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社论:肿瘤学中的 mRNA 疫苗和免疫疗法:个性化医学的新时代。

Editorial: mRNA Vaccines and Immunotherapy in Oncology: A New Era for Personalized Medicine.

机构信息

Science Editor, International Scientific Information, Inc., Melville, NY, USA.

出版信息

Med Sci Monit. 2021 May 17;27:e933088. doi: 10.12659/MSM.933088.

Abstract

Synthetic mRNA and the expression of therapeutic proteins have accelerated vaccine development to prevent infection and heralds a new era in targeted immunotherapy in oncology. Therapeutic mRNA vaccines rely on available tumor tissue for gene sequencing analysis to compare the patient's normal cellular DNA sequences and those of the tumor. Carrier-based mRNA vaccines for cancer immunotherapy are now in development that use delivery systems based on peptides, lipids, polymers, and cationic nano-emulsions. There have also been recent developments in dendritic cell-based mRNA vaccines. For patients with available tumor tissue samples, it is possible to develop mRNA vaccines that result in the expression of tumor antigens by antigen-presenting cells (APCs), resulting in innate and adaptive immune responses. Ongoing developments in mRNA immunotherapy include modifications in the route of administration and combined delivery of multiple mRNA vaccines with checkpoint inhibitors. This Editorial aims to present a brief overview of how mRNA immunotherapy may change the therapeutic landscape of personalized medicine for patients with solid malignant tumors.

摘要

合成 mRNA 和治疗性蛋白的表达加速了疫苗的开发,以预防感染,并预示着肿瘤靶向免疫治疗的新时代的到来。治疗性 mRNA 疫苗依赖于可用的肿瘤组织进行基因测序分析,以比较患者的正常细胞 DNA 序列与肿瘤的 DNA 序列。目前正在开发基于载体的癌症免疫治疗 mRNA 疫苗,这些疫苗使用基于肽、脂质、聚合物和阳离子纳米乳液的递送系统。基于树突状细胞的 mRNA 疫苗也有了最近的发展。对于有可用肿瘤组织样本的患者,可以开发出 mRNA 疫苗,通过抗原呈递细胞 (APC) 表达肿瘤抗原,从而引发先天和适应性免疫反应。mRNA 免疫疗法的最新进展包括改变给药途径和联合使用多种 mRNA 疫苗与检查点抑制剂进行联合递送。本社论旨在简要介绍 mRNA 免疫疗法如何改变实体恶性肿瘤患者个体化医学的治疗格局。

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