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卵巢癌细胞的核酸疫苗:从实验室到临床。

Nucleic acid-based vaccine for ovarian cancer cells; bench to bedside.

机构信息

Department of Business Administration, Business School, Al al-Bayt University, Mafraq, Jordan.

Medical Laboratory Techniques Department, Al-maarif University College, Anbar, Iraq.

出版信息

Cell Biochem Funct. 2024 Mar;42(2):e3978. doi: 10.1002/cbf.3978.

Abstract

Ovarian cancer continues to be a difficult medical issue that affects millions of individuals worldwide. Important platforms for cancer immunotherapy include checkpoint inhibitors, chimeric antigen receptor T cells, bispecific antibodies, cancer vaccines, and other cell-based treatments. To avoid numerous infectious illnesses, conventional vaccinations based on synthetic peptides, recombinant subunit vaccines, and live attenuated and inactivated pathogens are frequently utilized. Vaccine manufacturing processes, however, are not entirely safe and carry a significant danger of contaminating living microorganisms. As a result, the creation of substitute vaccinations is required for both viral and noninfectious illnesses, including cancer. Recently, there has been testing of nucleic acid vaccines, or NAVs, as a cancer therapeutic. Tumor antigens (TAs) are genetically encoded by DNA and mRNA vaccines, which the host uses to trigger immune responses against ovarian cancer cells that exhibit the TAs. Despite being straightforward, safe, and easy to produce, NAVs are not currently thought to be an ideal replacement for peptide vaccines. Some obstacles to this strategy include selecting the appropriate therapeutic agents (TAs), inadequate immunogenicity, and the immunosuppressive characteristic of ovarian cancer. We focus on strategies that have been employed to increase NAVs' effectiveness in the fight against ovarian cancer in this review.

摘要

卵巢癌仍然是一个全球性的医学难题,影响着全球数以百万计的人群。癌症免疫治疗的重要平台包括检查点抑制剂、嵌合抗原受体 T 细胞、双特异性抗体、癌症疫苗和其他基于细胞的治疗方法。为了避免多种传染病,人们经常使用基于合成肽、重组亚单位疫苗、减毒和灭活病原体的常规疫苗。然而,疫苗制造过程并不完全安全,存在着污染活微生物的重大危险。因此,需要为包括癌症在内的病毒和非传染性疾病开发替代疫苗。最近,核酸疫苗(NAV)已被用作癌症治疗的一种方法。肿瘤抗原(TA)由 DNA 和 mRNA 疫苗中的基因编码,宿主利用这些疫苗来引发针对表达 TA 的卵巢癌细胞的免疫反应。尽管核酸疫苗简单、安全且易于生产,但目前并不被认为是肽疫苗的理想替代品。这种策略存在一些障碍,包括选择合适的治疗剂(TA)、免疫原性不足以及卵巢癌的免疫抑制特性。在这篇综述中,我们重点介绍了为提高 NAV 对抗卵巢癌的疗效而采用的一些策略。

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