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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Novel immunotherapies
1Division of Cancer Medicine, Department of Lymphoma and Myeloma, Center for Cancer Immunology Research, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030, USA. qyi@mdanderson.org
Abstract:
Multiple myeloma is still a fatal disease. Despite advances in high-dose chemotherapy and stem-cell transplantation and the development of novel therapeutics, relapse of the underlying disease remains the primary cause of treatment failure. Strategies for posttransplantation immunomodulation are desirable for eradication of remaining tumor cells. To this end, immunotherapy aimed at inducing myeloma-specific immunity in patients has been explored. Idiotype protein, secreted by myeloma cells, has been the primary target for immunotherapy as it is the best defined tumor-specific antigen. This chapter focuses on novel immunotherapies that are being developed to treat patients with myeloma. I will discuss potential myeloma antigens, antigen-specific T cells, and their function on myeloma tumor cells, and T-cell-based and antibody-based immunotherapies for myeloma. Furthermore, clinical studies of T-cell-based immunotherapy in the form of vaccination, allogeneic stem-cell transplantation and donor lymphocyte infusions, with or without donor vaccination using patient-derived idiotype, and future application of donor-derived or patient-derived, antigen-specific T-cell infusion in this disease are also discussed. Based on the specificity of the immune effector molecules and cells, immunotherapies with specific T cells or therapeutic antibodies may represent novel strategies for the treatment of multiple myeloma in the near future.
Insights
Novel immunotherapies targeting multiple myeloma aim to eradicate remaining cancer cells after treatment. These strategies focus on inducing myeloma-specific immunity using T-cells or therapeutic antibodies for improved patient outcomes.
Area of Science:
- Oncology
- Immunology
- Cancer Research
Background:
- Multiple myeloma remains a fatal disease, with relapse being a primary cause of treatment failure despite advancements.
- Effective strategies for post-transplantation immunomodulation are needed to eliminate residual myeloma cells.
- Immunotherapy, targeting tumor-specific antigens like idiotype protein, is being explored to induce myeloma-specific immunity.
Purpose of the Study:
- To review novel immunotherapies for multiple myeloma.
- To discuss potential myeloma antigens, T-cell functions, and T-cell-based and antibody-based immunotherapies.
- To explore clinical studies and future applications of T-cell-based immunotherapy.
Main Methods:
- Review of existing literature on multiple myeloma immunotherapies.
- Discussion of tumor-specific antigens, particularly idiotype protein.
- Analysis of clinical studies involving T-cell-based immunotherapy, including vaccination and stem-cell transplantation.
Main Results:
- Idiotype protein is a well-defined tumor-specific antigen for immunotherapy.
- T-cell-based and antibody-based immunotherapies show promise for treating multiple myeloma.
- Clinical studies of T-cell-based strategies are ongoing, with potential for future applications.
Conclusions:
- Immunotherapies utilizing specific T cells or therapeutic antibodies represent promising novel strategies for multiple myeloma treatment.
- Further research and clinical application of antigen-specific T-cell infusions hold potential for improved patient outcomes.
- Inducing myeloma-specific immunity is crucial for overcoming treatment resistance and achieving long-term remission.
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