Oncogene Mutations: The Shared Antigen Vaccines That Work?

IF 22.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
Annual review of medicine Pub Date : 2026-01-01 Epub Date: 2025-12-05 DOI:10.1146/annurev-med-043024-111400
Rodrigo Paredes, S Daniel Haldar, Shubham Pant, Eileen M O'Reilly
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引用次数: 0

Abstract

Cancer immunotherapy has advanced through immune checkpoint inhibitors and T cell therapies, yet challenges persist in overcoming immune evasion. Neoantigen-based vaccines have shown promise, particularly in tumors with high tumor mutation burden. However, logistical barriers and tumor heterogeneity limit their scalability. Shared oncogenic driver mutations (e.g., KRAS, EGFR, IDH) offer a stable and broadly applicable alternative. Clinical trials demonstrate their immunogenicity and potential in minimal residual disease settings. Advances in vaccine delivery and immune modulation, including adjuvants and cytokine-based therapies, may further enhance efficacy. This review explores the evolution of oncogene-directed vaccines, their clinical impact, and future strategies to optimize their therapeutic potential.

致癌基因突变:共享抗原疫苗有效吗?
通过免疫检查点抑制剂和T细胞疗法,癌症免疫治疗取得了进展,但克服免疫逃避的挑战仍然存在。基于新抗原的疫苗已显示出前景,特别是在具有高肿瘤突变负担的肿瘤中。然而,物流障碍和肿瘤异质性限制了它们的可扩展性。共享的致癌驱动突变(例如,KRAS, EGFR, IDH)提供了一个稳定且广泛适用的替代方案。临床试验证明了它们的免疫原性和在最小残留疾病环境中的潜力。疫苗递送和免疫调节的进展,包括佐剂和基于细胞因子的疗法,可能会进一步提高疗效。这篇综述探讨了癌基因导向疫苗的发展,它们的临床影响,以及优化其治疗潜力的未来策略。
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来源期刊
Annual review of medicine
Annual review of medicine 医学-医学:内科
CiteScore
24.90
自引率
0.00%
发文量
58
期刊介绍: The Annual Review of Medicine, which has been published since 1950, focuses on important advancements in diverse areas of medicine. These include AIDS/HIV, cardiology, clinical pharmacology, dermatology, endocrinology/metabolism, gastroenterology, genetics, immunology, infectious disease, neurology, oncology/hematology, pediatrics, psychiatry, pulmonology, reproductive medicine, and surgery. The journal's current volume has transitioned from a gated access model to an open access model through the Annual Reviews' Subscribe to Open program. All articles published in the journal are now available under a CC BY license.
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