Research
Immune System Disease
Fighting Ability
Brain Cancer Vaccine Shows Promising Findings In Early
Research At UCLA's Jonsson Cancer Center
4-19-2002
An experimental vaccine for brain cancer has shown promising
results in preliminary investigations at UCLA’s Jonsson
Cancer Center. The results are published in this week’s
issue of the peer-reviewed journal Cancer Research.
The
vaccine, studied first as a preventive strategy for brain
tumors, completely prevented brain tumor formation in laboratory
rats. In contrast, all of the rats that did not receive
the vaccine developed very aggressive brain tumors.
“The
results of our study are very encouraging. The 100 percent
protection is pretty dramatic,” said Dr. Linda Liau,
a brain cancer surgeon, researcher at UCLA’s Jonsson
Cancer Center and lead author of the journal article. “However,
we don’t yet have ways to determine who is at high
risk of developing brain tumors. So our next step is to
begin preliminary testing of this vaccine as a possible
treatment strategy for brain tumors.”
There
is a critical need for more effective therapies for brain
cancer, which affects more than 17,000 Americans each year
and is almost 100 percent fatal, Liau said. Malignant gliomas
are the most deadly type of cancerous brain tumor.
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“Without any treatment, patients with the most
aggressive gliomas usually do not live longer than nine months. Even
after surgery, radiation and chemotherapy, patients usually live only
for as long as two years,” said Liau, who also is an assistant
professor of neurosurgery at the UCLA School of Medicine.
While the vaccine research shows promise, it will
be several years before human testing may begin, Liau said.
The vaccine is designed to boost the immune system’s
response against brain cancer by exposing the antigens, or specific
proteins, that brain tumors produce. Each tumor produces several antigens
that may be recognized by the immune system.
Although the immune system can identify and attack
bacteria, viruses and tumors, it does not recognize all brain tumor
antigens.
When the immune system does not detect these antigens,
it can mistake the insidious cancer cells for normal cells and ignore
the cancer cells instead of attacking them.
But when the immune system has a way to recognize
the antigens, the cancer cells are vulnerable to immune attack.
To make the vaccine, researchers used an antigen known
to be recognized by the immune system. The antigen was partnered with
a common form of bacteria, called Listeria monocytogenes, which UCLA
scientist Jeffrey Miller engineered to be harmless. The bacteria essentially
served as a transportation mechanism for the antigens.
“The immune system already is primed to fight
bacteria. So by using specially engineered bacteria to transport the
antigens, we drew the immune system’s attention to the bacteria.
In doing so, we also drew its attention to the tumor antigens,”
Liau said. “And with its attention focused on the antigens,
the immune system learned to recognize and attack the cancer cells
that produced those antigens.”
One drawback of vaccine therapy is that every brain
tumor produces different kinds of antigens, so it is impossible to
know up front which antigens should be incorporated into a vaccine.
But Liau said vaccine therapy might stimulate the
immune system to remain on the warpath, even after the immune system
has hunted down cancer cells that produce the antigens present in
a particular vaccine.
“When we engineer bacteria to carry around a
certain kind of antigen, the immune system learns to recognize that
antigen and attack the cells that produce it. In doing so, the immune
system can become a better detective and will start to recognize and
attack brain tumor cells with other kinds of antigens,” Liau
said.
UCLA scientists now are working to improve the vaccine
by developing a form of the Listeria bacteria that is safe for use
in humans.
Liau is optimistic that targeted approaches to treating
brain cancer may hold the key to improving survival and enhancing
quality of life in patients.
“We desperately need treatment options for inoperable
brain tumors and for the cancer cells that get left behind when we
can’t surgically remove an entire tumor,” she said. “I
suspect that the body’s immune system is more intelligent than
anything we could configure to recognize foreign cells or agents,
and more effective than traditional treatments at leaving healthy
cells alone.”
This story has been adapted from a news release issued
by University Of California - Los Angeles, www.ucla.edu.
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