Present status and future perspective of peptide-based vaccine therapy for urological cancer

Cancer Sci. 2018 Mar;109(3):550-559. doi: 10.1111/cas.13506. Epub 2018 Feb 15.

Abstract

Use of peptide-based vaccines as therapeutics aims to elicit immune responses through antigenic epitopes derived from tumor antigens. Peptide-based vaccines are easily synthesized and lack significant side-effects when given in vivo. Peptide-based vaccine therapy against several cancers including urological cancers has made progress for several decades, but there is no worldwide approved peptide vaccine. Peptide vaccines were also shown to induce a high frequency of immune response in patients accompanied by clinical efficacy. These data are discussed in light of the recent progression of immunotherapy caused by the addition of immune checkpoint inhibitors thus providing a general picture of the potential therapeutic efficacy of peptide-based vaccines and their combination with other biological agents. In this review, we discuss the mechanism of the antitumor effect of peptide-based vaccine therapy, development of our peptide vaccine, recent clinical trials using peptide vaccines for urological cancers, and perspectives of peptide-based vaccine therapy.

Keywords: cancer peptide vaccine therapy; oncoantigen; prostate cancer; renal cell carcinoma; urothelial cancer.

Publication types

  • Review

MeSH terms

  • Antigens, Neoplasm / immunology
  • Carcinoma, Renal Cell / drug therapy
  • Carcinoma, Renal Cell / immunology
  • Carcinoma, Transitional Cell / drug therapy
  • Carcinoma, Transitional Cell / immunology
  • Clinical Trials as Topic
  • Humans
  • Immunotherapy, Active / methods*
  • Kidney Neoplasms / drug therapy
  • Kidney Neoplasms / immunology
  • Male
  • Prostatic Neoplasms / drug therapy
  • Prostatic Neoplasms / immunology
  • Survival Analysis
  • Treatment Outcome
  • Urologic Neoplasms / drug therapy*
  • Urologic Neoplasms / immunology
  • Vaccines, Subunit / chemical synthesis
  • Vaccines, Subunit / therapeutic use*

Substances

  • Antigens, Neoplasm
  • Vaccines, Subunit