有关癌症疫苗新发展

来源:雅思 发布时间:2020-08-18 点击:

  关于癌症疫苗的新发展

 几十年来,癌症患者的治疗手段主要有三种:化疗、放疗、手术治疗。但是这三种方法不仅疗效不理想,其副作用也很严重。因此,人们一直在找一种新的方式,既可以强有力的对抗肿瘤,又可以很好的控制副作用,并且在治疗结束后能长期保持对恶性肿瘤细胞的杀伤作用。

 关于增强免疫系统抵抗癌症能力的研究已经进行了数十年之久。早在19世纪末期,威廉?科莱就对癌症患者注射死细菌的混合液,他温和的加热溶液以杀死细菌并消除其危害,但混合液中仍有大量的细菌蛋白足以使患者机体出现免疫反应,以此来抵抗癌症细胞。

 1909年,保罗· 埃尔利希首先提出“免疫监视”的理论——免疫系统在不停地巡逻并摧毁新生的癌细胞。随后研究者不断地提出证据支持这一观点,在20世纪80年代得到了进一步的证明。研究人员观察到人体细胞内存在高频自发突变,理论上由此导致的恶性肿瘤发生率高于而实际检测到的。因此,机体内应该存在某种未知机制,能自行发现和摧毁大量癌细胞。

 若有肿瘤细胞成功逃脱存活下来,虽然免疫系统可以坚持抵抗肿瘤细胞,但效果并不明显,此外,进一步的实验表明,肿瘤生长时会释放出越来越多的能够有效抑制T细胞的物质。过去的研究证实,在肿瘤动物模型中即使启动免疫反应,对肿瘤的杀伤也不大,这是因为一些免疫细胞不能对肿瘤发动攻击。

 2010年 11月,英国剑桥大学免 疫学家道格拉斯· 费伦的研究小组在《科学》杂志发表文章称对老鼠进行的研究发现,纤维母细胞活化蛋白会阻止身体的免疫细胞去攻击癌细胞,这便是为何很多癌症疫苗不起作用的重要原因。

 直到2002年,美国癌症研究所的一个研究组指出,一种被称为CD4+细胞的T细胞是引发有效抗癌应答的关键。CD4+细胞有点类似于免疫系统中的“将军” ,它们向执行实际杀伤任务的“士兵”下达关于攻击目标的命令,在这一场景中担当“士兵”角色的是CD8+细胞。如果只使用CD8+细胞的过继免疫疗法完全没有效果。但是,当在混合物中有CD4+细胞加入后,结果就有天壤之别了。实验结果显示,6名患者体内的肿瘤明显缩小,其中2人在治疗结束9个月之后的血液检测显示,他们自身仍然能产生抗癌效果很强的免疫细胞。大多数情况下,这种治疗副作用很小,只会使患者出现短暂的流感症状。

 还有一种肿瘤多肽疫苗,因其具有化学性质稳定、易于制备和保存、肿瘤型别通用性强、治疗费用相对较低等优势而成为肿瘤免疫治疗的新方法。疫苗疗效的关键在于其抗原,而肿瘤免疫治疗中不可缺少的重要环节是有效的抗原递呈。MAGE —n基因被发现的 MAGE 家族中的新成员, 肝癌阳性率达 40%,该基因的表达模式与其它MAGE 基因相同,可作为肿瘤特异性免疫治疗的靶分子。应用表位预测结合免疫重建等技术筛选出一条具有特异性免疫活性的HLA—A2限制性CTL表 位 MAGE—n(159.167)QLVFGIEVV,经免疫学实验证实,体内外均可有效地诱导特异性 CTL 的产生,有效杀伤肿瘤细胞。将HSP70与肿瘤肽复合物联合制成疫苗能够激发抗原特异的 CTL反应。选择 HSP70为载体,构建 MAGE—n表位肽与 HSP70的融合基因,并进行表达纯化。期望利用 HSP70的分子伴侣作用加强 APC 细胞对抗原的加工递呈,以增强其免疫原性,为构建新型的肿瘤疫苗提供更有效的抗原奠定基础 。

 树突状细胞(DC)疫苗是肿瘤生物治疗中的研究热点之一。目前DC 疫苗还存在缺乏刺激因子例和抗原呈递弱化因子的作用,以及无效的抗原负载等问题。细胞因子信号抑制因子正是新发现的一 个A P A。警报素(alarmins)是近年来提出的 一类具有DC募集和活化双重作用的内源因子,高迁移率族蛋白Bl(highmobilitygroupproteinsB1,HMGB1)即为alarmin家族中最为受关注的成员。本研究构建了U6和CMV双启动子的质粒载体,以期同时实现对S O C S 1 的 沉 默 、H M G B 1 的分泌性表达和肿瘤抗原的负载 ,为DC疫苗的临床应用提供新的思路。

 肺腺癌(lung adenocarcinoma)的一种有效的治疗手段可能是DC疫苗。肺腺癌是一种常见的非小细胞肺癌(nonsmalcellungcancer,NSCLC),其生物学特性与其他类型肺癌不同,恶性程度较高,易发生胸腔 、肝脏 、骨甚至颅内转移 。近年来,研究显示女性 、亚裔以及非吸烟的腺癌患者人数逐年增多,其中60%~80%的患者就诊时已发生远处转移而无法手术 。放化疗虽能改善症状,但不良反应大。DC是一种专职抗原呈递细胞(antigenpresen- ringcells,APCs),它 在诱导免疫应答过程中发挥重要作用。研究发现,用癌胚抗原(careinoembryonicantigen,CEA)作为抗原致敏DCs进行免疫治疗,可刺激机体产生针对肺腺癌的细胞毒性T淋巴细胞 (cytotoxicTlymphocyte,CTL)应答,而负载抗原的DCs疫苗在治疗恶性黑素瘤、肾癌及前列腺癌的临床试验中已取得了较好的疗效 。细胞因子诱导的杀伤(cytokine.inducedkiler,CIK)细胞是人外周血单个核细 胞(peripheralblood mononuclear cel ls,PBMCs)在体外经多种细胞因子共同培养 后获得的,是以CD3CD56T 细胞为主的一群异质细胞,其具有增殖快、活性高和杀瘤谱广的优点。将负载肿瘤抗原的DC与CIK细胞共培养,可促进CIK细胞增殖,并增强其抗肿瘤的能力。采用由自体肿瘤抗原致敏的DCs联合CIK细胞治疗肺腺癌患者,取得了较好的疗效 。

 生物信息学的发展及其在T 细胞表位的鉴定中的应用推动着T 细胞表位肽疫苗的发展。人端粒酶逆转录酶(human telomerase reverse tran.scriptase,hTERT )是端粒酶的催化活性亚基,被认为端粒酶激活的主要限制因素。85%以上的肿瘤细胞中高表达 hTERT,而正常成熟组织的细胞很少表 达。hTERT在肿瘤中的广泛表达使得人们把hTERT作为肿瘤相关抗原(tumor associated antigen,TAA),在恶性肿瘤的免疫治疗中有着较好的应用前景。

 加拿大科学家通过研究发现,培养一些特定的免疫细胞,并将其移植到白血病患者体内将有助于杀灭癌细胞,这可能成为治疗白血病以及多种癌症的一种新方法。加拿大蒙特利尔大学的科学家将目标确定在一种称为B6—doml的蛋白质上。他们 培养乐专门针对这种蛋白质的免疫T细胞,并将其混入骨髓中移植给患有白血病 的实验鼠。结果发现,有60%的实验鼠至少存活了100天。研究人员认为,在人 体中找到类似的目标蛋白质将不会很困难,在此基础上就可能研制出癌症疫苗。

 美国科学家成功研制出了一种专门用来治疗恶性黑色素瘤的M—VAX疫苗,这种疫苗是用患者自身的黑色素瘤细胞改造的。其攻击目标是肿瘤表面的一种特殊 细胞标记物。试验结果显示,患者仅注射7次疫苗,半年时间内就足以激发长期免疫反应,使肿瘤萎缩。通过对数十名晚期黑色素瘤患者为期9年的跟踪调查表明 ,整体存活率达85%,并且有80%的患者未出现癌复发现象。此外,德国、俄罗斯等国的科学家也在癌症疫苗的研究方面取得了新的进展。

 癌症疫苗历经了从早期的非特异性疫苗到今天的肿瘤抗原特异性疫苗;以基因修饰肿瘤细胞为基础的疫苗(从上世纪90年代初)发展到现在以树突状细胞为基础的肿瘤抗原特异性疫苗。这些都与分子生物学、免疫学及基因转移技术的发展不可分离的。

 但是,如果想继续提高癌症疫苗的特异性和疗效,还有许多问题尚待进一步解决:首先,患者体内的肿瘤为什么不能直接诱导机体的抗肿瘤免疫反应?这可能与肿瘤患者的免疫缺陷或患者T细胞信号传导障碍有关;还有,为什么肿瘤细胞可以逃避机体的免疫监视的?这可能由肿瘤细胞的MHC表达减低、转运抗原程序缺乏以及有些肿瘤产生的某种细胞素抑制局部或全身免疫反应所导致。另外,人类癌细胞成分复杂,肿瘤的抗原表达也不均一,所以想诱发患者的有效免疫反应,就可能需要用不止一种种肿瘤抗原免疫。

 无论如何,有一点我们不能忘记,传统治疗方法是不会被疫苗免疫治疗取代的。疫苗并不是对所有的人、所有类型的癌症都起作用,因此疫苗并不是万能疗法。癌细胞可以用多种多样的方法逃避免疫系统,所以,在治疗癌症时,我们应该既要使用疫苗,也要使用化学治疗、放射治疗、外科手术治疗、中医中药治疗等方法。我们必须考虑到所有的可能性。也许永远不会有一种单独的疗法,即一种药能够使所有的癌症患者康复。科学家们预测,疗效更好的新药物可望在25年之内问世,即使不能治疗全部癌症,对大部分癌症也会有效。预计在十年之内,我们将能够分析变异的基因,然后针对特定的肿瘤制定出专门的治疗方案。在2l世纪,我们可能不会治愈所有的癌症,但是我们有办法可以很好地与它们长期共存。

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The main building and development of the theme on the buckle, positive innovation carrier, and strive to build the brand, and the scientific level of Party Construction in a step by step improvement. To strengthen ideological and political construction, organization of Party members and cadres to seriously study and implement the party's general secretary of the Third Plenary Session of the eighteen and Xi Jinping series of important speech, enhance ideological and political quality of cadres and Party members at all levels of ability to lead the development of; extensive "China country dream" publicity and education, and actively promote the "harmony", "Ten Star" filial piety "of mass spiritual civilization creation and evaluation, public citizen morals and socialist core The construction of value system. The whole heart constantly strengthen comprehensively strengthen the building of grassroots organizations, to force "five hundred points" building integrated joint demonstration project, carefully build the "Jing water pioneer" brand building, earnestly carry out the exhibition "home hand in hand to build well-off dream" theme activities, and constantly improve the working mechanism of township town Party committee the base, the grass-roots party construction work was significantly improved;; set up in Germany for the first to have both ability and political integrity, and attention to conduct, advocate hard work, outstanding performance, recognized by the masses "selection guide, on the part of the Township Town, the Department team has been adjusted, so that a number of pragmatic style, outstanding performance. The masses of the public That cadres be reused;; the full implementation of village cadres remuneration growth mechanism, hiring 150 student village cadres, selected 54 outstanding young cadres to serve the village, 15 outstanding college-graduate village official in Shandong Weifang square, study tours, stimulate the work of cadres working force. Continuing to strengthen cadre style construction, the full implementation of the central "eight regulations" and the relevant provisions of province, city to beg, carry out the "effectiveness storm" actions, streamline meeting documents, reduce public official reception, strictly control three funds charges, and resolutely put an end to waste waste, actively carry out the clean room, clean car and normative appraisal standards commend Other special activities, work style continued to improve. Must strengthen clean government, strict accountability, honest government, political party cadres standards, leading leading cadres a pair of responsibility and the political conversation system, education, system, supervision and punishment as the main content of the punishment and prevention system to establish an effective, long-term mechanism of anti-corruption corruption tends to improve, to accelerate the development of the creation of a good environment.The scientific study situation, is the premise and basis of doing all the work. The thorough analysis of the situation, we feel deeply felt, at present, my county is in advance in the crucial period of reform, the transition across the reversal period, the critical period of accelerated development period, even in the golden period of economic development period, superposition the policy of opportunity, the release period after hair advantage, pressure and hope coexist, opportunities and challenges coexist. Can seize the opportunity, meet the challenge, while avoiding disadvantages, to smooth profits, to complete our duties, given the history, is a major issue to be in-depth thinking of the entire County. We should not only in Gu Qing review summary Wake up the understanding of their own difficulties and problems in the development existence, and clarify the opportunities and challenges in the macro situation, but also in the future in the development of law and to grasp and accurately judge the characteristics of order stage, actively adapt to the change trend, firmly establish the "feel, hardship, seize the opportunity to tackle, firm speed up the development of" faith, struggling to write beautiful beautiful chapter. The spectrum of a prosperous civilization and harmonious construction of the new policeHow to recognize the hardship, is to ask questions, identify the crux of the self pressure. The ancients said: "calamity, died of happiness". Facing the new situation of development, we should not only summarize the experience and results, more important is to find out the questions, recognize the gap. For many years, through the tireless efforts of the whole county my county, the economic and social development has made remarkable achievements, but in accordance with the requirements of the new situation and measure, the total economic output is small, the development, open development level is low, the crux of the problem, some of the problems restricting the development has not been fundamentally solved. One is the depth of the development of industrial agriculture is insufficient. Pass. Through exploration and practice, the team and the county cadres and the masses, and the three leading industry begun to regulate livestock scale, benefit initially apparent. But universally exist imperfect market mechanism problem, is still in the standardization of production, market operation, the initial industrialization stage. The fruit industry to expand the amount of quality and efficiency brand is facing many challenges, because in the affected area of cultivated land constraints, the scale of the surface does not have the advantage, we must strengthen management, improve the efficiency of the efforts in depth development, cultivating cluster composition articles, or in a passive situation in the region will be competitive. The animal husbandry industry still to support the project, large pile planting, Small cell model, the total size of small, large fluctuations in the market, the overall efficiency is not high. The government funded the construction of vegetable industry shed, not fully play the role of the masses of the main problems are still very prominent, narrow coverage, low, benefit. By the industry, due to location, influence, historical factors. The industrial economy is small, benefit benefit low, investment and industrial economy main index only rely on the Red River oilfield, natural fiber cotton industry and other enterprises, industrial "short board", "short legs" in the short term is difficult to be solved. It is the third industry, since ancient times is that the west is * * the gateway to Changan City, known as a drought in Eastern Gansu Wharf reputation, section third has the advantage of industry development potential. In recent years, richly endowed by nature of development practice, although Pingding Xiping railway, high-speed, west east gas pipeline and other projects have been completed, but only just play channel role, role of logistics industry development of the * * * pull action is not obvious, not due to the birth of the logistics industry system, but not very good will * * regional advantages into economic advantage. The two is the construction of urbanization is a heavy task. The county is an important joint to promote the development of county urban-rural integration and "leading". In recent years, our development in the county has done a lot of work, but because of by soilfor the national strategy of developing the West, Yibin city as "Yangtze towns" and Southern towns, have become areas of Sichuan, Yunnan and Guizhou provinces central city location advantages, will take Chengdu, Chengdu, Chongqing, Chongqing's

 County economic work conference leadership speech:The main task of the twenty-six session of the six plenary meeting of the county the county economic work conference this time, by the party's eighteen and eighteen Third Plenary Session of the spirit as a guide, carry out and implement the central and provincial economic work conference on rural work conference and the three session of the seven plenary session of the party to expand the spirit of the meeting, the total summary of last year the work, analysis of the current situation, the deployment of this work, further strengthening the development of consensus, to mobilize the whole county county, deepening reform and innovation, to work against poverty, accelerate the transformation of leapfrog, promote scientific development, struggling to write a new harmonious beautiful mountains and show a prosperous civilization to build a new building. The following chapter * *, according to the county Discussion of the views of the Standing Committee, I focus on four aspects of the problem:* * * years, the county to seriously implement the central decision-making arrangements and real, in accordance with the "high position, as a typical tree, catch catch up with speed for a breakthrough, five in one overall grasp to raise human resources to promote overall leap", firmly grasp for the project, investment, industry, structural adjustment, Emegumi Mio, promote harmony, agency the county economy presents the social development to catch up, are balanced development, promote the overall, a good momentum of sustained rise.According to Article 11 priority, economic construction full speed. Focusing on the development of this priority service, set up the market idea is constantly refined, can the implementation of major projects, efforts to expand the investment, vigorously develop the non-public economy, to ensure the continuous healthy and rapid development of the county economy, investment in fixed assets investment, industrial added value. Fiscal income, per capita net income of farmers and other major economic indicators maintained two digit growth. According to the "3341" project engineering, proved reserves pre project 4744, * * 4, for central heating in the west, the South Cave Temple landscape Avenue, oil oil road lifting column ten key counties Project smoothly, investment projects to promote the transformation of the pull, supporting further highlights the role; to promote in Honghe oilfield Mton construction, careful implementation of natural fiber cotton industry a reconstruction and expansion of the two phase, Huarun home ceramics, ceramics, Zhengda feed class three, class 44 full load keep the production, operation and sales booming, the cotton industry has become the city after the coal transport and one employment value-added industry; Xiping railway through infiltration through operations, Jing Road opened to traffic vehicles, further highlights the * * traffic hub; Longyuan red fruit trade company successfully introduced, for the first time now * * fruit Direct export; is a production company 300 thousand tons of feed production line, Yurun Group * * broiler breeding district built colo

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