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4.6 Cancer vaccine   101




                  viruses with immune alerting ability. These viruses have become famous in cancer
                  vaccination due to their direct cytolytic effect on tumor cells. OVs are interesting
                  candidates in cancer immunology as they can induce immune responses against can-
                  cer cells [93]. Adenovirus is the most researched OV [94].
                     Although, adenoviruses (Ad2 and Ad5 are the most common ones) are capable of
                  TAAs delivering, a lot of people are shown low immunity against adenovirus due to
                  long time exposure and hence produced two similar systems [89].
                     One of the concerns about these vaccines is that, the usage of attenuated live
                  viruses in patients who have recently taken chemotherapy may cause frank infection
                  or other health problems [94].
                     In one study, scientists have produced two vaccines: (1) with two different viruses
                  and (2) combination of virus and bacteria. They have used combination of virus and
                  bacteria in order to compare the results. They have produced two similar systems,
                  one of them with adenovirus (Ad) and Maraba (MRB) and the other one with Lm
                  which is a bacteria and Maraba (MRB) which is virus. Both vaccines administrated
                  in mice models. Although both vaccines have shown sufficient immune response, the
                  mice have shown smaller tumor size and longer survival in bacterial-viral system in
                  contrast to the usage of different two viruses [96].


                  4.6.5  Biomaterials in delivery and targeting
                  One of the most crucial factors in cancer vaccination is targeting, and over the past
                  decade  scientists  have  been  faced  with  problems  of  insufficient  delivery.  Hence,
                  some new delivery systems have been invented and they have shown promising
                  results. Different kinds of targeting and delivery systems including nano- and micro-
                  particles, scaffolds, and self-assembling materials have been prepared and used with
                  different cancer vaccine strategies [70]. In this chapter two vital delivery system have
                  been discussed:

                  •  Cancer vaccines on the basis of nanoparticles
                     Targeting systems are made of polymers and lipids, in the following paragraph
                  most famous nanoparticles have been discussed:
                     Liposomes considered to be one of the first used nano materials for cancer vac-
                  cination, that is, resulted from the FDA approval of these materials and their deliv-
                  ery capability. These two reasons causing liposomes as a promising candidate for
                  vaccine delivery. On the other hand, some drawbacks in their loading capability,
                  stability and toxicity limited their usage. PLGA is the other crucial nanoparticle for
                  vaccine delivery. Although PLGA can be manufactured easily and can be prepared in
                  different particle sizes, however, the low (drug) loading amount is one of the ongoing
                  problems. In order to compare these two most used nanoparticles, it is worth mention
                  that liposomes contain both hydrophobic and hydrophilic bonds which lead them to
                  be suitable for carrying both hydrophobic and hydrophilic components at the same
                  place. However, PLGA mostly contains of hydrophilic bonds results in a low hydro-
                  phobic loading capacity. To overcome the aforementioned obstacles scientists have
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