Zhang Dexin, Chen Yu, Fan Daiming
The Fourth Military Medical University, State Key Laboratory for Tumor Biology and Institute of Digestive Diseases, Xijing Hospital, 15 West Chang-Le Road, Xi'an 710032, PR China.
Expert Rev Vaccines. 2006 Apr;5(2):223-31. doi: 10.1586/14760584.5.2.223.
Gastric cancer is still one of the leading causes of cancer-related death worldwide. Prevention and treatment of gastric cancer through vaccination has been difficult owing to lack of a specific target and poor immunity. A number of vaccination strategies have been used to augment immune responses against gastric cancer and some progress has been made. In a series of studies, the authors have focused on gastric cancer vaccination approaches based on MG7 mimotopes, which are mimicry epitopes selected from phage-displayed oligopeptide libraries with a gastric cancer cell-specific monoclonal antibody, MG7-Ab. Strategies employed in these studies include viral or plasmid vectors in combination with carrier sequence or unmethylated CpG with synthetic peptides in nanoemulsion. The results demonstrated that MG7 mimotopes could effectively and specifically induce both cellular and humoral immune reactions and in vivo antitumor responses. In particular, a four-MG7 mimotope DNA vaccine was found to elicit much stronger antitumor immune responses in mice compared with its single-mimotope counterpart. These encouraging findings might pave the way for the development of novel MG7 antigen-based vaccination approaches for human gastric cancer. The review also discusses other immune-enhancing vaccination strategies for gastric cancer.
胃癌仍然是全球癌症相关死亡的主要原因之一。由于缺乏特异性靶点和免疫力低下,通过疫苗接种预防和治疗胃癌一直很困难。人们已经采用了多种疫苗接种策略来增强针对胃癌的免疫反应,并取得了一些进展。在一系列研究中,作者专注于基于MG7模拟表位的胃癌疫苗接种方法,MG7模拟表位是用胃癌细胞特异性单克隆抗体MG7-Ab从噬菌体展示寡肽库中筛选出的模拟表位。这些研究中采用的策略包括病毒或质粒载体与载体序列或未甲基化的CpG以及纳米乳剂中的合成肽相结合。结果表明,MG7模拟表位能够有效且特异性地诱导细胞免疫和体液免疫反应以及体内抗肿瘤反应。特别是,与单模拟表位的DNA疫苗相比,一种四MG7模拟表位DNA疫苗在小鼠中引发了更强的抗肿瘤免疫反应。这些令人鼓舞的发现可能为开发基于新型MG7抗原的新型人类胃癌疫苗接种方法铺平道路。该综述还讨论了其他用于胃癌的免疫增强疫苗接种策略。