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MVA-BN-HER2 + trastuzumab is a combination immunotherapeutic regimen for HER2-positive breast cancer, combining a recombinant cancer vaccine and a monoclonal antibody. **MVA-BN-HER2** is a Modified Vaccinia Ankara (MVA)-based vaccine encoding a modified human epidermal growth factor receptor 2 (HER2) antigen, designed to induce potent Th1-biased HER2-specific cellular and antibody immune responses, diminish immunosuppressive regulatory T cell activity, and drive infiltration of activated CD8+ cytotoxic T cells into tumor tissue[1][2]. **Trastuzumab** is a humanized monoclonal antibody that binds the extracellular domain of HER2 protein and blocks signaling, triggers immune-mediated cytotoxicity, and inhibits proliferation of HER2-overexpressing cancer cells[5]. This combination aims to synergize vaccine-induced immune activation with antibody-mediated direct targeting and immunologic killing of HER2-positive tumor cells in breast cancer[1][2][3][5].
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