CLIN CANCER RES:DC疫苗可以增强免疫反应及诱导HER2阳性DCIS病情缓解

2017-07-01 MedSci MedSci原创

HER-2抗原冲击DC1制备的疫苗可以刺激HER-2特异性T细胞反应。CLIN CANCER RES近期发表了一篇文章,评估该疫苗的安全性以及通过不同途径给药的免疫反应及临床效果

HER-2抗原冲击DC1制备的疫苗可以刺激HER-2特异性T细胞反应。CLIN CANCER RES近期发表了一篇文章,评估该疫苗的安全性以及通过不同途径给药的免疫反应及临床效果。该研究共纳入54例HER2阳性患者(42例单纯导管原位癌(DCIS),12例早期浸润性乳腺癌(IBC))。患者随机分到3个给药方式组,其中病灶内给药(IL)19例,淋巴结内给药(IN)19例,病灶及淋巴结联合给药(ILN)16例。作者评估了外周血及前哨淋巴结的免疫反应,并研究了切除肿瘤标本的病理学反应。研究结果发现,通过3中注射方式给药的疫苗耐受性均良好。不同给药途径免疫反应率无明显差别(IL84.2%。IN89.5%,ILN66.7,P=0.30)。与IBC患者相比,DCIS患者的病理完全缓解(pCR)率更高(28.6% vs 8.3%)。达到pCR的DCIS患者与未达到pCR的DCIS患者外周血抗HER2免疫反应相似。所有达到pCR的患者在前哨淋巴结中均出现抗HER2 CD4免疫反应。文章最后认为,抗HER2 DC1疫苗是一项安全的免疫原性治疗方式,可以诱导HER2阳性患者的肿瘤特异性T细胞反应。不同给药

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    2017-07-03 ylzr123

    好文,值得点赞!认真学习了,把经验应用于实践,为患者解除病痛。

    0

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    2017-07-02 184****9840

    学习了谢谢分享

    0