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Chapter category: Vaccines

Critical Dependence of the Peptide Delivery Method on the Efficacy of Epitope Focused Immunotherapy

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:
Gregory E. Holt, Markwin P. Velders, Michael P. Rudolf, Laurie A. Small, Maurizio Provenzano, Sanne Weijzen, Diane M. Da Silva, Marten Visser, Simone A.J. ter Horst, Remco M.P. Brandt and W. Martin Kast

Tumor immunotherapy describes the use of the immune system as a tool to eliminate cancer from the stricken patient. The theory contends that immunization against certain proteins either associated with or specific for the tumor will create a potent cytotoxic T lymphocyte (CTL) immunity able to selectively kill the cancer cells. The antitumor specificity of the T cells is retained in the ability of the CTLs T cell receptor (TCR) to recognize an eight to twelve amino acid peptide bound to the MHC class I molecules of the tumor cells. Epitope focused immunotherapy (EFIT) is an offshoot of tumor immunotherapy that strives to identify the sequence of protein derived antigenic peptides bound to the MHC molecules and then focus the immunization against these epitopes. This Chapter deals with the many different epitope based immunization strategies and describes the characteristics of each that contributes or detracts from the overall success of the method. It has been organized into four sections each dealing with an alternative immunization strategy for epitope based vaccines including peptide vaccination, dendritic cell vaccination, DNA vaccination and recombinant virus vaccination. The section on peptide vaccination describes the use of synthetic peptides injected primarily subcutaneously in association with noncellular adjuvants. Dendritic cell (DC) vaccination will detail the ex vivo loading of DCs with antigen using a variety of methods for their eventual reinfusion. The injection of genetic constructs containing “minigenes” encoding each peptide makes up the third part concerning DNA vaccination. Finally, the use of viruses engineered to express the peptides comprises the last section entitled recombinant virus vaccination.

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