PMID- 19744042 OWN - NLM STAT- MEDLINE DCOM- 20091104 LR - 20240402 IS - 1750-3639 (Electronic) IS - 1015-6305 (Print) IS - 1015-6305 (Linking) VI - 19 IP - 4 DP - 2009 Oct TI - EGFRvIII-targeted vaccination therapy of malignant glioma. PG - 713-23 LID - 10.1111/j.1750-3639.2009.00318.x [doi] AB - Given the highly infiltrative growth pattern of malignant glioma and the lack of specificity associated with currently available treatment regimens, alternative strategies designed to eradicate cancer cells while limiting collateral toxicity in normal tissues remain a high priority. To this end, the development of specific immunotherapies against targeted neoplastic cells represents a promising approach. The epidermal growth factor receptor class III variant (EGFRvIII), a constitutively activated mutant of the wild-type tyrosine kinase, is present in a substantial proportion of malignant gliomas and other human cancers, yet completely absent from normal tissues. This receptor variant consists of an in-frame deletion, the translation of which produces an extracellular junction with a novel glycine residue, flanked by amino acid sequences that are not typically adjacent in the normal protein. In this review, both preclinical and early clinical development of a peptide vaccine directed against this portion of the EGFRvIII antigenic domain are recapitulated. Following vaccination, our group has demonstrated potent, redirected cellular and humoral immunity against cancer cells expressing the mutant receptor without significant toxicity. Additionally, the corresponding therapeutic outcomes observed in these studies lend credence to the potential role of peptide-based vaccination strategies among emerging antitumor immunotherapies in patients with malignant glioma. FAU - Choi, Bryan D AU - Choi BD AD - Duke Brain Tumor Immunotherapy Program, Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA. bryan.choi@duke.edu FAU - Archer, Gary E AU - Archer GE FAU - Mitchell, Duane A AU - Mitchell DA FAU - Heimberger, Amy B AU - Heimberger AB FAU - McLendon, Roger E AU - McLendon RE FAU - Bigner, Darell D AU - Bigner DD FAU - Sampson, John H AU - Sampson JH LA - eng GR - R01 CA097222-03/CA/NCI NIH HHS/United States GR - R01 CA097611-03/CA/NCI NIH HHS/United States GR - K23 RR016065-01/RR/NCRR NIH HHS/United States GR - R01 CA097611-04/CA/NCI NIH HHS/United States GR - K23 RR016065-04/RR/NCRR NIH HHS/United States GR - R01 CA097222-02/CA/NCI NIH HHS/United States GR - K23 RR016065-02/RR/NCRR NIH HHS/United States GR - R01 CA097222-05/CA/NCI NIH HHS/United States GR - R01 CA097611-02/CA/NCI NIH HHS/United States GR - R01 CA097611/CA/NCI NIH HHS/United States GR - K23 RR016065-05/RR/NCRR NIH HHS/United States GR - R01 CA097222/CA/NCI NIH HHS/United States GR - R25 NS065731/NS/NINDS NIH HHS/United States GR - K23 RR016065/RR/NCRR NIH HHS/United States GR - R01 CA097222-01/CA/NCI NIH HHS/United States GR - R01 CA235612/CA/NCI NIH HHS/United States GR - R01 CA097222-04/CA/NCI NIH HHS/United States GR - R01 CA097611-05/CA/NCI NIH HHS/United States GR - R25 NS065731-01/NS/NINDS NIH HHS/United States GR - K23 RR016065-03/RR/NCRR NIH HHS/United States GR - P20 CA096890-010003/CA/NCI NIH HHS/United States GR - R01 CA097611-01/CA/NCI NIH HHS/United States PT - Journal Article PT - Review PL - Switzerland TA - Brain Pathol JT - Brain pathology (Zurich, Switzerland) JID - 9216781 RN - 0 (Cancer Vaccines) RN - 0 (epidermal growth factor receptor VIII) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Brain Neoplasms/immunology/*therapy MH - Cancer Vaccines/*immunology/therapeutic use MH - Clinical Trials as Topic MH - ErbB Receptors/*immunology MH - Glioblastoma/immunology/*therapy MH - Humans MH - Immunotherapy PMC - PMC2846812 MID - NIHMS181907 EDAT- 2009/09/12 06:00 MHDA- 2009/11/05 06:00 PMCR- 2009/09/04 CRDT- 2009/09/12 06:00 PHST- 2009/09/12 06:00 [entrez] PHST- 2009/09/12 06:00 [pubmed] PHST- 2009/11/05 06:00 [medline] PHST- 2009/09/04 00:00 [pmc-release] AID - BPA318 [pii] AID - 10.1111/j.1750-3639.2009.00318.x [doi] PST - ppublish SO - Brain Pathol. 2009 Oct;19(4):713-23. doi: 10.1111/j.1750-3639.2009.00318.x.