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Chapter category: Vaccines

Cancer Peptide Vaccines in Clinical Trials

This chapter appears in the following book:

Peptide-Based Cancer Vaccines

Edited by: W. Martin Kast
ISBN: 1-58706-026-4
» Get more information about this book at landesbioscience.com «

Chapter authors:
Jeffrey S. Weber

The revelation that protein antigens were processed into peptides by a pathway of intracellular degradation and presented on the surface of antigen presenting cells for recognition by T-cells in association with class I and II MHC molecules created a new paradigm for the generation and detection of antigen-specific immune responses in humans.1-3 The subsequent discovery, cloning and identification of several classes of tumor-associated and tumor-specific antigens from human melanomas and other cancers has facilitated the performance of a number of clinical trials of peptide vaccines with and without adjuvants in patients with metastatic and resected melanoma and several other malignancies and pre-cancerous conditions. In this review I will summarize the different classes of melanoma and human papillomavirus (HPV) antigens that have been defined and describe the available data on recent attempts to boost immunity directed against defined melanoma and HPV antigens using peptides and detail their clinical significance. I will conclude with a proposal for an “optimal” vaccine schema and a call for an expansion of current peptide vaccine efforts in melanoma and other histologies.

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