Zhejiang Provincial Key Laboratory of Pancreatic Disease, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China.
Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Mil Med Res. 2022 Oct 13;9(1):53. doi: 10.1186/s40779-022-00416-w.
Pancreatic cancer is characterized by inter-tumoral and intra-tumoral heterogeneity, especially in genetic alteration and microenvironment. Conventional therapeutic strategies for pancreatic cancer usually suffer resistance, highlighting the necessity for personalized precise treatment. Cancer vaccines have become promising alternatives for pancreatic cancer treatment because of their multifaceted advantages including multiple targeting, minimal nonspecific effects, broad therapeutic window, low toxicity, and induction of persistent immunological memory. Multiple conventional vaccines based on the cells, microorganisms, exosomes, proteins, peptides, or DNA against pancreatic cancer have been developed; however, their overall efficacy remains unsatisfactory. Compared with these vaccine modalities, messager RNA (mRNA)-based vaccines offer technical and conceptional advances in personalized precise treatment, and thus represent a potentially cutting-edge option in novel therapeutic approaches for pancreatic cancer. This review summarizes the current progress on pancreatic cancer vaccines, highlights the superiority of mRNA vaccines over other conventional vaccines, and proposes the viable tactic for designing and applying personalized mRNA vaccines for the precise treatment of pancreatic cancer.
胰腺癌的特征是肿瘤间和肿瘤内异质性,特别是在遗传改变和微环境方面。胰腺癌的传统治疗策略通常会产生耐药性,这凸显了个性化精准治疗的必要性。癌症疫苗因其具有多靶向、最小非特异性作用、广泛的治疗窗口、低毒性和诱导持久免疫记忆等多种优势,已成为治疗胰腺癌的有前途的替代方法。已经开发出多种针对胰腺癌的基于细胞、微生物、外泌体、蛋白质、肽或 DNA 的常规疫苗,但它们的总体疗效仍不尽人意。与这些疫苗模式相比,信使 RNA(mRNA)为基础的疫苗在个性化精准治疗方面提供了技术和概念上的进步,因此代表了胰腺癌新型治疗方法中一个潜在的前沿选择。本综述总结了胰腺癌疫苗的最新进展,强调了 mRNA 疫苗相对于其他常规疫苗的优越性,并提出了设计和应用个性化 mRNA 疫苗进行胰腺癌精准治疗的可行策略。
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