Baka Sofia, Iraklis George, Papadopoulou Evanthia
Molecular Medicine Clinic, Aristotle University of Thessaloniki, Greece.
Curr Opin Oncol. 2025 Jan 1;37(1):73-83. doi: 10.1097/CCO.0000000000001102. Epub 2024 Oct 1.
Despite recent advances in immunotherapy treatment for metastatic, early-stage nonsmall cell lung cancer (NSCLC), palliative, adjuvant, neoadjuvant, and perioperative treatment options, further development is needed. Exploring new frontiers of immuno-oncology is necessary. Researchers are interested in a therapeutic vaccination model.
In this paper, we provide a review of the latest lung cancer therapeutic vaccines.We describe strategies for antigen selection and delivery platforms. As of 5 th of August 2024, we have reviewed ongoing clinical trials and results.We summarize most of the important clinical trials of novel vaccines, the way of action, and available clinical data. We also discuss the pros and cons of various types of therapeutic vaccines.
Until recently, clinical trial results were mixed regarding the efficacy of therapeutic vaccines in lung cancer.Developing next-generation sequencing and bioinformatic technologies has helped identify suitable antigens. New personalized vaccines are based on neoantigens specific to unique tumor mutations.Neoantigens, instead of tumor-associated antigens, better delivery systems and adjuvants will improve antigen presentation and immune system activation.Combining these therapeutic vaccines with other therapeutic approaches will improve and prolong the response.
尽管转移性、早期非小细胞肺癌(NSCLC)的免疫治疗、姑息治疗、辅助治疗、新辅助治疗和围手术期治疗方案最近取得了进展,但仍需要进一步发展。探索免疫肿瘤学的新领域是必要的。研究人员对治疗性疫苗模型感兴趣。
在本文中,我们对最新的肺癌治疗性疫苗进行了综述。我们描述了抗原选择和递送平台的策略。截至2024年8月5日,我们回顾了正在进行的临床试验和结果。我们总结了新型疫苗的大多数重要临床试验、作用方式和可用的临床数据。我们还讨论了各种类型治疗性疫苗的优缺点。
直到最近,关于治疗性疫苗在肺癌中的疗效,临床试验结果喜忧参半。下一代测序和生物信息学技术的发展有助于识别合适的抗原。新的个性化疫苗基于独特肿瘤突变特有的新抗原。新抗原而非肿瘤相关抗原、更好的递送系统和佐剂将改善抗原呈递和免疫系统激活。将这些治疗性疫苗与其他治疗方法相结合将改善并延长反应。