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Encyclopedia > Cancer vaccine

The term cancer vaccine is often used to describe a process whereby a person's immune system is coaxed into recognizing and destroying malignant cells without harming normal cells. A cancer vaccine is generally considered an immunotherapy, because, unlike prophylactic vaccines against diseases such as polio, influenza, and tuberculosis, a cancer vaccine is not preventive and must be administered after cancerous cells develop. Note that the HPV vaccine and the Hepatitis B vaccine are not cancer vaccines as described above. It works by preventing infection by the HPV thereby reducing the occurrence of cervical cancer, not by coaxing the body into recognizing and destroying malignant cells. A scanning electron microscope image of a single neutrophil (yellow), engulfing anthrax bacteria (orange). ... Immunotherapy is a form of medical treatment based upon the concept of modulating the immune system to achieve a therapeutic goal. ... Poliomyelitis (polio), or infantile paralysis, is a viral paralytic disease. ... Influenza, commonly known as flu, is an infectious disease of birds and mammals caused by an RNA virus of the family Orthomyxoviridae (the influenza viruses). ... Tuberculosis (abbreviated as TB for Tubercle Bacillus) is a common and deadly infectious disease that is caused by mycobacteria, primarily Mycobacterium tuberculosis. ... Human papillomavirus vaccine (HPV) is a vaccine designed to immunize against certain sexually transmitted diseases, such as cervical cancer and genital warts, which are caused by human papillomaviruses. ... Hepatitis B is an inflammation of the liver and is caused by the Hepatitis B virus (HBV), a member of the Hepadnavirus family[1] and one of hundreds of unrelated viral species which cause viral hepatitis. ... HPV redirects here. ... Cervical cancer is a malignancy of the cervix. ...

Contents

Problems

A vaccine against a particular virus is relatively easy to create. The virus is foreign to the body, and therefore will express antigens the immune system can recognize. Furthermore, there are usually only a few viable variants of the virus in question. It is very hard to develop vaccines for viruses that mutate constantly such as influenza or HIV. An antigen is a molecule that stimulates an immune response. ... A scanning electron microscope image of a single neutrophil (yellow), engulfing anthrax bacteria (orange). ... Influenza, commonly known as flu, is an infectious disease of birds and mammals caused by an RNA virus of the family Orthomyxoviridae (the influenza viruses). ... Species Human immunodeficiency virus 1 Human immunodeficiency virus 2 Human immunodeficiency virus (HIV) is a retrovirus that causes acquired immunodeficiency syndrome (AIDS, a condition in humans in which the immune system begins to fail, leading to life-threatening opportunistic infections). ...


A tumour can have many different types of cells in it, each with different cell-surface antigens. Furthermore, those cells are derived from the individual with cancer, and therefore display few if any antigens that are foreign to that individual. This makes it difficult for the immune system to distinguish the cancer cells from normal cells. Renal cancer and melanoma are the two cancers with most evidence of causing spontaneous and effective immune responses, possibly because they often display antigens that are recognized as foreign. Therefore, many attempts at developing cancer vaccines are directed against these tumors. Renal cell cancer is the most common form of kidney cancer. ... Melanoma is a malignant tumor of melanocytes. ...


However, most clinical trials investigating a cancer vaccine against melanoma and renal cancer have failed. The precise reasons are unknown, but possible explanations include:


1) disease stage being treated was too advanced (it is difficult to get the immune system to fight bulky tumor deposits, the most suitable stage for a cancer vaccine is likely to be minimal residual disease)


2) escape loss variants (cancer vaccines that target just one tumor antigen are likely to be less effective. Tumors are highly heterogenous and antigen expression differs markedly between tumors (even within deposits in the same patient). The most effective cancer vaccine is likely to raise an immune response against a broad range of tumor antigens to minimise the chance of the tumor being able to mutate and become resistant to the therapy.)


3) prior treatments (numerous clinical trials in the past have treated patients who have received numerous cycles of chemotherapy. Chemotherapy is often myelosuppressive and destroys the immune system. There is little point giving a cancer vaccine to a patient who is immune suppressed).


Drug Development

Most of the cancer vaccines in development are addressing specific cancer types and are therapeutic vaccines. Several cancer vaccines are currently in development by companies such as Genitope Corp (MyVax personalized immunotherapy), Onyvax Limited[1] (Onyvax-P), Geron Corporation (GRNVAC1), Favrille Inc (FavId), Dendreon Corp (Provenge), Cell Genesys Inc (GVAX),Advaxis, Inc (Lovaxin C),Accentia Biopharmaceuticals majority owned subsidiary Biovest International [BiovaxID] and GeneMax Corp (GMXX) . Geron Corporation is a biotechnology company founded by Dr. Michael West that is based in Menalo Park, California. ... Dendreon is a Seattle based biotechnology company. ... To meet Wikipedias quality standards and conform with our NPOV policy, this article or section may require cleanup. ...


See also

Cancer Immunotherapy is the use of monoclonal antibodies (-mab) to specifically target cells. ...

External Links


  Results from FactBites:
 
About the Cancer Vaccine Collaborative (1536 words)
Cancer vaccines hold tremendous promise for the establishment of new, firstline therapies for cancer that are non-toxic, less-invasive, and longer-lasting than current treatments.
The creation of the Cancer Vaccine Collaborative was a direct answer to the dearth of coordinated clinical research being done in the field, a want that was seriously hampering the translation of laboratory research into viable clinical therapies in a timely manner.
The Cancer Vaccine Collaborative (CVC), a partnership established by the Cancer Research Institute in New York and the international Ludwig Institute for Cancer Research (LICR), has announced that it is the first to demonstrate that vaccination with a cancer-specific recombinant protein antigen has successfully induced a fully integrated immunological response in humans.
Cancer vaccine - Wikipedia, the free encyclopedia (410 words)
A cancer vaccine is generally considered an immunotherapy, because, unlike prophylactic vaccines against diseases such as polio, influenza, and tuberculosis, a cancer vaccine is not preventive and must be administered after cancerous cells develop.
Note that the HPV vaccine is not a cancer vaccine as described above.
Renal cancer and melanoma are the two cancers with most evidence of causing spontaneous and effective immune responses, possibly because they often display antigens that are recognized as foreign.
  More results at FactBites »


 

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