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乳腺癌疫苗接种:最新进展及临床试验分析

Breast cancer vaccination: Latest advances with an analytical focus on clinical trials.

机构信息

Department of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Medical Oncology-Hematology, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Int Immunopharmacol. 2023 Oct;123:110696. doi: 10.1016/j.intimp.2023.110696. Epub 2023 Jul 24.

Abstract

Breast cancer (BC) is one of the main causes of cancer-related death worldwide. The heterogenicity of breast tumors and the presence of tumor resistance, metastasis, and disease recurrence make BC a challenging malignancy. A new age in cancer treatment is being ushered in by the enormous success of cancer immunotherapy, and therapeutic cancer vaccination is one such area of research. Nevertheless, it has been shown that the application of cancer vaccines in BC as monotherapy could not induce satisfying anti-tumor immunity. Indeed, the application of various vaccine platforms as well as combination therapies like immunotherapy could influence the clinical benefits of BC treatment. We analyzed the clinical trials of BC vaccination and revealed that the majority of trials were in phase I and II meaning that the BC vaccine studies lack favorable outcomes or they need more development. Furthermore, peptide- and cell-based vaccines are the major platforms utilized in clinical trials according to our analysis. Besides, some studies showed satisfying outcomes regarding carbohydrate-based vaccines in BC treatment. Recent advancements in therapeutic vaccines for breast cancer were promising strategies that could be accessible in the near future.

摘要

乳腺癌(BC)是全球癌症相关死亡的主要原因之一。乳腺肿瘤的异质性以及肿瘤耐药性、转移和疾病复发的存在,使得 BC 成为一种具有挑战性的恶性肿瘤。癌症免疫疗法的巨大成功开创了癌症治疗的新纪元,而治疗性癌症疫苗接种就是该领域的研究之一。然而,已经表明,作为单一疗法的癌症疫苗在 BC 中的应用不能诱导令人满意的抗肿瘤免疫。事实上,各种疫苗平台的应用以及免疫疗法等联合疗法可以影响 BC 治疗的临床获益。我们分析了 BC 疫苗接种的临床试验,结果表明,大多数试验处于 I 期和 II 期,这意味着 BC 疫苗研究缺乏良好的结果,或者需要进一步开发。此外,根据我们的分析,肽和细胞基疫苗是临床试验中主要使用的平台。此外,一些研究表明,在 BC 治疗中,基于碳水化合物的疫苗具有令人满意的结果。最近在乳腺癌治疗中的治疗性疫苗方面的进展是有希望的策略,在不久的将来可能会实现。

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