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Published on: February 12, 2017
Cancer vaccines for the treatment and prevention of non small-cell lung cancer
M L Disis1, H L West, K Schiffman
1Division of Oncology, University of Washington, Seattle 98195-6527, USA. ndisis@u.washington.edu
Abstract:
Cancer vaccines targeting non small-cell lung cancer (NSCLC) have been studied for decades; clinical trials, for the most part, have focused on the use of autologous and allogeneic whole-tumor cell vaccines. Recent advances in molecular biology and immunology, however, have allowed the identification of many tumor antigens involved in the generation of immunity to NSCLC. Although small-cell lung cancer (SCLC) is commonly thought of as an immunogenic tumor, it is now clear that NSCLC is also capable of eliciting an endogenous immune response in patients with the disease and, in fact, has a natural history that may make NSCLC more amenable to vaccine therapy as an adjuvant treatment strategy. This review will high-light the major components of the immune system that may potentially interact with tumor-associated proteins as well as outline the immunologic similarities and differences between SCLC and NSCLC. Tumor antigens that elicit immune responses in patients with NSCLC will be discussed. Finally, clinical trials of whole-tumor cell vaccines, both autologous and allogeneic, and tumor antigen-specific vaccines will also be discussed.
Insights
Cancer vaccines for non-small cell lung cancer (NSCLC) are being developed. Research highlights tumor antigens and immune responses, suggesting NSCLC may benefit from vaccine therapy as an adjuvant treatment.
Area of Science:
- Immunology and Oncology
- Molecular Biology
Background:
- Decades of research into cancer vaccines for non-small cell lung cancer (NSCLC) have primarily utilized whole-tumor cell vaccines.
- Recent molecular and immunological advancements have identified numerous tumor antigens crucial for generating anti-NSCLC immunity.
- While small-cell lung cancer (SCLC) is considered immunogenic, NSCLC also elicits endogenous immune responses, potentially making it more responsive to vaccine therapy.
Purpose of the Study:
- To review the immune system components interacting with tumor-associated proteins in NSCLC.
- To compare the immunological characteristics of SCLC and NSCLC.
- To discuss tumor antigens that trigger immune responses in NSCLC patients and review clinical trials of NSCLC vaccines.
Main Methods:
- Literature review of existing research on NSCLC immunology and vaccine therapy.
- Analysis of tumor antigens identified in NSCLC.
- Review of clinical trial data for whole-tumor cell and antigen-specific NSCLC vaccines.
Main Results:
- Identification of key tumor antigens involved in NSCLC immunity.
- Understanding of NSCLC's capacity to elicit an endogenous immune response.
- Evaluation of the potential for NSCLC vaccine therapy as an adjuvant treatment.
Conclusions:
- NSCLC possesses characteristics that may enhance its susceptibility to vaccine-based immunotherapy.
- Further research into tumor antigens and immune interactions is vital for developing effective NSCLC vaccines.
- Clinical trials of both whole-tumor cell and antigen-specific vaccines are ongoing and crucial for advancing treatment strategies.
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