CEA vaccines

ABSTRACTCarcinoembryonic antigen (CEA) is a glycosylated cell surface oncofetal protein involved in adhesion, proliferation, and migration that is highly upregulated in multiple carcinomas and has long been a promising target for cancer vaccination. This review summarizes the progress to date in the...

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Main Authors: Anchit Bhagat, Herbert K. Lyerly, Michael A. Morse, Zachary C. Hartman
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2023.2291857
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author Anchit Bhagat
Herbert K. Lyerly
Michael A. Morse
Zachary C. Hartman
author_facet Anchit Bhagat
Herbert K. Lyerly
Michael A. Morse
Zachary C. Hartman
author_sort Anchit Bhagat
collection DOAJ
description ABSTRACTCarcinoembryonic antigen (CEA) is a glycosylated cell surface oncofetal protein involved in adhesion, proliferation, and migration that is highly upregulated in multiple carcinomas and has long been a promising target for cancer vaccination. This review summarizes the progress to date in the development of CEA vaccines, examining both pre-clinical and clinical studies across a variety of vaccine platforms that in aggregate, begin to reveal some critical insights. These studies demonstrate the ability of CEA vaccines to break immunologic tolerance and elicit CEA-specific immunity, which associates with improved clinical outcomes in select individuals. Approaches that have combined replicating viral vectors, with heterologous boosting and different adjuvant strategies have been particularly promising but, these early clinical trial results will require confirmatory studies. Collectively, these studies suggest that clinical efficacy likely depends upon harnessing a potent vaccine combination in an appropriate clinical setting to fully realize the potential of CEA vaccination.
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spelling doaj.art-7f610e85ba744d38aad775de0f57cec32024-01-18T04:54:12ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2023-12-0119310.1080/21645515.2023.2291857CEA vaccinesAnchit Bhagat0Herbert K. Lyerly1Michael A. Morse2Zachary C. Hartman3Department of Surgery, Division of Surgical Sciences, Duke University, Durham, NC, USADepartment of Surgery, Division of Surgical Sciences, Duke University, Durham, NC, USADepartment of Surgery, Division of Surgical Sciences, Duke University, Durham, NC, USADepartment of Surgery, Division of Surgical Sciences, Duke University, Durham, NC, USAABSTRACTCarcinoembryonic antigen (CEA) is a glycosylated cell surface oncofetal protein involved in adhesion, proliferation, and migration that is highly upregulated in multiple carcinomas and has long been a promising target for cancer vaccination. This review summarizes the progress to date in the development of CEA vaccines, examining both pre-clinical and clinical studies across a variety of vaccine platforms that in aggregate, begin to reveal some critical insights. These studies demonstrate the ability of CEA vaccines to break immunologic tolerance and elicit CEA-specific immunity, which associates with improved clinical outcomes in select individuals. Approaches that have combined replicating viral vectors, with heterologous boosting and different adjuvant strategies have been particularly promising but, these early clinical trial results will require confirmatory studies. Collectively, these studies suggest that clinical efficacy likely depends upon harnessing a potent vaccine combination in an appropriate clinical setting to fully realize the potential of CEA vaccination.https://www.tandfonline.com/doi/10.1080/21645515.2023.2291857Carcinoembryonic antigenCEAcancer vaccinesself-replicating RNAimmunotherapyheterologous boosting
spellingShingle Anchit Bhagat
Herbert K. Lyerly
Michael A. Morse
Zachary C. Hartman
CEA vaccines
Human Vaccines & Immunotherapeutics
Carcinoembryonic antigen
CEA
cancer vaccines
self-replicating RNA
immunotherapy
heterologous boosting
title CEA vaccines
title_full CEA vaccines
title_fullStr CEA vaccines
title_full_unstemmed CEA vaccines
title_short CEA vaccines
title_sort cea vaccines
topic Carcinoembryonic antigen
CEA
cancer vaccines
self-replicating RNA
immunotherapy
heterologous boosting
url https://www.tandfonline.com/doi/10.1080/21645515.2023.2291857
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AT herbertklyerly ceavaccines
AT michaelamorse ceavaccines
AT zacharychartman ceavaccines