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针对结直肠癌的癌症疫苗的未来。

The future of cancer vaccines against colorectal cancer.

机构信息

Department of General Surgery, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Shanghai Institute of Digestive Surgery, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Expert Opin Biol Ther. 2024 Apr;24(4):269-284. doi: 10.1080/14712598.2024.2341744. Epub 2024 Apr 21.


DOI:10.1080/14712598.2024.2341744
PMID:38644655
Abstract

INTRODUCTION: Colorectal cancer (CRC) is the second most lethal malignancy worldwide. Immune checkpoint inhibitors (ICIs) benefit only 15% of patients with mismatch repair-deficient/microsatellite instability (dMMR/MSI) CRC. The majority of patients are not suitable due to insufficient immune infiltration. Cancer vaccines are a potential approach for inducing tumor-specific immunity within the solid tumor microenvironment. AREA COVERED: In this review, we have provided an overview of the current progress in CRC vaccines over the past three years and briefly depict promising directions for further exploration. EXPERT OPINION: Cancer vaccines are certainly a promising field for the antitumor treatment against CRC. Compared to monotherapy, cancer vaccines are more appropriate as adjuvants to standard treatment, especially in combination with ICI blockade, for microsatellite stable patients. Improved vaccine construction requires neoantigens with sufficient immunogenicity, satisfactory HLA-binding affinity, and an ideal delivery platform with perfect lymph node retention and minimal off-target effects. Prophylactic vaccines that potentially prevent CRC carcinogenesis are also worth investigating. The exploration of appropriate biomarkers for cancer vaccines may benefit prognostic prediction analysis and therapeutic response prediction in patients with CRC. Although many challenges remain, CRC vaccines represent an exciting area of research that may become an effective addition to current guidelines.

摘要

简介:结直肠癌(CRC)是全球第二大致命恶性肿瘤。免疫检查点抑制剂(ICIs)仅对 15%的错配修复缺陷/微卫星不稳定(dMMR/MSI)CRC 患者有效。由于免疫浸润不足,大多数患者不适合使用。癌症疫苗是在实体瘤微环境中诱导肿瘤特异性免疫的一种潜在方法。

涵盖领域:在这篇综述中,我们概述了过去三年 CRC 疫苗的最新进展,并简要描述了进一步探索的有前景的方向。

专家意见:癌症疫苗无疑是 CRC 抗肿瘤治疗的一个有前途的领域。与单药治疗相比,癌症疫苗更适合作为标准治疗的辅助手段,特别是与 ICI 阻断联合应用于微卫星稳定的患者。改良疫苗的构建需要具有足够免疫原性、满意的 HLA 结合亲和力以及具有理想的淋巴结保留和最小脱靶效应的理想递药平台的新抗原。预防 CRC 癌变的预防性疫苗也值得研究。对癌症疫苗的合适生物标志物的探索可能有助于对 CRC 患者的预后预测分析和治疗反应预测。尽管仍存在许多挑战,但 CRC 疫苗代表了一个令人兴奋的研究领域,可能成为当前指南的有效补充。

相似文献

[1]
The future of cancer vaccines against colorectal cancer.

Expert Opin Biol Ther. 2024-4

[2]
Relationships Between Immune Landscapes, Genetic Subtypes and Responses to Immunotherapy in Colorectal Cancer.

Front Immunol. 2020

[3]
Deficient Mismatch Repair and the Role of Immunotherapy in Metastatic Colorectal Cancer.

Curr Treat Options Oncol. 2016-8

[4]
Expanding the Scope of Immunotherapy in Colorectal Cancer: Current Clinical Approaches and Future Directions.

Biomed Res Int. 2020-1-25

[5]
Neoantigen: A Promising Target for the Immunotherapy of Colorectal Cancer.

Dis Markers. 2022

[6]
The next bastion to be conquered in immunotherapy: microsatellite stable colorectal cancer.

Front Immunol. 2023

[7]
Predictors of response to immunotherapy in colorectal cancer.

Oncologist. 2024-10-3

[8]
Crosstalk Between the MSI Status and Tumor Microenvironment in Colorectal Cancer.

Front Immunol. 2020

[9]
Performance of Next-Generation Sequencing for the Detection of Microsatellite Instability in Colorectal Cancer With Deficient DNA Mismatch Repair.

Gastroenterology. 2021-9

[10]
Colorectal cancer vaccines: The current scenario and future prospects.

Front Immunol. 2022

引用本文的文献

[1]
Therapeutic Colorectal Cancer Vaccines: Emerging Modalities and Translational Opportunities.

Vaccines (Basel). 2025-6-26

[2]
Advances in cancer nanovaccines: a focus on colorectal cancer.

Nanomedicine (Lond). 2025-5

[3]
Subtyping colorectal cancer based on septic shock-associated genes: prognosis and immune characteristics.

Front Genet. 2024-11-15

[4]
Personalized nanovaccines for treating solid cancer metastases.

J Hematol Oncol. 2024-11-28

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