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癌症疫苗:癌症治疗近期成果与前景的最新进展

Cancer vaccines: an update on recent achievements and prospects for cancer therapy.

作者信息

Chekaoui Arezki, Garofalo Mariangela, Gad Beata, Staniszewska Monika, Chiaro Jacopo, Pancer Katarzyna, Gryciuk Aleksander, Cerullo Vincenzo, Salmaso Stefano, Caliceti Paolo, Masny Aleksander, Wieczorek Magdalena, Pesonen Sari, Kuryk Lukasz

机构信息

Department of Virology, National Institute of Public Health NIH-National Research Institute, Warsaw, Poland.

Department of Pharmaceutical and Pharmacological Sciences, University of Padua, Padua, Italy.

出版信息

Clin Exp Med. 2024 Dec 25;25(1):24. doi: 10.1007/s10238-024-01541-7.

Abstract

Decades of basic and translational research have led to a momentum shift in dissecting the relationship between immune cells and cancer. This culminated in the emergence of breakthrough immunotherapies that paved the way for oncologists to manage certain hard-to-treat cancers. The application of high-throughput techniques of genomics, transcriptomics, and proteomics was conclusive in making and expediting the manufacturing process of cancer vaccines. Using the latest research technologies has also enabled scientists to interpret complex and multiomics data of the tumour mutanome, thus identifying new tumour-specific antigens to design new generations of cancer vaccines with high specificity and long-term efficacy. Furthermore, combinatorial regimens of cancer vaccines with immune checkpoint inhibitors have offered new therapeutic approaches and demonstrated impressive efficacy in cancer patients over the last few years. In the present review, we summarize the current state of cancer vaccines, including their potential therapeutic effects and the limitations that hinder their effectiveness. We highlight the current efforts to mitigate these limitations and highlight ongoing clinical trials. Finally, a special focus will be given to the latest milestones expected to transform the landscape of cancer therapy and nurture hope among cancer patients.

摘要

数十年来的基础研究和转化研究使得在剖析免疫细胞与癌症之间的关系方面出现了势头转变。这最终促成了突破性免疫疗法的出现,为肿瘤学家治疗某些难以治疗的癌症铺平了道路。基因组学、转录组学和蛋白质组学等高通量技术的应用对于癌症疫苗的研发和加速生产过程起到了决定性作用。使用最新的研究技术还使科学家能够解读肿瘤突变组的复杂多组学数据,从而识别出新的肿瘤特异性抗原,以设计具有高特异性和长期疗效的新一代癌症疫苗。此外,在过去几年中,癌症疫苗与免疫检查点抑制剂的联合方案提供了新的治疗方法,并在癌症患者中显示出令人印象深刻的疗效。在本综述中,我们总结了癌症疫苗的现状,包括它们的潜在治疗效果以及阻碍其有效性的局限性。我们强调了当前为减轻这些局限性所做的努力,并突出了正在进行的临床试验。最后,将特别关注有望改变癌症治疗格局并为癌症患者带来希望的最新里程碑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9527/11669620/75da95373f80/10238_2024_1541_Fig1_HTML.jpg

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