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非小细胞肺癌中的癌症疫苗策略

英文原题:Cancer Vaccine Strategies in Non-Small Cell Lung Cancer.

PubMed 2026/06/25(内容时间) Vaccines (Basel) Q2 · IF 3.5(JCR 2025)

研究概要

尽管免疫治疗的出现显著改善了长期生存,但相当一部分肺癌患者仍会出现原发性和获得性耐药。

中文摘要

尽管免疫治疗的出现显著改善了长期生存,但相当一部分肺癌患者仍会出现原发性和获得性耐药。在克服这一挑战的新兴策略中,癌症疫苗是一种有前景的方法,尤其是对于非小细胞肺癌(NSCLC)。多种疫苗平台已被研究,包括核酸疫苗、肽疫苗、树突状细胞疫苗和病毒载体方法。迄今为止,癌症疫苗尚未在大型随机试验中显示出一致的生存获益,其临床应用仍然有限。挑战包括高生产成本、制造复杂性以及与药物稳定性和可扩展性相关的问题。然而,随着新工具和技术的出现以优化新抗原选择、疫苗生产、疗效和安全性,若干正在进行的早期试验在多个平台上显示出有前景的信号。在这篇综述中,我们总结了疫苗在NSCLC治疗中不同分期和治疗背景下的当前证据。

展开英文摘要原文

Despite significant improvement in long-term survival with the advent of immunotherapy, a substantial proportion of lung cancer patients develop primary and acquired resistance. Among emerging strategies to overcome this challenge, cancer vaccines represent a promising approach, especially for non-small-cell lung cancer (NSCLC). A variety of vaccine platforms have been investigated, including nucleic acid-based vaccines, peptide vaccines, dendritic cell vaccines, and viral vector-based approaches. To date, cancer vaccines have not demonstrated consistent survival benefit in large randomized trials, and their clinical application remains limited. Challenges include high production costs, complexity in manufacturing, and issues related to drug stability and scalability. However, several ongoing early-phase trials show promising signals for several platforms, as new tools and technology become available to optimize neoantigen selection, vaccine production, efficacy, and safety. In this review, we summarize the current evidence of vaccines in NSCLC treatment across different stages and therapeutic settings.

论文信息

作者
Velasco RN Jr、Thamaraiselvan P、Garbo E、Novello S、Passiglia F
第一作者单位
Thoracic Oncology Department, Lung Center of the Philippines, Metro Manila 1101, Philippines.Philippines
通讯作者单位
Department of Oncology, University of Turin, San Luigi Gonzaga University Hospital, 10043 Orbassano, Italy.Italy
文献类型
综述
期刊
Vaccines2026 Jun 25
原文标识
PubMed 42506599 · DOI 10.3390/vaccines14070562