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Published on: July 7, 2023
Peptide-based anticancer vaccines: recent advances and future perspectives
S Mocellin1, P Pilati, D Nitti
1Clinica Chirurgica Generale 2, Department of Oncological & Surgical Sciences, University of Padova, via Giustiniani 2, 35128 Padova, Italy. simone.mocellin@unipd.it
Abstract:
Anticancer active immunotherapy embodies the ideal antitumor therapy, as it theoretically combines target specificity with long-term disease control. Peptide-based cancer vaccines represent the most specific approach to polarize the immune system against malignant cells, since they are preparations made of single epitopes, the minimal immunogenic region of an antigen. Despite the strong rational, the promising preclinical results and the frequent induction of antigen-specific immune responses, peptide-based cancer vaccines have yielded relatively poor results in the clinical setting, a phenomenon likely due to the immunosuppressive properties of the tumor microenvironment that allow malignant cells to evade both naturally occurring and therapeutically induced immune surveillance. Nevertheless, advances in the engineering of peptides and in our understanding of the molecular mechanisms underlying an effective immune response against tumors have renewed the enthusiasm for peptide-based vaccination regimens in the setting of cancer, and a variety of clinical trials are being conducted based on the use of peptides. This review will describe the most recent insights in the rational design of peptide-based cancer vaccines, as well as the challenges to successful anticancer immunotherapy based on these short amino acid chains.
Insights
Peptide cancer vaccines offer targeted immunotherapy but face challenges from the tumor microenvironment. Advances in peptide engineering and understanding immune responses are renewing enthusiasm for these vaccines in cancer treatment.
Area of Science:
- Oncology
- Immunology
- Biotechnology
Background:
- Anticancer active immunotherapy aims for specific, long-term tumor control.
- Peptide-based cancer vaccines utilize minimal immunogenic regions (epitopes) for targeted immune response.
- Despite preclinical success, clinical outcomes for peptide vaccines are often poor due to tumor microenvironment immunosuppression.
Purpose of the Study:
- To review recent advancements in the rational design of peptide-based cancer vaccines.
- To discuss the challenges hindering successful anticancer immunotherapy using peptides.
- To highlight renewed enthusiasm and ongoing clinical trials for peptide vaccination strategies.
Main Methods:
- Literature review of recent insights in peptide engineering for cancer vaccines.
- Analysis of molecular mechanisms underlying effective anti-tumor immune responses.
- Examination of challenges posed by the tumor microenvironment to immunotherapy.
Main Results:
- Peptide vaccines show promise in preclinical studies by inducing antigen-specific immune responses.
- The immunosuppressive tumor microenvironment is a major barrier to clinical efficacy.
- Recent progress in peptide design and understanding of tumor immunology offers new hope.
Conclusions:
- Peptide-based cancer vaccines are a highly specific immunotherapy approach.
- Overcoming tumor microenvironment-mediated immune evasion is critical for clinical success.
- Continued research and clinical trials are vital for advancing peptide vaccination in oncology.
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