Dallal R M, Lotze M T
Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA.
Surg Oncol Clin N Am. 2001 Apr;10(2):433-47, xi.
This article provides a basic overview of tumor immunology vaccines, current vaccine trials, and future directions of vaccine strategies for the treatment of metastatic cancers. As dendritic cells are the most potent antigen-presenting cell and central to the regulation, maturation, and maintenance of a cellular immune response to cancer, these cells may be crucial to tumor vaccine strategies. Peptide-based strategies and monoclonal antibodies also have been used with some success in developing a tumor-specific response. Methods promoting a more effective immune response and maintaining T-cell survival through administration of adjuvant cytokines, synthetically modified antigens, and various other immunoadjuvants are discussed.
本文提供了肿瘤免疫疫苗的基本概述、当前的疫苗试验以及用于治疗转移性癌症的疫苗策略的未来方向。由于树突状细胞是最有效的抗原呈递细胞,并且对于癌症细胞免疫反应的调节、成熟和维持至关重要,因此这些细胞可能对肿瘤疫苗策略至关重要。基于肽的策略和单克隆抗体在产生肿瘤特异性反应方面也已取得了一些成功。文中还讨论了通过给予佐剂细胞因子、合成修饰抗原和各种其他免疫佐剂来促进更有效免疫反应并维持T细胞存活的方法。