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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Opportunity knocking: shared tumor-associated antigen vaccines against global cancer pandemic
1Department of Immunology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA ojfinn@pitt.edu.
Abstract:
Shared tumor-associated antigen (TAA) vaccines are the legacy of several generations of cancer immunologists who have labored to bring them to patients with cancer to improve their disease outcome and eventually use them to prevent cancer. TAA vaccines failed as monotherapy but the development of checkpoint inhibitors and other reagents that can modify immunosuppressive tumor microenvironment, warrants their reassessment in combination immunotherapy trials. They now sit on shelves and in freezers of academic labs and pharmaceutical companies, but if shown effective in the new setting, could be quickly turned into broadly applicable, inexpensive, off-the-shelf vaccines. Shared TAA vaccines also provide a unique opportunity to address the global cancer pandemic by repurposing them for cancer prevention. The opportunity that shared TAA vaccines provide to help patients now and to protect millions globally from the agony of cancer diagnosis in the future, is either not fully recognized, recognized but ignored, or at best, being put on hold.
Insights
Shared tumor-associated antigen (TAA) vaccines, once ineffective alone, show promise in combination immunotherapies. Repurposing these vaccines could offer inexpensive cancer prevention and treatment strategies globally.
Area of Science:
- Oncology
- Immunology
- Vaccinology
Background:
- Shared tumor-associated antigen (TAA) vaccines have a long history in cancer research aiming to improve patient outcomes and prevent cancer.
- Previous attempts at TAA vaccine monotherapy were unsuccessful.
- The tumor microenvironment can be modulated by checkpoint inhibitors and other agents, necessitating a re-evaluation of TAA vaccines.
Purpose of the Study:
- To reassess the potential of shared TAA vaccines in combination immunotherapy.
- To explore the repurposing of TAA vaccines for cancer prevention.
- To highlight the unrecognized potential of TAA vaccines for current and future cancer control.
Main Methods:
- Review of existing TAA vaccine technology and their historical performance.
- Consideration of advancements in immunotherapy, particularly checkpoint inhibitors.
- Evaluation of the feasibility of combining TAA vaccines with novel immunomodulatory agents.
Main Results:
- TAA vaccines failed as monotherapy but may be effective in combination therapies.
- Existing TAA vaccines are readily available in academic and pharmaceutical settings.
- Repurposing TAA vaccines offers a strategy for broad cancer prevention.
Conclusions:
- Shared TAA vaccines warrant reassessment in combination immunotherapy trials.
- These vaccines could become broadly applicable, inexpensive, off-the-shelf options.
- Repurposing TAA vaccines presents a significant opportunity for global cancer prevention and treatment.
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