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. 2023 Apr 26:1–16. Online ahead of print. doi: 10.1007/s00432-023-04805-z

Table 1.

Preclinical studies with mRNA vaccines against breast cancer models

Vaccine type Target antigen or agonist RNA modification Dosage of mRNA Route of administration Combination therapy Disease and treatment models Results References
SAM vaccine (alphaviral vector) HER2 NA 1 × 107 particles/mouse Footpad injection NA BALB/c mice immunized with vaccines before or after implantation of hHER2+ tumor cells 1. Vaccination-induced HER-2 specific T cells and antibodies Crosby (2019)
2. Vaccination provided a long-lasting protective effect against tumors and was related to a systemic expansion of CD8+ memory T cells
LNP mRNA vaccine MUC1 Modified nucleotides: 5-methylcytidine-5’-triphosphate, pseudouridine-5’-triphosphate NA s.b Anti-CTLA-4 mAb BALB/c mice were treated with a vaccine with CTLA-4 blockade after implantation with TNBC 4T1 cells 1. Vaccine modified with a mannose reached draining lymph node Liu (2018)
2. Vaccination induced a strong, antigen-specific CTL response against 4T1 cells
RNA cap: 3’-O-Me-m7G (5’) ppp (5’) G 3. Combination therapy significantly enhanced the anti-tumor responses with increased CD8+ TIL
DC vaccine HER-2/neu NA NA NA Cotransfection with 4-1BBL In vitro induced HER-2/neu-specific CTLs incubated with DC vaccine 1. Vaccination increased tumor-specific CTL responses Grunebach (2005)
DC vaccine p53 NA NA NA NA Primary diagnosed BC patients treated with vaccine 1. Vaccination induced stronger p53-specific T-cell responses in P53high BC patients Met (2011)
SAM vaccine (measle viral vector) CEA (just as a marker) NA 1.2 × 107 TCID50/mouse i.v NA BALB/c nude mice immunized with vaccines after implantation of MDA-MB-231 cells 1. Vaccination brought significant cytopathic effects consisting of extensive syncytia formation and massive cell death McDonald (2006)
2. Vaccination significantly delayed tumor growth and prolonged survival
ISV Alphavirus vector expressing IL-12 NA 5 × 109 viral particles/mouse i.t Attenuated Salmonella BALB/c mice were treated with vaccine before/after attenuated Salmonella after implantation with TNBC 4T1 cells 1. Vaccination inhibited tumor growth, prolonged survival, reduced angiogenesis, and lung metastasis Kramer (2015)
2. The combined therapy was markedly synergistic when the vaccine was administered previous to attenuated Salmonella

4-1BBL 4-1BB ligand, CEA carcinoembryonic antigen, CTLA-4 cytotoxic T lymphocyte-associated antigen-4, DC dendritic cell, HER2 human epidermal growth factor receptor 2, IL-12 interleukin 12, ISV in situ vaccine, i.t. intratumoral injection, i.v. intravenous injection, LNP lipid nanoparticle, MUC1 mucin 1, NA not applicable, SAM self-amplifying mRNA, s.b. subcutaneous injection, TCID tissue culture infective dose