Department of Immunology, Institute for Cancer Research, Oslo University Hospital-Radiumhospitalet, Ullernchausseen 70, Oslo, Norway.
Methods Mol Biol. 2020;2115:259-280. doi: 10.1007/978-1-0716-0290-4_15.
Therapeutic dendritic cell (DC) cancer vaccines work to boost the body's immune system to fight a cancer. Although this type of immunotherapy often leads to the activation of tumor-specfic T cells, clinical responses are fairly low, arguing for the need to improve the design of DC-based vaccines. Recent studies revealed a promising strategy of combining DC vaccines with small interfering RNAs (siRNAs) targeting immunosuppressive signals such as checkpoint receptors. Similarly, incorporating checkpoint siRNA blockers in adoptive T-cell therapy to amplify cytotoxic T lymphocyte responses is now being tested in the clinic. The development of the next generation of cancer immunotherapies using siRNA technology will hopefuly benefit patients with various cancer types including those who did not respond to current therapies. This review highlights the latest advances in RNA interference technology to improve the therapeutic efficacy of DC cancer vaccines and T cell therapy.
治疗性树突状细胞 (DC) 癌症疫苗旨在增强机体免疫系统以对抗癌症。尽管这种免疫疗法通常会导致肿瘤特异性 T 细胞的激活,但临床反应相当低,这表明需要改进基于 DC 的疫苗的设计。最近的研究揭示了一种很有前途的策略,即将 DC 疫苗与针对免疫抑制信号(如检查点受体)的小干扰 RNA (siRNA) 联合使用。同样,将检查点 siRNA 阻断剂纳入过继性 T 细胞疗法以扩增细胞毒性 T 淋巴细胞反应,目前正在临床中进行测试。使用 siRNA 技术开发下一代癌症免疫疗法有望使包括对现有疗法无反应的患者在内的各种癌症类型的患者受益。本文综述了 RNA 干扰技术的最新进展,以提高 DC 癌症疫苗和 T 细胞疗法的治疗效果。