cancer vaccine

癌症疫苗
  • 文章类型: Journal Article
    为了合理设计表位特异性疫苗,鉴定可以加工和呈递的表位是必不可少的。由于基于算法的表位预测经常与实际识别的CD8+T细胞表位不一致,我们开发了一种体外CD8T细胞引发方案,以鉴定真正和功能表达的HLAI类表位。建立并验证该测定以鉴定由丙型肝炎病毒(HCV)感染的细胞呈递的表位。通过在生长因子和细胞因子的特定混合物存在下培养未分级的PBMC,可以实现初始CD8T细胞的体外引发。然后将细胞暴露于表达HCV的NS3蛋白的肝细胞。经过10天的共同培养,基于IFN-γELISpot分析鉴定HCV特异性T细胞应答。为此,用跨越整个NS3蛋白序列的长合成肽(SLP)再刺激T细胞,从而鉴定HCV特异性.我们证明了该方案导致初始前体对所测试的98个SLP中的11个具有特异性的抗原经历T细胞的体外引发。这11个SLP包含12个不同的HLA-A*02:01限制性表位,通过三种表位预测算法的组合预测。此外,我们确定了针对3种预测不包含任何免疫原性HLAI类表位的肽的反应,但在体外显示HCV特异性应答。从体外引发的PBMC中分离CD8+和CD8-T细胞仅在用短肽再刺激时显示出应答。我们建立了一种体外方法,该方法能够鉴定由交叉呈递抗原产生的HLAI类表位,并且可以交叉引发T细胞,并允许有效选择功能性免疫原性表位。但免疫原性也较低,用于设计针对持续性病毒感染和肿瘤抗原的定制治疗性疫苗。
    For the rational design of epitope-specific vaccines, identifying epitopes that can be processed and presented is essential. As algorithm-based epitope prediction is frequently discordant with actually recognized CD8+ T-cell epitopes, we developed an in vitro CD8 T-cell priming protocol to enable the identification of truly and functionally expressed HLA class I epitopes. The assay was established and validated to identify epitopes presented by hepatitis C virus (HCV)-infected cells. In vitro priming of naïve CD8 T cells was achieved by culturing unfractionated PBMCs in the presence of a specific cocktail of growth factors and cytokines, and next exposing the cells to hepatic cells expressing the NS3 protein of HCV. After a 10-day co-culture, HCV-specific T-cell responses were identified based on IFN-γ ELISpot analysis. For this, the T cells were restimulated with long synthetic peptides (SLPs) spanning the whole NS3 protein sequence allowing the identification of HCV-specificity. We demonstrated that this protocol resulted in the in vitro priming of naïve precursors to antigen-experienced T-cells specific for 11 out of 98 SLPs tested. These 11 SLPs contain 12 different HLA-A*02:01-restricted epitopes, as predicted by a combination of three epitope prediction algorithms. Furthermore, we identified responses against 3 peptides that were not predicted to contain any immunogenic HLA class I epitopes, yet showed HCV-specific responses in vitro. Separation of CD8+ and CD8- T cells from PBMCs primed in vitro showed responses only upon restimulation with short peptides. We established an in vitro method that enables the identification of HLA class I epitopes resulting from cross-presented antigens and that can cross-prime T cells and allows the effective selection of functional immunogenic epitopes, but also less immunogenic ones, for the design of tailored therapeutic vaccines against persistent viral infections and tumor antigens.
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  • 文章类型: Journal Article
    免疫疗法寄托了高风险癌症的许多希望,但由于单药方法的稀有性和有限的疗效,儿童缺乏证据。这里,我们的目标是在真实世界中使用N-of-1方法评估包括个性化树突状细胞(DC)疫苗在内的多模式疗法在复发性和/或高风险实体瘤儿童中的有效性.在4年的随访期间,48例患者共发生了160例可评估事件。该队列的总生存期为7.03年。53.8%的患者在接种疫苗后实现了疾病控制。比较生存分析显示DC疫苗在初始诊断后2年(HR=0.53,P=0.048)或疾病控制患者(HR=0.16,P=.00053)的有益效果。显示了节拍环磷酰胺和/或长春碱的协同作用趋势(HR=0.60P=.225)。在用DC疫苗引发后,发现免疫检查点抑制剂(ICI)具有强的协同作用(HR=0.40,P=.0047)。总之,个性化DC疫苗是多模式个体化治疗的有效组成部分。个性化DC疫苗在负担较小或较惰性的疾病中有效,具有良好的安全性,并与节拍和/或免疫调节剂协同作用。
    A lot of hope for high-risk cancers is being pinned on immunotherapy but the evidence in children is lacking due to the rarity and limited efficacy of single-agent approaches. Here, we aim to assess the effectiveness of multimodal therapy comprising a personalized dendritic cell (DC) vaccine in children with relapsed and/or high-risk solid tumors using the N-of-1 approach in real-world scenario. A total of 160 evaluable events occurred in 48 patients during the 4-year follow-up. Overall survival of the cohort was 7.03 years. Disease control after vaccination was achieved in 53.8% patients. Comparative survival analysis showed the beneficial effect of DC vaccine beyond 2 years from initial diagnosis (HR = 0.53, P = .048) or in patients with disease control (HR = 0.16, P = .00053). A trend for synergistic effect with metronomic cyclophosphamide and/or vinblastine was indicated (HR = 0.60 P = .225). A strong synergistic effect was found for immune check-point inhibitors (ICIs) after priming with the DC vaccine (HR = 0.40, P = .0047). In conclusion, the personalized DC vaccine was an effective component in the multimodal individualized treatment. Personalized DC vaccine was effective in less burdened or more indolent diseases with a favorable safety profile and synergized with metronomic and/or immunomodulating agents.
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  • 文章类型: Journal Article
    颅内肿瘤由于其生理位置而提出了重大的治疗挑战。由于相对低的毒性和肿瘤特异性,免疫疗法提供了靶向这些颅内肿瘤的有吸引力的方法。在这里,我们显示SCIB1,一种TRP-2和gp100定向免疫抗体®DNA疫苗,产生强烈的TRP-2特异性免疫反应,如通过产生大量的TRP2特异性IFNγ斑点和在接种疫苗的小鼠的脾脏中检测到大量的五聚体阳性T细胞所证明的。此外,疫苗诱导的T细胞能够识别并杀死B16HHDII/DR1细胞。发现多形性胶质母细胞瘤(GBM)表达PD-L1和IDO1的显着水平,PD-L1与GBM间质亚型患者的生存率较差相关,我们决定将SCIB1ImmunoBody®与PD-1免疫检查点阻断联合治疗具有表达TRP-2和gp100的颅内肿瘤的小鼠.死亡时间明显延长,这与组织微环境(TME)中CD4和CD8T细胞浸润增加有关。然而,除了PD-L1和IDO,发现GBMTME含有大量免疫调节T(Treg)细胞相关转录本,这种细胞的存在可能会显著影响临床结果,除非也解决。
    Intracranial tumors present a significant therapeutic challenge due to their physiological location. Immunotherapy presents an attractive method for targeting these intracranial tumors due to relatively low toxicity and tumor specificity. Here we show that SCIB1, a TRP-2 and gp100 directed ImmunoBody® DNA vaccine, generates a strong TRP-2 specific immune response, as demonstrated by the high number of TRP2-specific IFNγ spots produced and the detection of a significant number of pentamer positive T cells in the spleen of vaccinated mice. Furthermore, vaccine-induced T cells were able to recognize and kill B16HHDII/DR1 cells after a short in vitro culture. Having found that glioblastoma multiforme (GBM) expresses significant levels of PD-L1 and IDO1, with PD-L1 correlating with poorer survival in patients with the mesenchymal subtype of GBM, we decided to combine SCIB1 ImmunoBody® with PD-1 immune checkpoint blockade to treat mice harboring intracranial tumors expressing TRP-2 and gp100. Time-to-death was significantly prolonged, and this correlated with increased CD4+ and CD8+ T cell infiltration in the tissue microenvironment (TME). However, in addition to PD-L1 and IDO, the GBM TME was found to contain a significant number of immunoregulatory T (Treg) cell-associated transcripts, and the presence of such cells is likely to significantly affect clinical outcome unless also tackled.
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  • 文章类型: Journal Article
    在本研究中,我们研究了来自整个SARS-CoV-2蛋白质组的肽是否与TAA(肿瘤相关抗原)和交叉反应性CD8T细胞具有同源性。BNT162b2预防性疫苗或SARS-CoV-2自然感染。
    预测对HLA-A*02:01等位基因具有高亲和力(<100nM)的病毒表位。鉴定了共有和变体特异性表位。已发现SARS-CoV-2肽与多种TAAs之间的氨基酸序列具有显著同源性,主要与乳房有关,肝脏,黑色素瘤和结肠癌。在所有病毒蛋白中发现了病毒表位和TAA的分子模拟,主要是Orf1ab和Spike,它包含在BNT162b2疫苗中。预测的结构相似性证实了序列同源性,并且观察到了与HLA和TCRα和β链的类似接触模式。已经通过MHCI类-葡聚糖染色发现了与配对肽交叉反应的CD8+T细胞克隆。
    我们的结果首次表明,几种SARS-COV-2抗原与TAA高度同源,并且在感染和BNT162b2预防性接种疫苗的个体中鉴定出交叉反应性T细胞。这意味着SARS-Cov-2大流行可以代表对乳房的自然预防性免疫,肝脏,黑色素瘤和结肠癌。在未来的几年里,现实世界的证据将为此类免疫学实验证据提供最终证据。此外,这种SARS-CoV-2表位可用于开发“多癌”现成的预防/治疗疫苗制剂,具有比过表达的肿瘤自身抗原更高的抗原性和免疫原性,为世界各地成千上万的癌症患者带来潜在的宝贵利益。
    UNASSIGNED: In the present study we investigated whether peptides derived from the entire SARS-CoV-2 proteome share homology to TAAs (tumor-associated antigens) and cross-reactive CD8+ T cell can be elicited by the BNT162b2 preventive vaccine or the SARS-CoV-2 natural infection.
    UNASSIGNED: Viral epitopes with high affinity (<100nM) to the HLA-A*02:01 allele were predicted. Shared and variant-specific epitopes were identified. Significant homologies in amino acidic sequence have been found between SARS-CoV-2 peptides and multiple TAAs, mainly associated with breast, liver, melanoma and colon cancers. The molecular mimicry of the viral epitopes and the TAAs was found in all viral proteins, mostly the Orf 1ab and the Spike, which is included in the BNT162b2 vaccine. Predicted structural similarities confirmed the sequence homology and comparable patterns of contact with both HLA and TCR α and β chains were observed. CD8+ T cell clones cross-reactive with the paired peptides have been found by MHC class l-dextramer staining.
    UNASSIGNED: Our results show for the first time that several SARS-COV-2 antigens are highly homologous to TAAs and cross-reactive T cells are identified in infected and BNT162b2 preventive vaccinated individuals. The implication would be that the SARS-Cov-2 pandemic could represent a natural preventive immunization for breast, liver, melanoma and colon cancers. In the coming years, real-world evidences will provide the final proof for such immunological experimental evidence. Moreover, such SARS-CoV-2 epitopes can be used to develop \"multi-cancer\" off-the-shelf preventive/therapeutic vaccine formulations, with higher antigenicity and immunogenicity than over-expressed tumor self-antigens, for the potential valuable benefit of thousands of cancer patients around the World.
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  • 文章类型: Journal Article
    目前缺乏具有特别是通过利用抗原呈递细胞(APC)改善适应性免疫的特征的疫苗佐剂。在先前的工作中,我们从Granolafrondosa的子实体中获得了一种新的可溶性300kDa均质β-葡聚糖,名为GFPBW1。GFPBW1可以通过靶向树突状细胞相关的C型凝集素1(Dectin-1)/Syk/NF-κB信号来激活巨噬细胞,从而实现抗肿瘤作用。在这项研究中,用OVA抗原和B16-OVA肿瘤模型探索了GFPBW1的佐剂作用。我们表明,GFPBW1(5、50、500μg/mL)通过增加CD80,CD86和MHCII表达而剂量依赖性地促进APC的体外激活和成熟。我们用OVA与GFPBW1(50或300μg)组合免疫雌性小鼠两次,间隔两周。GFPBW1显着和剂量依赖性地增加不同亚型的OVA特异性抗体滴度,包括IgG1,IgG2a,IgG2b和IgG3,表明它可以作为Th1和Th2型免疫应答的佐剂。此外,GFPBW1与铝组合显着增加OVA特异性IgG2a和IgG2b的滴度,而不是IgG1,这表明GFPBW1可以用作铝的辅助佐剂来补偿Th1缺乏。对于用OVA加GFPBW1免疫的小鼠,在主要器官或注射部位均未观察到明显的病理损伤。并且没有注意到任何血液学参数的异常。当GFPBW1在B16-OVA癌症疫苗模型中作为佐剂时,它可以用预防性疫苗完成整个肿瘤抑制,用治疗性疫苗增强抗肿瘤功效。发现差异表达基因在抗原加工过程中富集,特异性增加的DC肿瘤浸润,OVA加GFPBW1组的B1细胞和浆细胞,根据其对APC的激活和成熟功能。总的来说,这项研究系统地描述了GFPBW1作为一种新型有效和安全的佐剂的特性,并强调了其在疫苗开发中的巨大潜力。
    Adjuvants for vaccines with characteristics of improving adaptive immunity particularly via leverage of antigen presenting cells (APCs) are currently lacking. In a previous work we obtained a new soluble 300 kDa homogeneous β-glucan named GFPBW1 from the fruit bodies of Granola frondosa. GFPBW1 could activate macrophages by targeting dendritic cell associated C-type lectin 1 (Dectin-1)/Syk/NF-κB signaling to achieve antitumour effects. In this study the adjuvant effects of GFPBW1 were explored with OVA-antigen and B16-OVA tumor model. We showed that GFPBW1 (5, 50, 500 μg/mL) dose-dependently promoted activation and maturation of APCs in vitro by increasing CD80, CD86 and MHC II expression. We immunized female mice with OVA in combination with GFPBW1 (50 or 300 μg) twice with an interval of two weeks. GFPBW1 markedly and dose-dependently increased OVA-specific antibody titers of different subtypes including IgG1, IgG2a, IgG2b and IgG3, suggesting that it could serve as an adjuvant for both Th1 and Th2 type immune responses. Furthermore, GFPBW1 in combination with aluminum significantly increased the titers of OVA-specific IgG2a and IgG2b, but not those of IgG1, suggesting that GFPBW1 could be used as a co-adjuvant of aluminum to compensate for Th1 deficiency. For mice immunized with OVA plus GFPBW1, no obvious pathological injury was observed in either major organs or injection sites, and no abnormalities were noted for any of the hematological parameters. When GFPBW1 served as an adjuvant in the B16-OVA cancer vaccine models, it could accomplish entire tumor suppression with preventive vaccines, and enhance antitumour efficacy with therapeutic vaccines. Differentially expressed genes were found to be enriched in antigen processing process, specifically increased tumor infiltration of DCs, B1 cells and plasma cells in the OVA plus GFPBW1 group, in accordance with its activation and maturation function of APCs. Collectively, this study systematically describes the properties of GFPBW1 as a novel potent and safe adjuvant and highlights its great potential in vaccine development.
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  • 文章类型: Journal Article
    背景:癌症疫苗的探索已经产生了大量的研究,导致不同的信息收集。癌症疫苗数据的异质性严重阻碍了有效的整合和分析。虽然CanVaxKB是670多种手动注释癌症疫苗的开创性数据库,区分数据库很重要,靠自己,不提供本体中的结构化关系和标准化定义。认识到这一点,我们扩大了疫苗本体论(VO),包括CanVaxKB中最初未涵盖的癌症疫苗,增强VO系统定义和关联癌症疫苗的能力。
    结果:首先开发了一种本体设计模式(ODP),并将其应用于语义表示各种癌症疫苗,捕获其关联的实体和关系。通过应用ODP,我们生成了表格格式的癌症疫苗模板,并将其转换为RDF/OWL格式,用于生成VO中的癌症疫苗术语.“12MP疫苗”被用作癌症疫苗的实例以证明ODP的应用。VO还重用参考本体术语来表示诸如癌症疾病和疫苗宿主等实体。开发了描述逻辑(DL)和SPARQL查询脚本,用于根据不同疫苗的特征查询癌症疫苗,并证明了VO表示的多功能性。此外,本体论建模用于说明癌症疫苗相关概念和研究,以进行深入的癌症疫苗分析。癌症疫苗特异性VO视图,称为“CVO,“生成了\”,它包含928类,包括704种癌症疫苗。CVOOWL文件可在http://purl上公开获得。obolibrary.org/obo/vo/cvo.猫头鹰,用于共享和应用程序。
    结论:为了促进标准化,一体化,和癌症疫苗数据分析,我们将疫苗本体论(VO)扩展到系统建模和代表癌症疫苗.我们还开发了一个管道,以自动将癌症疫苗和相关术语纳入VO。这不仅丰富了数据的标准化和集成化,而且还利用本体论建模来加深对癌症疫苗信息的分析,为研究人员和临床医生带来最大利益。
    背景:VO-cancerGitHub网站是:https://github.com/vaccineontology/VO/tree/master/CVO。
    BACKGROUND: The exploration of cancer vaccines has yielded a multitude of studies, resulting in a diverse collection of information. The heterogeneity of cancer vaccine data significantly impedes effective integration and analysis. While CanVaxKB serves as a pioneering database for over 670 manually annotated cancer vaccines, it is important to distinguish that a database, on its own, does not offer the structured relationships and standardized definitions found in an ontology. Recognizing this, we expanded the Vaccine Ontology (VO) to include those cancer vaccines present in CanVaxKB that were not initially covered, enhancing VO\'s capacity to systematically define and interrelate cancer vaccines.
    RESULTS: An ontology design pattern (ODP) was first developed and applied to semantically represent various cancer vaccines, capturing their associated entities and relations. By applying the ODP, we generated a cancer vaccine template in a tabular format and converted it into the RDF/OWL format for generation of cancer vaccine terms in the VO. \'12MP vaccine\' was used as an example of cancer vaccines to demonstrate the application of the ODP. VO also reuses reference ontology terms to represent entities such as cancer diseases and vaccine hosts. Description Logic (DL) and SPARQL query scripts were developed and used to query for cancer vaccines based on different vaccine\'s features and to demonstrate the versatility of the VO representation. Additionally, ontological modeling was applied to illustrate cancer vaccine related concepts and studies for in-depth cancer vaccine analysis. A cancer vaccine-specific VO view, referred to as \"CVO,\" was generated, and it contains 928 classes including 704 cancer vaccines. The CVO OWL file is publicly available on: http://purl.obolibrary.org/obo/vo/cvo.owl , for sharing and applications.
    CONCLUSIONS: To facilitate the standardization, integration, and analysis of cancer vaccine data, we expanded the Vaccine Ontology (VO) to systematically model and represent cancer vaccines. We also developed a pipeline to automate the inclusion of cancer vaccines and associated terms in the VO. This not only enriches the data\'s standardization and integration, but also leverages ontological modeling to deepen the analysis of cancer vaccine information, maximizing benefits for researchers and clinicians.
    BACKGROUND: The VO-cancer GitHub website is: https://github.com/vaccineontology/VO/tree/master/CVO .
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  • 文章类型: Journal Article
    肿瘤相关抗原(TAA)是皮肤黑色素瘤中基于T细胞的免疫治疗方法的潜在靶标。BNT111,一种研究性脂质复合物配制的基于mRNA的治疗性癌症疫苗,编码黑色素瘤TAAsNY-ESO-1,酪氨酸酶,MAGE-A3和TPTE,正在成人中接受临床试验。这些TAA在小儿黑色素瘤中的表达尚不清楚,但这是该治疗方法在儿童黑色素瘤中可行性的先决条件。我们的主要目标是表征与对照组相比,这些TAA在小儿黑色素瘤中的表达。在这项回顾性病例对照研究中,NY-ESO-1、酪氨酸酶、MAGE-A3和TPTE在25例小儿黑色素瘤的队列中进行了分析,31年轻人的黑色素瘤,29个成人黑色素瘤,30例儿童良性黑素细胞痣采用免疫组化染色、数字病理(QuPath)和逆转录定量PCR。基于IHC分析,小儿黑色素瘤表达酪氨酸酶(100.0%),TPTE(44.0%),MAGE-A3(12.0%),和NY-ESO-1(8.0%)。年轻成人黑色素瘤表达酪氨酸酶(96.8%),NY-ESO-1(19.4%),MAGE-A3(19.4%),和TPTE(3.2%)。成人黑色素瘤表达酪氨酸酶(86.2%),MAGE-A3(75.9%),NY-ESO-1(48.3%),和TPTE(48.3%)。儿童黑素细胞痣仅表达酪氨酸酶(93.3%)。个别TAA的表达患病率在小儿黑色素瘤的亚型之间没有差异,未发现与预后相关。所有四种TAAs都在小儿黑色素瘤中表达,尽管NY-ESO-1和MAGE-A3的程度低于成人黑色素瘤。这些数据支持研究靶向这些TAA的疫苗用于治疗小儿黑色素瘤的可能性。
    Tumor-associated antigens (TAAs) are potential targets for T cell-based immunotherapy approaches in cutaneous melanoma. BNT111, an investigational lipoplex-formulated mRNA-based therapeutic cancer vaccine encoding melanoma TAAs NY-ESO-1, tyrosinase, MAGE-A3, and TPTE, is undergoing clinical testing in adults. Expression of these TAAs in pediatric melanoma is unclear but is a prerequisite for feasibility of this treatment approach in children with melanoma. Our main objective was to characterize expression of those TAAs in pediatric melanomas compared to control cohorts. In this retrospective case control study, protein and transcript expression of NY-ESO-1, tyrosinase, MAGE-A3, and TPTE were analyzed in a cohort of 25 pediatric melanomas, 31 melanomas of young adults, 29 adult melanomas, and 30 benign melanocytic nevi in children using immunohistochemical staining and digital pathology (QuPath) and reverse transcription quantitative PCR. Based on IHC analysis, pediatric melanomas expressed tyrosinase (100.0%), TPTE (44.0%), MAGE-A3 (12.0%), and NY-ESO-1 (8.0%). Young adult melanomas expressed tyrosinase (96.8%), NY-ESO-1 (19.4%), MAGE-A3 (19.4%), and TPTE (3.2%). Adult melanomas expressed tyrosinase (86.2%), MAGE-A3 (75.9%), NY-ESO-1 (48.3%), and TPTE (48.3%). Childhood melanocytic nevi only expressed tyrosinase (93.3%). Expression prevalence of individual TAAs did not differ between subtypes of pediatric melanoma, and no association with prognosis was found. All four TAAs were expressed in pediatric melanoma, albeit NY-ESO-1 and MAGE-A3 to a lesser extent than in adult melanoma. These data support the possibility of investigating vaccines targeting these TAAs for the treatment of pediatric melanoma.
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  • 文章类型: Journal Article
    Mendez-Gomez等人.最近证明了RNA-脂质颗粒聚集体(RNA-LPAs)在免疫治疗中的转化潜力。通过重新编程肿瘤微环境(TME)和增强抗肿瘤免疫力,RNA-LPAs靶向原发性肿瘤并引发强大的全身免疫。这一创新平台有望将临床前成功转化为切实的临床益处。
    Mendez-Gomez et al. recently demonstrated the transformative potential of RNA-lipid particle aggregates (RNA-LPAs) in immunotherapy. By reprogramming the tumor microenvironment (TME) and potentiating antitumor immunity, RNA-LPAs target primary tumors and elicit robust systemic immunity. This innovative platform holds promise for translating preclinical success into tangible clinical benefits.
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  • 文章类型: Journal Article
    胰腺癌是癌症相关死亡的主要原因,但令人沮丧的是,这种耐药类型肿瘤的前景和预后长期严峻。目前,由于患者很少表现出症状,并且没有可靠的检测指标,因此尽早预防或检测到有效治疗是极具挑战性的。大多数患者患有难以治疗的晚期或扩散癌症,化疗和放疗等治疗方法只能稍微延长他们的寿命几个月。免疫疗法彻底改变了胰腺癌的治疗方法,然而,其有效性受到肿瘤免疫抑制和难以触及的微环境的限制。首先,这篇文章解释了胰腺癌的免疫抑制微环境,并强调了广泛的免疫治疗选择,包括涉及溶瘤病毒的治疗,修饰的T细胞(T细胞受体[TCR]-工程和嵌合抗原受体[CAR]T细胞疗法),CAR自然杀伤细胞疗法,细胞因子诱导的杀伤细胞,免疫检查点抑制剂,免疫调节剂,癌症疫苗,以及在当代知识和未来趋势的背景下针对骨髓细胞的策略。最后,它讨论了胰腺癌免疫治疗面临的主要挑战。
    Pancreatic cancer is a major cause of cancer-related death, but despondently, the outlook and prognosis for this resistant type of tumor have remained grim for a long time. Currently, it is extremely challenging to prevent or detect it early enough for effective treatment because patients rarely exhibit symptoms and there are no reliable indicators for detection. Most patients have advanced or spreading cancer that is difficult to treat, and treatments like chemotherapy and radiotherapy can only slightly prolong their life by a few months. Immunotherapy has revolutionized the treatment of pancreatic cancer, yet its effectiveness is limited by the tumor\'s immunosuppressive and hard-to-reach microenvironment. First, this article explains the immunosuppressive microenvironment of pancreatic cancer and highlights a wide range of immunotherapy options, including therapies involving oncolytic viruses, modified T cells (T-cell receptor [TCR]-engineered and chimeric antigen receptor [CAR] T-cell therapy), CAR natural killer cell therapy, cytokine-induced killer cells, immune checkpoint inhibitors, immunomodulators, cancer vaccines, and strategies targeting myeloid cells in the context of contemporary knowledge and future trends. Lastly, it discusses the main challenges ahead of pancreatic cancer immunotherapy.
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  • 文章类型: Editorial
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