PMID- 12445290 OWN - NLM STAT- MEDLINE DCOM- 20030616 LR - 20190916 IS - 0105-2896 (Print) IS - 0105-2896 (Linking) VI - 188 DP - 2002 Oct TI - Towards patient-specific tumor antigen selection for vaccination. PG - 164-76 AB - In this review, we discuss the possibilities for combining the power of molecular analysis of the antigens expressed in a given individual tumor with the design of a tailored vaccine containing defined antigens. Step 1 is a differential gene expression analysis of tumor and corresponding normal tissue. Step 2 is the analysis of human leukocyte antigen (HLA) ligands on tumor cells. Step 3 is data mining with the aim to select those antigens that might be suitable for tumor attack by the adaptive immune system. Step 4 is the on-the-spot clinical grade production of the constituents of the patient tailored vaccine, e.g. peptides. Step 5 is then vaccination and monitoring. Although it will not be possible to cover all relevant antigens expressed in a tumor, the antigens that can be identified with our present technical possibilities might be enough for improved immunotherapy. The scope of the present review is to explore the possibilities and the formidable technical and logistical challenge for such individual patient-oriented antigen definition to be used for therapeutic immunization. FAU - Rammensee, Hans-Georg AU - Rammensee HG AD - Department of Immunology, Institute for Cell Biology, University of Tubingen, Tubingen, Germany. rammensee@uni-tuebingen.de FAU - Weinschenk, Toni AU - Weinschenk T FAU - Gouttefangeas, Cecile AU - Gouttefangeas C FAU - Stevanovic, Stefan AU - Stevanovic S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Immunol Rev JT - Immunological reviews JID - 7702118 RN - 0 (Antigens, Neoplasm) RN - 0 (Cancer Vaccines) RN - 0 (Epitopes, B-Lymphocyte) RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (HLA Antigens) RN - 0 (Receptors, Antigen, T-Cell) RN - 0 (Vaccines, Subunit) SB - IM MH - Algorithms MH - Amino Acid Motifs MH - Antigen Presentation MH - Antigens, Neoplasm/administration & dosage/*immunology MH - B-Lymphocytes/immunology MH - Cancer Vaccines/*immunology/therapeutic use MH - Clinical Trials as Topic MH - Cytotoxicity, Immunologic MH - Databases, Factual MH - Epitopes, B-Lymphocyte/immunology MH - Epitopes, T-Lymphocyte/immunology MH - HLA Antigens/immunology MH - Humans MH - *Immunotherapy, Active MH - Neoplasms/*immunology/therapy MH - Receptors, Antigen, T-Cell/immunology MH - T-Lymphocytes, Cytotoxic/immunology MH - T-Lymphocytes, Helper-Inducer/immunology MH - Vaccines, Subunit/immunology/therapeutic use RF - 128 EDAT- 2002/11/26 04:00 MHDA- 2003/06/17 05:00 CRDT- 2002/11/26 04:00 PHST- 2002/11/26 04:00 [pubmed] PHST- 2003/06/17 05:00 [medline] PHST- 2002/11/26 04:00 [entrez] AID - imr18815 [pii] AID - 10.1034/j.1600-065x.2002.18815.x [doi] PST - ppublish SO - Immunol Rev. 2002 Oct;188:164-76. doi: 10.1034/j.1600-065x.2002.18815.x.