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肝细胞癌中癌症疫苗及疫苗策略的综合综述

A Comprehensive Review on Cancer Vaccines and Vaccine Strategies in Hepatocellular Carcinoma.

作者信息

Tojjari Alireza, Saeed Ahmed, Singh Meghana, Cavalcante Ludimila, Sahin Ibrahim Halil, Saeed Anwaar

机构信息

Department of Medicine, Division of Hematology & Oncology, University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA 15213, USA.

Sarah Cannon Cancer Institute, HCA Midwest Health, Kansas City, MO 64131, USA.

出版信息

Vaccines (Basel). 2023 Aug 12;11(8):1357. doi: 10.3390/vaccines11081357.

Abstract

HCC, the most prevalent form of primary liver cancer, presents a substantial global health challenge due to its high mortality and limited therapeutic options. This review delves into the potential of cancer vaccines as a novel therapeutic avenue for HCC. We examine the various categories of cancer vaccines, including peptide-based, dendritic cell-based, viral vector-based, DNA, and mRNA vaccines, and their potential application in HCC management. This review also addresses the inherent challenges in vaccine development, such as tumor heterogeneity and the need for identifying tumor-specific antigens. We underscore the role of cancer vaccines in reshaping the immune environment within HCC, fostering durable immune memory, and their potential in combination therapies. The review also evaluates clinical trials and emphasizes the necessity for more extensive research to optimize vaccine design and patient selection criteria. We conclude with future perspectives, highlighting the significance of personalized therapies, innovative antigen delivery platforms, immune modulatory agents, and predictive biomarkers in revolutionizing HCC treatment. Simple Summary: This review explores the potential of cancer vaccines as a promising therapeutic strategy for hepatocellular carcinoma (HCC), a prevalent and deadly liver cancer. The authors discuss various types of cancer vaccines, their challenges, and their role in modulating the immune response within HCC. They also highlight clinical trials and future perspectives, emphasizing the importance of personalized therapies, novel antigen delivery platforms, and predictive biomarkers. The findings from this research could significantly impact the research community by providing a comprehensive understanding of the current state of cancer vaccines for HCC, thereby guiding future research and potentially transforming HCC treatment strategies.

摘要

肝癌是原发性肝癌最常见的形式,因其高死亡率和有限的治疗选择,对全球健康构成了重大挑战。本综述深入探讨了癌症疫苗作为肝癌新治疗途径的潜力。我们研究了各类癌症疫苗,包括基于肽的、基于树突状细胞的、基于病毒载体的、DNA和mRNA疫苗,以及它们在肝癌治疗中的潜在应用。本综述还讨论了疫苗开发中固有的挑战,如肿瘤异质性以及识别肿瘤特异性抗原的必要性。我们强调了癌症疫苗在重塑肝癌免疫环境、促进持久免疫记忆方面的作用,以及它们在联合治疗中的潜力。该综述还评估了临床试验,并强调需要进行更广泛的研究,以优化疫苗设计和患者选择标准。我们以未来展望作为结论,强调个性化治疗、创新抗原递送平台、免疫调节剂和预测性生物标志物在彻底改变肝癌治疗方面的重要性。

简要总结

本综述探讨了癌症疫苗作为肝细胞癌(HCC)一种有前景的治疗策略的潜力,HCC是一种常见且致命的肝癌。作者讨论了各类癌症疫苗、它们面临的挑战以及它们在调节肝癌免疫反应中的作用。他们还强调了临床试验和未来展望,强调了个性化治疗、新型抗原递送平台和预测性生物标志物的重要性。这项研究的结果可能会对研究界产生重大影响,通过全面了解肝癌癌症疫苗的现状,从而指导未来的研究,并有可能改变肝癌的治疗策略。

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