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. 2020 Apr 30;12(5):1121. doi: 10.3390/cancers12051121

Table 2.

Overview of in situ cancer vaccines with pros and cons.

Therapy Pros Cons References
Radiotherapy
  • Depending on dose, can induce immunogenic cell death

  • Can release uncharacterized/ personal tumor antigens

  • Easy to combine with immune checkpoint inhibitors

  • Will cause ‘late effects’

  • Elevated risk of cancer due to treatment

  • Destruction of healthy tissue

[46,71,72,73,74,75,76,77]
Chemotherapy
  • Can cause immunogenic cell death depending on the compound

  • Can suppress specific types of immune suppressive cell populations

  • Easy to combine with immune checkpoint inhibitors

  • Will release uncharacterized/ personal tumor antigens

  • Overall toxicity

  • Not all chemotherapeutic compounds have the favored immunogenic effect

  • Destruction of healthy cells

[78,79,80,81,82,83,84]
Oncolytic virus
  • (Engineered to) Specifically target tumor cell

  • Can Cause immunogenic cell death

  • Will release uncharacterized/ personal tumor antigens

  • Easy to combine with immune checkpoint inhibitors

  • Can be engineered to express a tumor antigen or cytokines to modify the tumor micro environment

  • Anti-viral response can neutralizing the therapy, shortening the window of opportunity,

  • Specialized facilities to monitor patients due to safety concerns

[32,85,86,87,88,89,90,91,92]