1. Immunomodulatory glycomedicine: Introducing next generation cancer glycovaccines.
- Author
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Freitas, Rui, Peixoto, Andreia, Ferreira, Eduardo, Miranda, Andreia, Santos, Lúcio Lara, and Ferreira, José Alexandre
- Subjects
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ANTIGEN presenting cells , *IMMUNOLOGIC memory , *IMMUNOLOGICAL adjuvants , *ANTINEOPLASTIC agents , *CANCER vaccines , *NANOMEDICINE , *PROGRAMMED cell death 1 receptors , *GLYCOCALYX - Abstract
Cancer remains a leading cause of death worldwide due to the lack of safer and more effective therapies. Cancer vaccines developed from neoantigens are an emerging strategy to promote protective and therapeutic anti-cancer immune responses. Advances in glycomics and glycoproteomics have unveiled several cancer-specific glycosignatures, holding tremendous potential to foster effective cancer glycovaccines. However, the immunosuppressive nature of tumours poses a major obstacle to vaccine-based immunotherapy. Chemical modification of tumour associated glycans, conjugation with immunogenic carriers and administration in combination with potent immune adjuvants constitute emerging strategies to address this bottleneck. Moreover, novel vaccine vehicles have been optimized to enhance immune responses against otherwise poorly immunogenic cancer epitopes. Nanovehicles have shown increased affinity for antigen presenting cells (APCs) in lymph nodes and tumours, while reducing treatment toxicity. Designs exploiting glycans recognized by APCs have further enhanced the delivery of antigenic payloads, improving glycovaccine's capacity to elicit innate and acquired immune responses. These solutions show potential to reduce tumour burden, while generating immunological memory. Building on this rationale, we provide a comprehensive overview on emerging cancer glycovaccines, emphasizing the potential of nanotechnology in this context. A roadmap towards clinical implementation is also delivered foreseeing advances in glycan-based immunomodulatory cancer medicine. [Display omitted] • Glycans can be explored in anti-cancer vaccines and/or to target APCs. • Glycans conjugation to immunogens is required for effective immune responses. • Glycovaccine co-administration with immune adjuvants is required for anti-cancer efficacy. • Glycoengineering set foregrounds for glycovaccines but clinical translation is still needed. • A roadmap towards glycovaccines' clinical implementation is provided. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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