在现场癌症疫苗:重新定义瘤微环境中的免疫激活
Prabhanjan Giram1, Kazi Md Mahabubur Rahman1, Osama Aqel1
1Department of Pharmaceutical Sciences, University at Buffalo, The State University of New York, Buffalo, New York 14214, United States.
ACS biomaterials science & engineering
|April 14, 2025
概括
在现场的癌症疫苗接种为传统疫苗提供了一个有希望的替代方案,通过直接在瘤中刺激免疫系统. 这种方法旨在克服免疫抑制等挑战,并提高治疗疗效,以获得更好的癌症治疗结果.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 纳米医学是一种纳米医学.
背景情况:
- 癌症仍然是导致死亡的主要原因,转移构成了重大挑战.
- 虽然纳米药物提高了生存率,但由于瘤诱导的免疫抑制,传统的癌症疫苗显示出有限的疗效和安全问题.
- 现场疫苗接种成为克服这些局限性的新策略.
研究的目的:
- 探索开发有效的实地癌症疫苗的策略.
- 审查正在进行的临床试验,并评估用于本地疫苗接种的免疫刺激方法.
- 讨论推进现场癌症疫苗接种的前景和挑战.
主要方法:
- 内注射免疫刺激剂以调节先天性免疫细胞 (树突细胞,巨细胞,中性粒细胞) 并恢复T细胞活性.
- 结合先天性和适应性免疫刺激,利用瘤相关抗原进行树突细胞激活和CD8+T细胞原始化.
- 探索各种疫苗模式,包括基于核酸 (RNA,DNA),基于酸,基于细胞和基于植物的病毒方法.
主要成果:
- 在现场疫苗接种策略通过结合先天性和适应性免疫反应显示出潜力.
- 已批准的 in situ 疫苗,如 T-VEC,显示出临床前景,正在进行的试验正在探索新的方法.
- 治疗方式 (化疗,辐射) 和辅助剂 (CpG-ODN,PRR激动剂) 增强抗原呈现和免疫激活.
结论:
- 在现场疫苗接种提供了诸如患者特异性,个性化和减少免疫逃逸等优势.
- 必须解决包括瘤异质性,免疫逃避和后勤挑战在内的重大障碍.
- 进一步的研究和临床试验对于在现场进行癌症疫苗接种以获得更广泛的疗效至关重要.
相关概念视频
Tumor Immunotherapy
404
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
404
Cancer Vaccines
259
Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
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 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...
259
The Tumor Microenvironment
6.4K
Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
6.4K


