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New prostate
cancer vaccine shows promise
Date: Thursday, January 31 @ 07:07:53 CET
Topic: Cancer
DURHAM, N.C., Jan. 30 (UPI) --
Preliminary results from a study on a vaccine made from the
immune system cells of prostate cancer patients show it to be a
promising and safe potential therapy, researchers reported
Wednesday.
Dr. Johannes Vieweg, associate professor of urology and an assistant
professor of immunology at Duke University Medical Center in Durham,
tested the experimental vaccine on 13 men with metastatic prostate
cancer.
The vaccine uses the men's own dendritic cells, extracted white
blood cells that activate the immune system by snagging substances
that trigger an immune attack. These dendritic cells contain genetic
information or RNA, a derivative of DNA, from a substance secreted
by the prostate gland called prostate specific antigen. PSA levels
increase in prostate cancer patients. These dendritic cells are then
injected under the patient's skin to trigger immune system to
destroy the tumor.
Patients received three doses of the vaccine at increased levels
each time. Vieweg said four men developed flu-like symptoms and
fever and four men experienced inflammation at the injection site,
but overall, the vaccine was well tolerated. Tumors make it
difficult to immune system cells to find them, Vieweg explained to
United Press International. So the object of a cancer vaccine is to
expose the tumor to the body's own natural defense mechanisms.
"To uncloak, sort of, the mystery of the tumor," Vieweg said.
"The RNA technique has really opened up new avenues of cancer
vaccination." This was a Phase I clinical trial, the first of three
phases in drug testing, which is meant to establish safety so
research can continue. However, Vieweg said the vaccine not only
proved safe, but also effective in igniting an immune response. One
risk researchers face is over-activating a vaccine, which could
adversely trigger the immune system to not only attack the tumor but
also healthy tissue. Whether the patients' tumors shrank in this
study is not known since it was not designed to evaluate what
happened to the tumors, Vieweg said. Vieweg points out this vaccine
could have applications in other cancers, particularly kidney and
skin cancer.
"The beauty of this concept is broad use of this vaccine," he
said, "not just among prostate cancer patients, but all cancer
patients." The findings are published in the February issue of
Journal of Clinical Investigations. In the past few years, there has
been great interest among scientists in developing a cancer vaccine,
though the United States is years away from having such a cancer
treatment federally approved for use. Dr. Robert Dillman, medical
director of the Hoag Cancer Center at Hoag Memorial Hospital
Presbyterian in Newport Beach, Calif., told UPI current cancer
vaccine research is all over the map in terms of approaches, with
some scientists using the patients' own cells and some using cells
created in the lab. Researchers are examining various techniques and
are still a ways off from narrowing the field to a handful of
effective approaches, he said. "At this point, it's hard to know
which approach is the best approach," Dillman said. "The jury is
still out.”
He acknowledged, however, "there's been a lot of enthusiasm in
recognition role dendritic cells play" in cancer vaccine research.
Dillman also cautioned against too much enthusiasm on the results of
a study only in its first phase and based on 13 people.
(Reported by Katrina Woznicki in Washington.)
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