Cheng L L, Chen B D, Zhao G Z
NingXia Medical University, General Hospital of NingXia Medical University, Yinchuan 750004, China.
Zhonghua Gan Zang Bing Za Zhi. 2020 Feb 20;28(2):183-187. doi: 10.3760/cma.j.issn.1007-3418.2020.02.018.
Hepatocellular carcinoma (HCC) is the fifth world's largest malignant tumor, which seriously endangers human health. The commonly used treatment effects are not satisfactory and the mortality rate is still high. Therefore, there is an urgent need for effective adjuvant treatment to improve patient survival. Alpha-fetoprotein (AFP) acts as the most common tumor marker used for HCC diagnosis. Studies have shown that alpha-fetoprotein can self-induce T cells in patients with hepatocellular carcinoma, and its immunogenic antigenic epitopes provide new ideas for the study of AFP vaccine. Presently, a variety of AFP vaccines have been developed, such as DC vaccine, DNA vaccine, and peptide vaccine, which have been successfully applied to HCC mouse model and phase I /II clinical trials, with evident results. This article discusses the molecular mechanism, categories and application prospects of AFP vaccine in HCC.
肝细胞癌(HCC)是全球第五大恶性肿瘤,严重危害人类健康。常用的治疗效果并不理想,死亡率仍然很高。因此,迫切需要有效的辅助治疗来提高患者生存率。甲胎蛋白(AFP)是用于HCC诊断的最常见肿瘤标志物。研究表明,甲胎蛋白可在肝细胞癌患者中自我诱导T细胞,其免疫原性抗原表位为AFP疫苗的研究提供了新思路。目前,已研发出多种AFP疫苗,如DC疫苗、DNA疫苗和肽疫苗,这些疫苗已成功应用于HCC小鼠模型及I/II期临床试验,效果显著。本文探讨了AFP疫苗在HCC中的分子机制、类别及应用前景。