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Published on: January 19, 2019
Immunotherapy for gynaecological malignancies
George Coukos1, Jose R Conejo-Garcia, Richard B S Roden
1Abramson Cancer Research Institute, Center for Research on Reproduction and Women's Health, University of Pennsylvania, Philadelphia, PA 19104, USA.
Abstract:
Gynaecological malignancies, excluding breast cancer, cause approximately 25,000 deaths yearly among women in the US. Therefore, novel approaches for the prevention or treatment of these diseases are urgently required. In the case of cervical cancer, human papillomavirus (HPV) xenoantigens are readily recognised by the immune system, and their targeting has shown great promise in preclinical models of therapeutic vaccination and in clinical studies of preventative vaccination. A growing body of evidence indicates that ovarian cancer is also immunogenic and can thus be targeted through immunotherapy. This review outlines the principles and problems of immunotherapy for cervical and ovarian cancer, including the authors' personal assessment.
Insights
Novel immunotherapies show promise for preventing and treating cervical and ovarian cancers. Targeting human papillomavirus (HPV) in cervical cancer and exploiting the immunogenicity of ovarian cancer are key strategies.
Area of Science:
- Gynecologic Oncology
- Immunology
- Cancer Therapeutics
Background:
- Gynaecological malignancies (excluding breast cancer) result in ~25,000 US deaths annually, necessitating innovative treatments.
- Cervical cancer shows promise for immunotherapy due to human papillomavirus (HPV) xenoantigens recognized by the immune system.
- Emerging evidence suggests ovarian cancer is also immunogenic, making it a viable target for immunotherapy.
Purpose of the Study:
- To review the principles and challenges of immunotherapy for cervical and ovarian cancers.
- To provide an expert assessment of current and future directions in gynecologic cancer immunotherapy.
Main Methods:
- Literature review focusing on immunotherapy principles and applications.
- Analysis of preclinical and clinical data for HPV-targeted therapies in cervical cancer.
- Evaluation of immunogenicity and immunotherapy approaches for ovarian cancer.
Main Results:
- Targeting HPV xenoantigens has demonstrated significant promise in preclinical and clinical settings for cervical cancer.
- Ovarian cancer's immunogenicity supports its potential for successful immunotherapy interventions.
- The review synthesizes current knowledge and highlights areas for future research.
Conclusions:
- Immunotherapy represents a promising avenue for managing cervical and ovarian cancers.
- Further research and clinical studies are essential to optimize immunotherapeutic strategies for these malignancies.
- Addressing the challenges in gynecologic cancer immunotherapy is crucial for improving patient outcomes.
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