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癌症疫苗:从免疫检查点抑制剂中吸取的经验教训。

Cancer vaccine: learning lessons from immune checkpoint inhibitors.

作者信息

Ye ZhenLong, Qian Qiming, Jin HuaJun, Qian QiJun

机构信息

Shanghai Engineering Research Center for Cell Therapy, 75 Qianyang Road, Shanghai 201805, China.

出版信息

J Cancer. 2018 Jan 1;9(2):263-268. doi: 10.7150/jca.20059. eCollection 2018.

Abstract

Cancer vaccines have been exclusively studied all through the past decades, and have made exceptional achievements in cancer treatment. Few cancer vaccines have been approved by the US Food and Drug Administration (FDA), for instance, Provenge, which was approved for the treatment of prostate carcinoma in 2012. Moreover, more recently, T-VEC got approval for the treatment of melanoma. While, the overall therapeutic effects of cancer vaccines have been taken into consideration as below expectations, low antigenicity of targeting antigen and tumor heterogeneity are the two key limiting barriers encountered by the cancer vaccines. Nonetheless, recent developments in cancer immune-therapies together with associated technologies, for instance the unparalleled achievements bagged by immune checkpoint inhibitor based therapies and neo-antigen identification tools, envisage potential improvements in cancer vaccines in respect to the treatments of malignancies. This review brings forth measures for the purpose of refining therapeutic cancer vaccines by learning lessons from the success of PD-1 inhibitor based immune-therapies.

摘要

在过去几十年里,癌症疫苗一直是专门的研究对象,并在癌症治疗方面取得了卓越成就。美国食品药品监督管理局(FDA)仅批准了少数几种癌症疫苗,例如2012年获批用于治疗前列腺癌的普列威(Provenge)。此外,最近,T-VEC获批用于治疗黑色素瘤。然而,癌症疫苗的总体治疗效果被认为低于预期,靶向抗原的低免疫原性和肿瘤异质性是癌症疫苗面临的两个关键限制障碍。尽管如此,癌症免疫疗法及其相关技术的最新进展,例如基于免疫检查点抑制剂的疗法和新抗原识别工具所取得的无与伦比的成就,设想了癌症疫苗在恶性肿瘤治疗方面的潜在改进。本综述通过借鉴基于PD-1抑制剂的免疫疗法的成功经验,提出了改进治疗性癌症疫苗的措施。

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