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PJ Online homeThe Pharmaceutical Journal
Vol 272 No 7294 p441
10 April 2004

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Technique bolsters dendritic cell vaccines

Researchers have developed a technique that allows dendritic cell vaccines, which are being investigated as potential cancer vaccines, to activate the immune system more successfully.

Dendritic cells are transformed into cancer vaccines by mixing them with genetic material from a tumour. The modified cells are then able to present the tumour antigens to a patient’s killer T cells for destruction. However, such modified cells do not activate the immune system as well as expected.

“Dendritic cell vaccines have shown promise in battling cancers in laboratory studies, but they have not met with quite the success in the clinical trials that laboratory studies suggest they should,” said study author Yiping Yang, assistant professor of medicine and immunology at Duke University Medical Centre, Durham, North Carolina. “Our study highlights what element is missing in dendritic cell vaccines that prevents them from activating the immune system, and we’ve shown how to insert that element.”

Dr Yang and colleagues created an animal model that mimics the T-cell tolerance seen in cancer patients and then compared the behaviour of dendritic cell vaccines with that of viral vaccines, known to activate T-cells without difficulty.

The researchers observed that viral vaccines were able to activate an immune response readily because of the presence of viral proteins called “pathogen-associated molecule patterns” (PAMPs). These molecules are unique to pathogens and are viewed as foreign by a patient’s T cells. By contrast, the dendritic cell vaccines were not viewed as sufficiently foreign and so failed to provoke killer T cells to react effectively.

By mixing dendritic cell vaccines with PAMPs the researchers were able to induce a more forceful response. They plan to test the concept of bolstered dendritic cell vaccines in lymphoma patients within the next few years.

The study is published online in Nature Immunology (4 April 2004).

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