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[抗肿瘤疫苗:概念、研发及人体评估]

[Antitumor vaccines: conception, development and evaluation in humans].

作者信息

Moingeon Ph

机构信息

Aventis Pasteur, Département de Recherche et Développement, Campus Mérieux, 1541 Avenue Marcel Mérieux, F 69280, Marcy L'Etoile, France.

出版信息

Ann Pharm Fr. 2002 Jul;60(4):253-9.

PMID:12378152
Abstract

Our strategy is to develop multivalent recombinant vaccines capable of eliciting broad immune responses in patients with malignant melanoma or colorectal cancer. Our current focus is on the induction of tumor-specific T cell responses using a prime-boost immunization schedule with a unique vector system derived from the canarypox virus called ALVAC, in which we incorporate genes encoding Tumor Associated Antigens (TAAs). A series of phase I/II clinical studies evaluating ALVAC recombinants carrying either the CEA, p53, MAGE1 or MAGE3 genes, administered through the subcutaneous, intradermal or intravenous routes, has shown that this approach is safe and can induce tumor-specific antibody or T cell responses in at least some of the patients. Based on these encouraging results, future candidate vaccines will likely target multiple tumor-associated antigens, using several antigen presentation platforms associated in prime-boost immunization regimens.

摘要

我们的策略是开发能够在恶性黑色素瘤或结直肠癌患者中引发广泛免疫反应的多价重组疫苗。我们目前的重点是使用一种初免-加强免疫方案来诱导肿瘤特异性T细胞反应,该方案采用一种源自金丝雀痘病毒的独特载体系统,称为ALVAC,我们在其中整合了编码肿瘤相关抗原(TAAs)的基因。一系列评估通过皮下、皮内或静脉途径给药的携带CEA、p53、MAGE1或MAGE3基因的ALVAC重组体的I/II期临床研究表明,这种方法是安全的,并且至少在一些患者中可以诱导肿瘤特异性抗体或T细胞反应。基于这些令人鼓舞的结果,未来的候选疫苗可能会使用初免-加强免疫方案中相关的几种抗原呈递平台来靶向多种肿瘤相关抗原。

相似文献

1
[Antitumor vaccines: conception, development and evaluation in humans].[抗肿瘤疫苗:概念、研发及人体评估]
Ann Pharm Fr. 2002 Jul;60(4):253-9.
2
Recombinant cancer vaccines based on viral vectors.基于病毒载体的重组癌症疫苗。
Dev Biol (Basel). 2004;116:117-22; discussion 133-43.
3
Therapeutic vaccines against melanoma and colorectal cancer.针对黑色素瘤和结直肠癌的治疗性疫苗。
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Induction of p53-specific immune responses in colorectal cancer patients receiving a recombinant ALVAC-p53 candidate vaccine.在接受重组ALVAC-p53候选疫苗的结直肠癌患者中诱导p53特异性免疫反应。
Clin Cancer Res. 2002 May;8(5):1019-27.
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Modified vaccinia virus ankara recombinants are as potent as vaccinia recombinants in diversified prime and boost vaccine regimens to elicit therapeutic antitumor responses.改良安卡拉痘苗病毒重组体在多种初免和加强疫苗方案中诱导治疗性抗肿瘤反应的效力与痘苗重组体相当。
Cancer Res. 2003 Nov 15;63(22):7942-9.
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Vaccine therapy of established tumors in the absence of autoimmunity.在无自身免疫情况下对已形成肿瘤的疫苗治疗。
Clin Cancer Res. 2003 May;9(5):1837-49.
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Immune responses to human tumors: development of tumor vaccines.对人类肿瘤的免疫反应:肿瘤疫苗的研发
Anticancer Res. 2003 May-Jun;23(3A):1969-96.
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Clinical development of MVA-based therapeutic cancer vaccines.基于痘苗病毒安卡拉株的治疗性癌症疫苗的临床开发。
Expert Rev Vaccines. 2008 Sep;7(7):889-93. doi: 10.1586/14760584.7.7.889.
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Vector-based vaccine/cytokine combination therapy to enhance induction of immune responses to a self-antigen and antitumor activity.基于载体的疫苗/细胞因子联合疗法,以增强对自身抗原的免疫反应诱导及抗肿瘤活性。
Cancer Res. 2002 Oct 15;62(20):5770-7.
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Phase I study of immunization with dendritic cells modified with fowlpox encoding carcinoembryonic antigen and costimulatory molecules.用编码癌胚抗原和共刺激分子的禽痘病毒修饰树突状细胞进行免疫的I期研究。
Clin Cancer Res. 2005 Apr 15;11(8):3017-24. doi: 10.1158/1078-0432.CCR-04-2172.

引用本文的文献

1
MAGE1 is expressed by a subset of pancreatic endocrine neoplasms and associated lymph node and liver metastases.黑色素瘤抗原1(MAGE1)在一部分胰腺内分泌肿瘤以及相关的淋巴结和肝转移灶中表达。
Int J Gastrointest Cancer. 2003;33(2-3):141-7. doi: 10.1385/IJGC:33:2-3:141.