Vaccines targeting helper T cells for cancer immunotherapy.

Vaccines targeting helper T cells for cancer immunotherapy.
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DOI:
10.1016/j.coi.2017.07.004
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发表时间:
2017-08
影响因子:
7
通讯作者:
Slingluff CL Jr
Slingluff CL Jr
中科院分区:
医学2区
文献类型:
--
作者:
Melssen M;Slingluff CL Jr

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有令人信服的理由来设计癌症疫苗,专门诱导CD4+辅助T细胞反应。最近的研究强调了增殖的、激活的效应记忆Th1 CD4+T细胞在有效的抗肿瘤免疫中的关键作用,并发现CD4+T细胞比CD8+T细胞诱导更持久的免疫介导的肿瘤控制。CD4+T细胞通过多种机制促进抗肿瘤免疫,包括增强抗原提呈、共刺激、T细胞归巢、T细胞激活和效应器功能。这些效应是在T细胞启动部位和肿瘤微环境中介导的。几种癌症疫苗方法可诱导持久的CD4+T细胞反应,并具有良好的临床活性。未来的工作应该进一步优化疫苗佐剂和包含辅助肽疫苗的联合疗法。
There are compelling arguments for designing cancer vaccines specifically to induce CD4+ helper T cell responses. Recent studies highlight the crucial role of proliferating, activated effector memory Th1 CD4+ T cells in effective antitumor immunity and reveal that CD4+ T cells induce more durable immune-mediated tumor control than CD8+ T cells. CD4+ T cells promote antitumor immunity by numerous mechanisms including enhancing antigen presentation, co- stimulation, T cell homing, T cell activation, and effector function. These effects are mediated at sites of T cell priming and at the tumor microenvironment. Several cancer vaccine approaches induce durable CD4+ T cell responses and have promising clinical activity. Future work should further optimize vaccine adjuvants and combination therapies incorporating helper peptide vaccines.
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