Study: Cancer “vaccine” injected directly into tumors works in mice
Immunotherapy is treatment that uses the immune system to fight cancer. Still in its infancy, it is a promising therapy that is changing how certain cancers are treated. A new study reports that tumors in lab mice were eliminated when they were injected with two immune system-enhancing agents. This new approach is called in situ (at the original site) vaccination because the injections are given directly into the tumors. It worked on several different types of mouse tumors, including lymphomas and breast tumors. This approach may be safer than conventional immunotherapy because it uses very low doses of the agents and it does not require tumors to have particular markers. (02/23/18)
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At a glance | In-depth |
Findings | Limitations |
Clinical trials | |
Questions for your doctor |
STUDY AT A GLANCE
This study is about:
Studying the effectiveness of treating cancer by injecting agents directly into tumors.
Why is this study important?
For decades, researchers have attempted to harness the body’s natural immune system to eliminate cancer. In this study, researchers showed that injecting very small amounts of two immunotherapy substances into the tumors of lab mice triggered an immune system response that eliminated the targeted tumor and other cancers as well. Moreover, the treatment was quicker and less costly than other currently used types of immunotherapies, because there was no need to discover specific targets or customize treatment against them. And since the drug was only injected into the tumor rather than being given systemically (intravenously or orally), the mice experienced less side effects.
Study findings:
Directly applying two immune agents to tumors is a new approach that worked well in laboratory mice.
- In mice with transplanted tumors at two separate sites, injecting one tumor site with the two agents eliminated both the treated and untreated tumors.
- 87 of 90 mice were cured of lymphoma
- Although the cancer recurred in three of the mice, their tumors regressed again after a second treatment.
- Mice that were genetically engineered to develop breast cancers in all 10 of their mammary pads also responded to the treatment:
- Treating the first mammary tumor to develop often prevented the occurrence of future tumors and significantly increased the rodents’ life spans.
To determine whether the immune cell response was specific to different cancers, researchers transplanted two types of tumors into the mice: lymphoma cancer cells in two locations and colon cancer cells in a third location.
- When one lymphoma site was treated, both lymphoma tumors regressed, but the colon cancer cells remained unaffected.
- These results suggest a very targeted approach: only tumors with the targeted protein—in this case lymphoma—at the treated site were affected. Treating the lymphoma did not affect the colon cancer.
What does this mean for me?
While this study had excellent results—all of the subjects had substantial responses and lived longer—it is important to remember that this research was done in mice, and lab studies in animals don't always translate to the same results in people. However, both of the agents used in this study are also being tested in humans. One of the agents is already approved for use in humans and is currently being tested in patients as a single agent and in combination with other therapies. The other agent is being studied in early clinical trials. In January, the researchers of this study began a small trial in 15 patients with low-grade lymphoma.
If successful, researchers believe this type of immunotherapy treatment could be useful for many tumor types. In the future, patients may receive immunotherapy injections prior to surgical removal of their cancer as a way to prevent recurrence or the development of future tumors that develop from genetic mutations like BRCA1/2.
Posted 2/23/18
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References
Sagiv-Barfi I, Czerwinski DK, Levy S1, Alam IS, Mayer AT, Gambhir SS, Levy R. "Eradication of spontaneous malignancy by local immunotherapy." Sci Transl Med. 2018. 10(426).
Disclosure
FORCE receives funding from industry sponsors, including companies that manufacture cancer drugs, tests and devices. All XRAYS articles are written independently of any sponsor and are reviewed by members of our Scientific Advisory Board prior to publication to assure scientific integrity.
- Is immunotherapy an option for me at this time?
- Are there any harmful side effects from vaccines, or from immunotherapy in general?
- Do I qualify for any immunotherapy clinical trials?
Who covered this study?
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