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Neoantigen-driven personalized vaccines for breast cancer: Platforms, nano-delivery systems, and combination
Xiangdong Liu1, Junxia Liu1, Tengfei Chao1
1Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Abstract:
Breast cancer (BC) is the most common malignancy among women globally. Despite significant advances, therapeutic resistance and tumor recurrence remain major clinical challenges. Personalized cancer vaccines have recently emerged as a promising strategy to induce durable, highly specific anti-tumor immune responses and improve long-term survival. However, challenges persist in neoantigen prediction, vaccine formulation, and practical implementation, which can hinder the overall effectiveness and widespread adoption of these personalized cancer vaccines. Ongoing technological advancements are expected to facilitate the development of more efficient and accessible personalized vaccines for BC. This review systematically summarizes recent progress in personalized BC vaccines, focusing on neoantigen identification, emerging vaccine platforms, nano-delivery systems, and subtype-specific vaccine strategies. It also discusses the pharmacological basis of these vaccines, including immune activation mechanisms, pharmacokinetic influences on efficacy, and mechanisms of vaccine resistance. Furthermore, we explore combination strategies integrating cancer vaccines with immune checkpoint inhibitors (ICIs), radiotherapy, and chemotherapy to overcome the immunosuppressive tumor microenvironment (TME) and enhance therapeutic efficacy. Ultimately, this review provides a comprehensive reference to guide future research and promote the clinical translation of personalized vaccine-based immunotherapies for breast cancer.
Insights
Personalized cancer vaccines offer a promising approach to combat breast cancer (BC) by inducing specific anti-tumor immunity. Ongoing advancements aim to overcome challenges in vaccine development and implementation for improved patient outcomes.
Area of Science:
- Oncology
- Immunology
- Vaccinology
Background:
- Breast cancer (BC) remains a leading global malignancy in women, with therapeutic resistance and recurrence posing significant clinical hurdles.
- Personalized cancer vaccines represent a novel strategy to generate durable, specific anti-tumor immune responses, potentially improving long-term survival.
Purpose of the Study:
- To systematically review recent advancements in personalized breast cancer vaccines.
- To discuss challenges and future directions in neoantigen prediction, vaccine formulation, and clinical implementation.
- To explore combination strategies for enhanced therapeutic efficacy.
Main Methods:
- Systematic review of recent literature on personalized breast cancer vaccines.
- Analysis of neoantigen identification, vaccine platforms, and nano-delivery systems.
- Examination of pharmacological aspects, immune activation, and resistance mechanisms.
Main Results:
- Personalized vaccines show promise for inducing specific anti-tumor immunity in breast cancer.
- Technological progress is driving the development of more efficient and accessible personalized vaccines.
- Combination strategies with immune checkpoint inhibitors, radiotherapy, and chemotherapy are being explored to overcome the tumor microenvironment.
Conclusions:
- Personalized cancer vaccines hold significant potential for improving breast cancer treatment outcomes.
- Addressing challenges in prediction, formulation, and delivery is crucial for widespread adoption.
- Further research and clinical translation are needed to fully realize the benefits of these immunotherapies.
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