Table 2.
Survey of immunotherapy approaches
| Tumor associated antigens (TAA) | Immunopotentiation | Category | |
|---|---|---|---|
| 1 | From lysates extracted from cell lines or tumor tissue | Classical vaccine adjuvants, or cytokines such as interleukin (IL)-12, GM-CSF, TNF, haptens, BCG, etc | Classical vaccine |
| 2 | Recombinant proteins or peptides | Classical vaccine adjuvants, or cytokines such as interleukin (IL)-12, GM-CSF, TNF, haptens, BCG, etc | Modern vaccine |
| 3 | Antigens from 1 or 2 loaded on patient-derived autologous dendritic cells | Activating cytokine (or cocktail) | Dendritic cell vaccine |
| 4 | RNA, DNA, or viral vector encoding the TAA | Direct parenteral injection, without or with immunopotentiators | Genetic vaccine |
| 5 | RNA, DNA, or viral vector encoding the TAA | Transfection into dendritic cells | Dendritic cell vaccine |
| 6 | Endogenous TAAs expressed/released by the tumor | Patient-derived or allogeneic T lymphocytes cultured in medium facilitating T cell survival and expansion, sometimes gene modified T cells expressing transgenic T cell receptors specific for defined TAA | Adoptive T cell transfer |
| 7 | Endogenous TAAs expressed (released) by the tumor | Cytokine or immunostimulant administration (IFN, IL-2, IL-12, TLR agonists etc.) | Non-specific stand-alone immunostimulation |
| 8 | Endogenous TAAs released from the tumor after local destruction of tumor tissue by ablation | Local inflammatory responses resulting from apoptosis or necrosis of tumor tissue, optionally combined with immunostimulants. | Tumor necrosis therapy (TNT) by non-specific local immune activation |
| 9 | One of the categories of exogenous or endogenous TAAs described above | Blockade of endogenous immunosuppressive cells or molecules (PD-1, CTLA-4, TGF-β, IL-10, regulatory T cells, etc.) | Inhibition of local or systemic immune suppression |
| 10 | Two or more combinations of the above approaches | Multi-modal |