Figure Tumor rejection antigens are specific to individual tumors
Mice immunized with an irradiated tumor and challenged with viable cells of the same tumor can, in some cases, reject a lethal dose of that tumor (left panels). This is the result of an immune response to tumor rejection antigens. If the immunized mice are challenged with viable cells of a different tumor, there is no protection and the mice die (right panels).
多年前的动物模型已经发展到临床试验。UPenn 和Novartis 正在做这方面的临床试验。做法是把病人的癌细胞取出来,用辐射灭活,再注射到病人体内(腹部的脂肪中)。灭活的癌细胞依然可以触发免疫反应。激活后的免疫系统可以攻击原发的癌细胞。
几个变种:(1)与分子免疫疗法联用(PD-1,CTLA4)。(2)对灭活的癌细胞进一步处理再注入体内。
GVAX is portfolio of irradiated tumor cell lines that have been engineered to recruit immune cells by expressing GM-CSF, the most potent immune cell recruitment factor. GVAX vaccines are well suited for combination therapy because (a) they present numerous antigens to the immune system, thereby enabling a broad-based immune response and (b) have a well-established, favorable safety profile demonstrated in multiple clinical trials.