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疫苗接种作为鼻咽癌的治疗策略

英文原题:Vaccination as a therapeutic strategy for Nasopharyngeal carcinoma.

PubMed 2022/11/01(内容时间) Oral Oncol Q1 · IF 4(JCR 2025)

研究概要

复发或转移性NPC患者的治疗选择有限。

中文摘要

复发或转移性鼻咽癌患者的治疗选择有限。EBV与鼻咽癌之间的密切关联使得靶向EBV抗原的治疗性疫苗成为一种新兴的治疗模式。治疗性疫苗提供刺激,使患者能够产生自身针对癌症的靶向免疫应答。推动该领域进入临床的两种方法是树突状细胞疫苗和病毒载体疫苗。临床试验显示这些疫苗耐受性良好,能够引发针对肿瘤特异性表位的靶向免疫应答。然而,鉴于试验尚处于早期阶段,临床疗效数据较为有限。开发鼻咽癌治疗性疫苗的其他方法包括使用肿瘤干细胞裂解物、EBV抗原肽和EBV抗原质粒DNA。正在进行的试验的结果以及临床前疫苗进入I期试验的进展,将进一步揭示疫苗的疗效以及这些不同治疗性疫苗开发方法的可行性。未来的研究可能探索多种疫苗联合治疗、过继性T细胞治疗或检查点抑制剂的联合方案。

展开英文摘要原文

Patients with recurrent or metastatic NPC are left with limited treatment options. The close association between EBV and NPC make therapeutic vaccination targeting EBV-antigens an emerging new treatment modality. Therapeutic vaccination provides a stimulus to allow the patient to mount their own targeted immune response against the cancer. The two approaches that have led the field into the clinic are dendritic-cell based vaccines and virus-based vaccines. Clinical trials have shown the vaccines to be well-tolerated, and able to elicit a targeted immune response to tumor specific epitopes. Clinical efficacy data, however, is more limited given the early stage of the trials. Other approaches to developing a therapeutic vaccine for NPC include using cancer stem cell lysates, EBV-antigen peptides, and EBV-antigen plasmid DNA. Readout of ongoing trials and progression of preclinical vaccines into Phase I will shed additional light on the efficacy of vaccines and the feasibility of these different approaches to developing a therapeutic vaccine. Future studies may explore combination therapies with multiple vaccines, adoptive T-cell therapy, or checkpoint inhibitors.

论文信息

作者
Huang J、Harris E、Lorch J
第一作者单位
Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510, United States. Electronic address: julian.huang@yale.edu.United States
通讯作者单位
Department of Medical Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, D2136, Boston, MA 02115, United States. Electronic address: Jochen_lorch@dfci.harvard.edu.United States
期刊
Oral oncology2022 Dec
原文标识
PubMed 36332445 · DOI 10.1016/j.oraloncology.2022.106083