Personalized pancreatic cancer therapy: from the perspective of mRNA vaccine
Xing Huang1,2,3,4,5, Gang Zhang6,7,8,9,10, Tian-Yu Tang6,7,8,9,10
1Zhejiang Provincial Key Laboratory of Pancreatic Disease, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China. huangxing66@zju.edu.cn.
Abstract:
Pancreatic cancer is characterized by inter-tumoral and intra-tumoral heterogeneity, especially in genetic alteration and microenvironment. Conventional therapeutic strategies for pancreatic cancer usually suffer resistance, highlighting the necessity for personalized precise treatment. Cancer vaccines have become promising alternatives for pancreatic cancer treatment because of their multifaceted advantages including multiple targeting, minimal nonspecific effects, broad therapeutic window, low toxicity, and induction of persistent immunological memory. Multiple conventional vaccines based on the cells, microorganisms, exosomes, proteins, peptides, or DNA against pancreatic cancer have been developed; however, their overall efficacy remains unsatisfactory. Compared with these vaccine modalities, messager RNA (mRNA)-based vaccines offer technical and conceptional advances in personalized precise treatment, and thus represent a potentially cutting-edge option in novel therapeutic approaches for pancreatic cancer. This review summarizes the current progress on pancreatic cancer vaccines, highlights the superiority of mRNA vaccines over other conventional vaccines, and proposes the viable tactic for designing and applying personalized mRNA vaccines for the precise treatment of pancreatic cancer.
Insights
Pancreatic cancer treatment faces challenges due to tumor heterogeneity. Messenger RNA (mRNA) vaccines show promise for personalized pancreatic cancer therapy, offering advantages over conventional approaches.
Area of Science:
- Oncology
- Immunology
- Biotechnology
Background:
- Pancreatic cancer exhibits significant inter- and intra-tumoral heterogeneity, leading to therapeutic resistance.
- Conventional treatments for pancreatic cancer often prove insufficient due to tumor complexity.
- The need for personalized, precise treatment strategies is critical for improving patient outcomes.
Purpose of the Study:
- To review current advancements in pancreatic cancer vaccines.
- To highlight the advantages of messenger RNA (mRNA) vaccines over traditional vaccine types.
- To propose strategies for developing and implementing personalized mRNA vaccines for pancreatic cancer.
Main Methods:
- Review of existing literature on pancreatic cancer vaccines.
- Comparative analysis of different vaccine modalities (cellular, microbial, exosomal, protein, peptide, DNA).
- Evaluation of messenger RNA (mRNA) vaccine technology for pancreatic cancer.
Main Results:
- Conventional pancreatic cancer vaccines have shown limited efficacy.
- Messenger RNA (mRNA) vaccines offer technical and conceptual advancements for personalized treatment.
- mRNA vaccines present a potentially cutting-edge therapeutic option for pancreatic cancer.
Conclusions:
- Messenger RNA (mRNA) vaccines represent a superior platform for personalized pancreatic cancer treatment.
- Further research and strategic design are needed to optimize personalized mRNA vaccine application.
- mRNA vaccines hold significant potential to overcome current therapeutic limitations in pancreatic cancer.
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