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This neopeptide-loaded dendritic cell vaccine is an investigational autologous cell-based immunotherapy developed by Radboud University Medical Center for cancer prevention in individuals with Lynch syndrome. The vaccine is composed of mature dendritic cells derived from the patient's own blood, which are then pulsed with HLA-A2-binding short peptides. These peptides are derived from three specific sources: carcinoembryonic antigen (CEA) and frameshift-derived neoantigens from caspase-5 and TGF-βRII. The mechanism involves the dendritic cells presenting these antigens to the immune system to stimulate the production of specific T cells. These T cells are intended to recognize and destroy precancerous or cancerous cells that express these neoantigens, which are frequently produced in Lynch syndrome due to DNA mismatch repair deficiency. The vaccine is currently being evaluated in the Phase I/II PREVENT-Lynch clinical trial.
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