PMID- 29938870 OWN - NLM STAT- MEDLINE DCOM- 20180918 LR - 20210109 IS - 1349-7006 (Electronic) IS - 1347-9032 (Print) IS - 1347-9032 (Linking) VI - 109 IP - 9 DP - 2018 Sep TI - Survival analysis of multiple peptide vaccination for the selection of correlated peptides in urological cancers. PG - 2660-2669 LID - 10.1111/cas.13709 [doi] AB - Peptide-based cancer vaccines are able to induce strong immune responses, but their clinical results are unsatisfactory. To determine clinically correlated peptides, we analyzed survival data from urological cancer patients treated by personalized peptide vaccination (PPV), in which different multiple peptides were used for individual patients based on human leukocyte antigen (HLA) type and pre-existing immunity. Survival data were obtained from a database of 265 urological cancer patients treated in 5 clinical PPV trials comprising 154 patients with castration-resistant prostate cancer (CRPC) and 111 patients with advanced urothelial cancer (UC). Expression of tumor-associated antigens (TAA) was evaluated in 10 prostate cancer tissues, 4 metastatic lymph nodes from prostate cancer, and 10 UC tissues using immunohistochemical staining. Clinical efficacy of individual peptides for overall survival was evaluated by the Cox proportional hazards regression model. All TAA coding candidate peptides used in PPV treatment were expressed in tumor cells from prostate cancer and UC samples except for p56Lck in both, and prostate-specific antigen (PSA), prostatic acid phosphatase (PAP) and prostate-specific membrane antigen (PSMA) in the UC samples. Patients with the following peptides had a significantly longer survival than patients without the peptides (hazard ratio <1.0, 95% confidence intervals <1.0 and P < .05): SART3-109, PTHrP-102, HNPRL-140, SART3-302 and Lck-90 in CRPC patients, and EGF-R-800, Lck-486, PSMA-624, CypB-129 and SART3-734 in advanced UC patients, respectively. Correlated peptides selected using both survival data and pre-existing immunity for PPV treatment may enhance the clinical benefits for urological cancer patients. CI - (c) 2018 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association. FAU - Noguchi, Masanori AU - Noguchi M AUID- ORCID: 0000-0003-2328-4985 AD - Cancer Vaccine Center, Kurume University School of Medicine, Kurume, Japan. FAU - Koga, Noriko AU - Koga N AD - Cancer Vaccine Center, Kurume University School of Medicine, Kurume, Japan. FAU - Moriya, Fukuko AU - Moriya F AD - Department of Pathology, Kurume University School of Medicine, Kurume, Japan. FAU - Suekane, Shigetaka AU - Suekane S AUID- ORCID: 0000-0003-1150-2893 AD - Department of Urology, Kurume University School of Medicine, Kurume, Japan. FAU - Yutani, Shigeru AU - Yutani S AUID- ORCID: 0000-0001-6306-4130 AD - Cancer Vaccine Center, Kurume University School of Medicine, Kurume, Japan. FAU - Yamada, Akira AU - Yamada A AD - Division of Cancer Vaccines in Research Center for Innovative Cancer Therapy, Kurume University School of Medicine, Kurume, Japan. FAU - Shichijo, Shigeki AU - Shichijo S AUID- ORCID: 0000-0003-4797-0429 AD - Cancer Vaccine Center, Kurume University School of Medicine, Kurume, Japan. FAU - Kakuma, Tatuyuki AU - Kakuma T AD - Bio-statistics Center, Kurume University School of Medicine, Kurume, Japan. FAU - Itoh, Kyogo AU - Itoh K AD - Cancer Vaccine Center, Kurume University School of Medicine, Kurume, Japan. LA - eng PT - Journal Article DEP - 20180723 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 RN - 0 (Antigens, Neoplasm) RN - 0 (Cancer Vaccines) RN - 0 (Vaccines, Subunit) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, Neoplasm/analysis MH - Cancer Vaccines/*immunology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Urologic Neoplasms/immunology/mortality/*therapy MH - *Vaccination MH - Vaccines, Subunit/immunology PMC - PMC6277968 OTO - NOTNLM OT - immunotherapy OT - peptide-based cancer vaccine OT - prostate cancer OT - survival analysis OT - urothelial cancer EDAT- 2018/06/26 06:00 MHDA- 2018/09/19 06:00 PMCR- 2018/09/01 CRDT- 2018/06/26 06:00 PHST- 2018/04/13 00:00 [received] PHST- 2018/06/16 00:00 [accepted] PHST- 2018/06/26 06:00 [pubmed] PHST- 2018/09/19 06:00 [medline] PHST- 2018/06/26 06:00 [entrez] PHST- 2018/09/01 00:00 [pmc-release] AID - CAS13709 [pii] AID - 10.1111/cas.13709 [doi] PST - ppublish SO - Cancer Sci. 2018 Sep;109(9):2660-2669. doi: 10.1111/cas.13709. Epub 2018 Jul 23.