Present status and future perspective of peptide-based vaccine therapy for urological cancer
Wataru Obara1, Mitsugu Kanehira1, Toyomasa Katagiri2
1Department of Urology, Iwate Medical University School of Medicine, Morioka, Japan.
Abstract:
Use of peptide-based vaccines as therapeutics aims to elicit immune responses through antigenic epitopes derived from tumor antigens. Peptide-based vaccines are easily synthesized and lack significant side-effects when given in vivo. Peptide-based vaccine therapy against several cancers including urological cancers has made progress for several decades, but there is no worldwide approved peptide vaccine. Peptide vaccines were also shown to induce a high frequency of immune response in patients accompanied by clinical efficacy. These data are discussed in light of the recent progression of immunotherapy caused by the addition of immune checkpoint inhibitors thus providing a general picture of the potential therapeutic efficacy of peptide-based vaccines and their combination with other biological agents. In this review, we discuss the mechanism of the antitumor effect of peptide-based vaccine therapy, development of our peptide vaccine, recent clinical trials using peptide vaccines for urological cancers, and perspectives of peptide-based vaccine therapy.
Insights
Peptide vaccines offer a promising therapeutic strategy for various cancers, including urological cancers, by stimulating immune responses. While not yet globally approved, their efficacy is enhanced when combined with modern immunotherapies like immune checkpoint inhibitors.
Area of Science:
- Oncology
- Immunology
- Vaccinology
Background:
- Peptide-based vaccines are synthesized for cancer therapeutics to elicit immune responses via tumor antigen epitopes.
- These vaccines are generally safe and well-tolerated in vivo, with a history of progress in urological cancers over decades.
- Despite advancements, no peptide vaccine has received worldwide approval, though some show clinical efficacy and induce high immune responses.
Purpose of the Study:
- To review the mechanism of action for peptide-based vaccine therapy against tumors.
- To discuss the development of a specific peptide vaccine.
- To explore recent clinical trials and future perspectives for peptide-based vaccines in urological cancers, especially in combination with other therapies.
Main Methods:
- Review of existing literature on peptide-based vaccines and cancer immunotherapy.
- Discussion of preclinical and clinical data regarding peptide vaccine efficacy.
- Analysis of the role of immune checkpoint inhibitors in augmenting vaccine therapy.
Main Results:
- Peptide vaccines can induce significant immune responses and clinical efficacy in cancer patients.
- Combination therapy with immune checkpoint inhibitors shows potential for enhanced therapeutic outcomes.
- Ongoing research and clinical trials are exploring the full potential of peptide vaccines.
Conclusions:
- Peptide-based vaccines represent a viable therapeutic avenue for cancer, particularly urological malignancies.
- The integration of peptide vaccines with advanced immunotherapies like immune checkpoint inhibitors is a key area for future development.
- Further research and clinical validation are necessary to achieve worldwide approval and widespread clinical application.
Related Concept Videos
Vaccinations
Cancer Vaccines
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Targeted Cancer Therapies
There are several types of targeted therapies against...
Peptide Bonds
Psychodynamic Perspectives on Personality
Psychodynamic theorists argue that unconscious...


