Palomares Francisca, Pina Alejandra, Dakhaoui Hala, Leiva-Castro Camila, Munera-Rodriguez Ana M, Cejudo-Guillen Marta, Granados Beatriz, Alba Gonzalo, Santa-Maria Consuelo, Sobrino Francisco, Lopez-Enriquez Soledad
Department of Medical Biochemistry and Molecular Biology, and Immunology, School of Medicine, University of Seville, Av. Sanchez Pizjuan s/n, 41009 Seville, Spain.
Institute of Biomedicine of Seville (IBiS) HUVR/CSIC/University of Seville, Avda. Manuel Siurot s/n, 41013 Seville, Spain.
Vaccines (Basel). 2024 Feb 6;12(2):165. doi: 10.3390/vaccines12020165.
Dendritic cells (DCs) serve as professional antigen-presenting cells (APC) bridging innate and adaptive immunity, playing an essential role in triggering specific cellular and humoral responses against tumor and infectious antigens. Consequently, various DC-based antitumor therapeutic strategies have been developed, particularly vaccines, and have been intensively investigated specifically in the context of acute myeloid leukemia (AML). This hematological malignancy mainly affects the elderly population (those aged over 65), which usually presents a high rate of therapeutic failure and an unfavorable prognosis. In this review, we examine the current state of development and progress of vaccines in AML. The findings evidence the possible administration of DC-based vaccines as an adjuvant treatment in AML following initial therapy. Furthermore, the therapy demonstrates promising outcomes in preventing or delaying tumor relapse and exhibits synergistic effects when combined with other treatments during relapses or disease progression. On the other hand, the remarkable success observed with RNA vaccines for COVID-19, delivered in lipid nanoparticles, has revealed the efficacy and effectiveness of these types of vectors, prompting further exploration and their potential application in AML, as well as other neoplasms, loading them with tumor RNA.
树突状细胞(DCs)作为专职抗原呈递细胞(APC),架起了固有免疫和适应性免疫之间的桥梁,在触发针对肿瘤和感染性抗原的特异性细胞免疫和体液免疫反应中发挥着至关重要的作用。因此,已经开发了各种基于DC的抗肿瘤治疗策略,尤其是疫苗,并在急性髓系白血病(AML)的背景下进行了深入研究。这种血液系统恶性肿瘤主要影响老年人群(65岁以上),通常治疗失败率高且预后不良。在这篇综述中,我们研究了AML中疫苗的发展现状和进展。研究结果表明,基于DC的疫苗在初始治疗后作为AML的辅助治疗具有可行性。此外,该疗法在预防或延迟肿瘤复发方面显示出有前景的结果,并且在复发或疾病进展期间与其他治疗联合使用时表现出协同效应。另一方面,脂质纳米颗粒递送的COVID-19 RNA疫苗取得的显著成功,揭示了这类载体的有效性和功效,促使人们进一步探索它们在AML以及其他肿瘤中的潜在应用,即给它们装载肿瘤RNA。
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