAC) is 3rd most lethal cancer in the USA leading to a median survival of six months and less than 5% 5-year overall survival (OS). As the only potentially curative treatment, surgical resection is not suitable for up to 90% of the patients with PDAC due to late diagnosis. Highly fibrotic PDAC with an immunosuppressive tumor microenvironment restricts cytotoxic T lymphocyte (CTL) infiltration and functions causing limited success with systemic therapies like dendritic cell (DC)-based immunotherapy. In this study, we investigated the potential benefits of irreversible electroporation (IRE) ablation therapy in combination with DC vaccine therapy against PDAC.
    UNASSIGNED: We performed a literature search to identify studies focused on DC vaccine therapy and IRE ablation to boost therapeutic response against PDAC indexed in PubMed, Web of Science, and Scopus until February 20th, 2023.
    UNASSIGNED: IRE ablation destructs tumor structure while preserving extracellular matrix and blood vessels facilitating local inflammation. The studies demonstrated IRE ablation reduces tumor fibrosis and promotes CTL tumor infiltration to PDAC tumors in addition to boosting immune response in rodent models. The administration of the DC vaccine following IRE ablation synergistically enhances therapeutic response and extends OS rates compared to the use of DC vaccination or IRE alone. Moreover, the implementation of data-driven approaches further allows dynamic and longitudinal monitoring of therapeutic response and OS following IRE plus DC vaccine immunoablation.
    UNASSIGNED: The combination of IRE ablation and DC vaccine immunotherapy is a potent strategy to enhance the therapeutic outcomes in patients with PDAC.
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  • 文章类型: Journal Article
    近年来,对肿瘤微环境相关癌症疫苗治疗的兴趣激增.这些创新的治疗方法旨在通过利用肿瘤微环境中存在的特定抗原来激活和增强人体对癌细胞的天然免疫反应。目标是实现完整的临床反应,所有可测量的癌细胞要么被消除,要么被大大减小。凭借他们彻底改变癌症治疗的潜力,这些疗法对研究人员和临床医生来说都是一个有希望的途径.尽管有100多年的研究,治疗性癌症疫苗的成功是可变的,特别是晚期癌症患者,有各种限制,包括肿瘤微环境的异质性,免疫抑制细胞的存在,以及肿瘤逃逸机制的潜力。此外,这些疗法的有效性可能受到患者免疫系统反应的可变性和难以为每位患者确定合适抗原的限制。尽管面临这些挑战,肿瘤微环境靶向疫苗癌症治疗已在临床前和临床研究中显示出有希望的结果,并有可能成为当前癌症治疗和“治愈”选择的有价值的补充。虽然化疗和单克隆抗体治疗仍然很受欢迎,需要持续的研究来优化这些疗法的设计和实施,并确定能够预测疗效和指导患者选择的生物标志物.这篇全面的综述探讨了癌症疫苗的机制,各种交付方式,以及佐剂在改善治疗结果中的作用。它还讨论了癌症疫苗研究的历史背景,并检查了主要癌症疫苗免疫疗法的现状。此外,分析了每种疫苗的局限性和有效性,提供对癌症疫苗开发未来的见解。
    In recent years, there has been a surge of interest in tumor microenvironment-associated cancer vaccine therapies. These innovative treatments aim to activate and enhance the body\'s natural immune response against cancer cells by utilizing specific antigens present in the tumor microenvironment. The goal is to achieve a complete clinical response, where all measurable cancer cells are either eliminated or greatly reduced in size. With their potential to revolutionize cancer treatment, these therapies represent a promising avenue for researchers and clinicians alike. Despite over 100 years of research, the success of therapeutic cancer vaccines has been variable, particularly in advanced cancer patients, with various limitations, including the heterogeneity of the tumor microenvironment, the presence of immunosuppressive cells, and the potential for tumor escape mechanisms. Additionally, the effectiveness of these therapies may be limited by the variability of the patient\'s immune system response and the difficulty in identifying appropriate antigens for each patient. Despite these challenges, tumor microenvironment-targeted vaccine cancer therapies have shown promising results in preclinical and clinical studies and have the potential to become a valuable addition to current cancer treatment and \"curative\" options. While chemotherapeutic and monoclonal antibody treatments remain popular, ongoing research is needed to optimize the design and delivery of these therapies and to identify biomarkers that can predict response and guide patient selection. This comprehensive review explores the mechanisms of cancer vaccines, various delivery methods, and the role of adjuvants in improving treatment outcomes. It also discusses the historical background of cancer vaccine research and examines the current state of major cancer vaccination immunotherapies. Furthermore, the limitations and effectiveness of each vaccine type are analyzed, providing insights into the future of cancer vaccine development.
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  • 文章类型: Journal Article
    背景:黑色素瘤是一种起源于黑素细胞的恶性肿瘤,以其攻击行为和高转移潜力而闻名。近年来,疫苗疗法已成为治疗黑色素瘤的一种有希望的方法,提供靶向和个性化的免疫治疗选择。在这项研究中,我们进行了文献计量学分析,以评估黑色素瘤和疫苗治疗相关出版物的全球研究趋势和影响.
    方法:我们使用诸如“黑色素瘤”之类的关键字从过去十年(2013-2023年)的WebofScience数据库中检索了相关文献,“疫苗疗法”,和“癌症疫苗”。我们使用了文献计量指标,包括出版趋势,引文分析,共同作者分析,和期刊分析来评估该领域的研究格局。
    结果:筛选后,共有493份出版物被纳入分析.我们发现黑色素瘤和疫苗治疗在癌症免疫治疗领域获得了极大的关注,大量的研究成果和越来越多的引文影响证明了这一点。美国,中国,就出版产出而言,他们的组织是领先的国家/机构,合作研究网络在这一领域很突出。评估黑色素瘤患者疫苗接种治疗的安全性和有效性的临床试验是研究的重点。
    结论:这项研究为黑色素瘤疫苗治疗的新研究前景提供了有价值的见解,这可以为未来的研究方向提供信息,并促进该领域研究人员之间的知识交流。
    BACKGROUND: Melanoma is a malignant tumor that originates from melanocytes and is known for its aggressive behavior and high metastatic potential. In recent years, vaccine therapy has emerged as a promising approach for the treatment of melanoma, offering targeted and individualized immunotherapy options. In this study, we conducted a bibliometric analysis to assess the global research trends and impact of publications related to melanoma and vaccine therapy.
    METHODS: We retrieved relevant literature from the Web of Science database from the past decade (2013-2023) using keywords such as \"melanoma\", \"vaccine therapy\", and \"cancer vaccines\". We used bibliometric indicators including publication trends, citation analysis, co-authorship analysis, and journal analysis to evaluate the research landscape of this field.
    RESULTS: After screening, a total of 493 publications were included in the analysis. We found that melanoma and vaccine therapy have gained significant attention in the field of cancer immunotherapy, as evidenced by the numerous research output and increasing citation impact. The United States, China, and their organizations are the leading countries/institutes in terms of publication output, and collaborative research networks are prominent in this field. Clinical trials evaluating the safety and efficacy of vaccination treatment in melanoma patients are the focus of research.
    CONCLUSIONS: This study provide valuable insights into the novel research landscape of vaccine treatment of melanoma, which could inform future research directions and facilitate knowledge exchange among researchers in this field.
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  • 文章类型: Journal Article
    癌症-睾丸抗原(CTA)是公认的癌症诊断和治疗的最佳靶标库。大多数CTA位于X染色体上,并聚集成大型基因家族,比如黑色素瘤抗原,滑膜肉瘤X和G抗原家族。CTA亚家族成员通常在肿瘤组织中共表达,并具有相似的结构特征和生物学功能。由于癌症疫苗被推荐用于诱导特定的抗肿瘤反应,CTA,特别是CTA亚家族,被广泛用于癌症疫苗的设计。迄今为止,DNA,mRNA和肽疫苗通常用于在体内产生肿瘤特异性CTA并诱导抗癌作用。尽管临床前研究有希望的结果,基于CTA的疫苗的抗肿瘤功效在临床试验中受到限制,这可能部分归因于弱免疫原性,抗原递送和呈递过程的低功效,以及抑制性免疫微环境。最近,纳米材料的发展增强了癌症疫苗接种级联,提高了抗肿瘤性能,减少了脱靶效应。本研究对CTA亚家族的结构特征和生物功能进行了深入的回顾,总结了基于CTA的疫苗平台的设计和利用,并为开发纳米材料衍生的CTA靶向疫苗提供了建议。
    Cancer‑testis antigen (CTA) is a well‑accepted optimal target library for cancer diagnosis and treatment. Most CTAs are located on the X chromosome and aggregate into large gene families, such as the melanoma antigen, synovial sarcoma X and G antigen families. Members of the CTA subfamily are usually co‑expressed in tumor tissues and share similar structural characteristics and biological functions. As cancer vaccines are recommended to induce specific antitumor responses, CTAs, particularly CTA subfamilies, are widely used in the design of cancer vaccines. To date, DNA, mRNA and peptide vaccines have been commonly used to generate tumor‑specific CTAs in vivo and induce anticancer effects. Despite promising results in preclinical studies, the antitumor efficacy of CTA‑based vaccines is limited in clinical trials, which may be partially attributed to weak immunogenicity, low efficacy of antigen delivery and presentation processes, as well as a suppressive immune microenvironment. Recently, the development of nanomaterials has enhanced the cancer vaccination cascade, improved the antitumor performance and reduced off‑target effects. The present study provided an in‑depth review of the structural characteristics and biofunctions of the CTA subfamilies, summarised the design and utilisation of CTA‑based vaccine platforms and provided recommendations for developing nanomaterial‑derived CTA‑targeted vaccines.
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  • 文章类型: Review
    结直肠癌(CRC)是世界范围内导致死亡的主要恶性肿瘤之一。肿瘤疫苗和溶瘤免疫治疗为晚期CRC患者带来新的希望。牛痘病毒(VV)携带外源基因作为抗原或免疫刺激因子的能力已在动物模型中得到证实。惠氏的VV,西部保护区,李斯特,田谭,和哥本哈根菌株已被设计用于在多种癌症中诱导抗肿瘤反应。本文综述了VV作为癌症疫苗和溶瘤载体在CRC治疗中的临床前和临床应用及发展。此外,还讨论了剩余的挑战和未来的方向。
    Colorectal cancer (CRC) is one of the leading malignancies that causes death worldwide. Cancer vaccines and oncolytic immunotherapy bring new hope for patients with advanced CRC. The capability of vaccinia virus (VV) in carrying foreign genes as antigens or immunostimulatory factors has been demonstrated in animal models. VV of Wyeth, Western Reserve, Lister, Tian Tan, and Copenhagen strains have been engineered for the induction of antitumor response in multiple cancers. This paper summarized the preclinical and clinical application and development of VV serving as cancer vaccines and oncolytic vectors in CRC treatment. Additionally, the remaining challenges and future direction are also discussed.
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  • 文章类型: Journal Article
    Primary liver cancer is the sixth most commonly diagnosed cancer and the third leading cause of cancer-related deaths worldwide. After surgery, up to 70% of patients experience relapses. The current first-line therapy for advanced cases of hepatocellular carcinoma (HCC) comprises sorafenib and lenvatinib administered as single-drug therapies. Regorafenib, cabozantinib, and ramucirumab are administered as second-line therapies. Recently, it has been reported that using the immune checkpoint inhibitors atezolizumab (anti-PDL1 antibody) and bevacizumab (anti-VEGF antibody) leads to longer overall survival of unresectable cases, when compared with the use of sorafenib. The role of cancer immunity against HCC has attracted the attention of clinicians. In this review, we describe our phase I/II clinical trials of peptide vaccines targeting GPC3 in HCC and discuss the potential of peptide vaccines targeting common cancer antigens that are highly expressed in HCC, such as WT-I, AFP, ROBO1, and FOXM1. Further, we introduce recent cancer vaccines targeting neoantigens, which have attracted attention in recent times, as well as present our preclinical studies, the results of which might aid to initiate a neoantigen vaccine clinical trial, which would be the first of its kind in Japan.
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  • 文章类型: Journal Article
    由于有关癌症及其与免疫系统相互作用的知识不断增长,在过去的二十年中,已经开发了大量的治疗性癌症疫苗。尽管在临床前模型中取得了令人鼓舞的结果,癌症疫苗尚未取得显著的临床疗效。有几个因素可能会导致如此糟糕的结果,包括难以触发强烈的免疫反应和免疫抑制的肿瘤微环境。目前正在探索许多策略。已将不同类型的佐剂掺入疫苗制剂中以提高其功效,因为癌症抗原通常免疫原性差。纳米颗粒系统是有前途的工具,因为它们充当抗原的载体并且可以被表面修饰,使得它们特异性地靶向淋巴结中的抗原呈递细胞。受生物启发的纳米材料由于其生物相容性而成为理想的候选者。最近,据报道,基于黑色素的纳米颗粒可以有效地定位到引流淋巴组织中,并引发针对负载抗原的免疫反应。此外,由于它们的光化学性质,在光热疗法的背景下,基于黑色素的纳米颗粒还可以发挥免疫调节作用以促进抗癌反应。在这次审查中,我们讨论黑色素的上述特性,并总结了最近在临床前模型中报道的基于黑色素的癌症疫苗的有希望的结果。
    Thanks to the growing knowledge about cancers and their interactions with the immune system, a huge number of therapeutic cancer vaccines have been developed in the past two decades. Despite encouraging results in pre-clinical models, cancer vaccines have not yet achieved significant clinical efficacy. Several factors may contribute to such poor results, including the difficulty of triggering a strong immune response and the immunosuppressive tumor microenvironment. Many strategies are currently being explored. Different types of adjuvants have been incorporated into vaccine formulations to improve their efficacy, as cancer antigens are usually poorly immunogenic. Nanoparticle systems are promising tools as they act as carriers for antigens and can be surface-modified so that they specifically target antigen-presenting cells in lymph nodes. Bioinspired nanomaterials are ideal candidates thanks to their biocompatibility. Recently, melanin-based nanoparticles were reported to efficiently localize into draining lymphoid tissues and trigger immune responses against loaded antigens. In addition, by virtue of their photochemical properties, melanin-based nanoparticles can also play an immunomodulatory role to promote anti-cancer responses in the context of photothermal therapy. In this review, we discuss the above-mentioned properties of melanin, and summarize the promising results of the melanin-based cancer vaccines recently reported in preclinical models.
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  • 文章类型: Journal Article
    Programmed cell death protein‑1 (PD‑1)/programmed death protein ligand‑1 (PD‑L1) inhibitors for treatment of a various types of cancers have revolutionized cancer immunotherapy. However, PD‑1/PD‑L1 inhibitors are associated with a low response rate and are only effective on a small number of patients with cancer. Development of an anti‑PD‑1/PD‑L1 sensitizer for improving response rate and effectiveness of immunotherapy is a challenge. The present study reviews the synergistic effects of PD‑1/PD‑L1 inhibitor with oncolytic virus, tumor vaccine, molecular targeted drugs, immunotherapy, chemotherapy, radiotherapy, intestinal flora and traditional Chinese medicine, to provide information for development of effective combination therapies.
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  • 文章类型: Journal Article
    头颈癌(HNC)是一种免疫抑制疾病,表现出异质性的分子特征和肿瘤-宿主相互作用的特征。除了放疗和手术,目前的全身治疗标准包括使用细胞毒性化疗,单克隆抗体(mAb),和酪氨酸激酶抑制剂(TKIs)。在免疫疗法类别下还开发了其他方法,但是免疫检查点抑制剂的最新进展使它们黯然失色。
    本系统综述涵盖了“针对患者的”治疗方式的最新进展,只能给特定的病人服用。
    目前,HNC的患者特异性治疗方式主要包括使用过继性细胞疗法和/或基因工程载体的主动免疫疗法。尽管发展速度缓慢,对这些治疗方式的兴趣仍在继续。HNC治疗的未来有望通过生物标志物和个性化方法以及定制的局部治疗组合(放射疗法,手术),全身药剂和免疫系统调节。需要进行系统的研究以生成可靠的数据并获得此类治疗方式有效性的高水平证据。
    Head and neck cancer (HNC) is an immunosuppressive disease that demonstrates heterogeneous molecular characteristics and features of tumor-host interaction. Beside radiotherapy and surgery, the current standard of care in systemic treatment involves the use of cytotoxic chemotherapy, monoclonal antibodies (mAbs), and tyrosine kinase inhibitors (TKIs). There are also other modalities being developed under the category of immunotherapy, but they are overshadowed by the recent advancements of immune checkpoint inhibitors.
    This systematic review covers recent advancements in \'patient-specific\' treatment modalities, which can be only administered to a given patient.
    Currently, patient-specific treatment modalities in HNC mainly consist of active immunotherapy using adoptive cell therapies and/or gene engineered vectors. Despite the slow pace of development, the interest continues in these treatment modalities. The future of HNC treatment is expected to be guided by biomarkers and personalized approaches with tailored combinations of local treatments (radiotherapy, surgery), systemic agents and immune system modulation. Systematic research is required to generate robust data and obtain a high-level of evidence for the effectiveness of such treatment modalities.
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  • 文章类型: Journal Article
    免疫治疗的兴起是过去几年来肿瘤学领域最大的进步,但在妇科恶性肿瘤中的应用落后于其他肿瘤。术语“免疫疗法”包裹单克隆抗体作为受体介质,包括免疫检查点抑制剂(ICPI),癌症疫苗,和过继免疫疗法单独或与其他治疗方法相结合。这篇综述的目的是总结卵巢癌免疫治疗试验的现状,并特别强调最近1-2年发表的数据。
    The rise of immunotherapy is the greatest advance in oncology to occur over the last several years, but applications in gynecologic malignancies lag behind other tumors. The term \"immunotherapy\" envelops monoclonal antibodies as receptor mediators, including immune checkpoint inhibitors (ICPI), cancer vaccines, and adoptive immunotherapies alone or in combination with other therapeutic approaches. The purpose of this review is to summarize the status of immunotherapy trials in ovarian cancer and to specifically highlight data published in the last 1-2 years.
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