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Table 4 Major cancer vaccine technologies

From: Vaccines: a promising therapy for myelodysplastic syndrome

Cancer vaccine technology

Description

Manufacturing steps

Key quality control checks

Peptide-based vaccines

Utilize specific peptides derived from tumor-associated antigens to stimulate an immune response

Antigen selection and characterization

Peptide design

Peptide synthesis and purification

Formulation with adjuvants

Sterilization

Peptide identification and purity testing

Potency

Stability

Interaction with adjuvant

Neoantigen-based vaccines

Target neoantigens unique to an individual’s tumor cells to activate personalized and targeted immune response

Tumor sample collection

Genomic and proteomic analysis to identify neoantigens

Production of neoantigen peptides or neoantigen encoding genetic material

Formulation with adjuvants or carrier proteins

Identity and purity testing

Potency

Sterility

Stability

Dendritic cell vaccines

Utilize DCs as professional antigen-presenting cells to activate immune system

Patient sample collection and isolation of DCs

Dendritic cell culture and maturation

Loading dendritic cells with tumor antigens

Formulation with adjuvants

Sterilization

Assessment of dendritic cell viability and expression of maturation markers

Potency

Stability

Whole-tumor-cell Vaccines

Utilize whole tumor cells to stimulate a broad immune response

Patient sample collection and isolation of tumor cells

Inactivation and modification of tumor cells

Formulation with adjuvant

Sterilization

Identity and purity testing

Sterility

Potency

Stability

mRNA Vaccines

Introduce tumor antigen encoding mRNA o activate immune response against tumor antigens

Antigen selection and design of mRNA sequence

Synthesis of mRNA using in vitro transcription

Purification of mRNA

3’End Capping and Polyadenylation

Formulation with lipid nanoparticles or protein-based carriers

Identity and purity testing of mRNA sequence

Sterility

Potency

Stability

DNA Vaccines

Introduce tumor antigen encoding DNA to activate the immune response against tumor antigens

Selection of TAA

Cloning the genes encoding TAA into a plasmid vector

Plasmid amplification and purification

Formulation with delivery vectors

Sterilization

Identity, purity and quantification testing of purified plasmid DNA

Sterility

Viral vector-based vaccines

Utilize viral vector to deliver genetic material encoding tumor antigens

Selection of viral vector

Synthesis of recombinant viral vector

Propagation in host cell followed by harvesting and purification

Formulation with adjuvant

Sterilization

Identity and purity testing

Sterility

Potency

Quantitative analysis of viral vector

Host cell DNA residual testing

Stability

Virus like particle (VLP)-based vaccine

Use structural mimicry of viruses to generate robust immune response

Propagation of genes encoding tumor-associated antigen in host cells

Identification of suitable expression system for production of VLP

Fusion or insertion of TAA genes in expression system and production of TAA modifies VLPs

Harvesting and purification

Formulation with stabilizers and adjuvants

Sterilization

Identity, purity and quantification of TAA-modified VLPs

Sterility

Stability