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合成MUC1肽在乳腺癌中的I期研究。

Phase-I study of synthetic muc1 peptides in breast-cancer.

作者信息

Xing P, Michael M, Apostolopoulos V, Prenzoska J, Marshall C, Bishop J, McKenzie I

机构信息

AUSTIN RES INST,HEIDELBERG,VIC 3084,AUSTRALIA. PETER MACCALLUM HOSP,MELBOURNE,VIC 3002,AUSTRALIA.

出版信息

Int J Oncol. 1995 Jun;6(6):1283-9. doi: 10.3892/ijo.6.6.1283.

DOI:10.3892/ijo.6.6.1283
PMID:21556671
Abstract

Exposed peptides in the repeat (VNTR) protein core of human mucin 1 (MUC1) could be a target for immunotherapy, as it is highly immunogenic in mice and a human cytotoxic T lymphocytes to MUC1 recognise the peptide. On this basis 13 patients were immunised with a MUC1 peptide - a 20 amino acids dimer conjugated with diphtheria toroid as carrier. In patients with established breast cancer increasing doses (0.15 mg, 0.25 mg, 0.5 mg, 1.0 mg) were used at 2 week intervals (3 injections). No toxicity was found, other than for DTH reaction to the diphtheria carrier; weak antibody and T cell proliferative responses were seen and weak DTH reaction in proportion of patients. The MUC1 peptide appears to be safe but in the form used was not highly immunogenic.

摘要

人黏蛋白1(MUC1)重复(VNTR)蛋白核心中暴露的肽段可能成为免疫治疗的靶点,因为它在小鼠中具有高度免疫原性,且人针对MUC1的细胞毒性T淋巴细胞能识别该肽段。基于此,13例患者用一种MUC1肽段进行免疫——一种与白喉类毒素结合作为载体的20个氨基酸的二聚体。对于确诊的乳腺癌患者,每隔2周使用递增剂量(0.15毫克、0.25毫克、0.5毫克、1.0毫克)(共注射3次)。除了对白喉载体的迟发型超敏反应外,未发现其他毒性;观察到有微弱的抗体和T细胞增殖反应,部分患者有微弱的迟发型超敏反应。MUC1肽段似乎是安全的,但所用形式的免疫原性不高。

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Cytotoxic T cell responses are enhanced by antigen design involving the presentation of MUC1 peptide on cholera toxin B subunit.细胞毒性T细胞反应通过涉及在霍乱毒素B亚基上呈递MUC1肽的抗原设计得到增强。
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Breast Cancer (Dove Med Press). 2014 Oct 14;6:159-68. doi: 10.2147/BCTT.S38428. eCollection 2014.
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Pilot phase III immunotherapy study in early-stage breast cancer patients using oxidized mannan-MUC1 [ISRCTN71711835].使用氧化甘露聚糖-MUC1对早期乳腺癌患者进行的III期免疫治疗试点研究[ISRCTN71711835]。
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