Immunosuppressive mechanisms in cancer: consequences for the development of therapeutic vaccines

Vaccine. 2009 May 26;27(25-26):3398-400. doi: 10.1016/j.vaccine.2009.01.070. Epub 2009 Feb 5.

Abstract

Recent investigations revealed strong immunosuppressive mechanisms in tumors that may block anti-tumor T cells and be responsible for failures of immunotherapies. Current attempts to overcome this immunosuppression include blockade of co-inhibitory factors on T cells. Reports from the respective trials indicate that the strategy can improve efficacy of therapeutic vaccination, but at the cost of severe inflammatory and autoimmune reactions. We tried to circumvent tumor-associated immunosuppression by mimotope vaccination to broaden reactive anti-tumor T cell repertoires to include T cells that have not been rendered anergic by the tumor. Initial clinical observations suggest that this strategy bears considerable promise.

MeSH terms

  • Animals
  • Cancer Vaccines / therapeutic use*
  • Epitopes, T-Lymphocyte
  • Humans
  • Immune Tolerance*
  • Neoplasms / immunology*
  • Neoplasms / therapy*
  • T-Lymphocytes / immunology

Substances

  • Cancer Vaccines
  • Epitopes, T-Lymphocyte