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The pp65-flLAMP RNA-pulsed dendritic cell vaccine is an autologous cellular immunotherapy designed to target glioblastoma multiforme (GBM). The vaccine consists of a patient's own dendritic cells (DCs) that have been loaded (pulsed) via electroporation with messenger RNA (mRNA) encoding the human cytomegalovirus (CMV) 65 kDa phosphoprotein (pp65). A critical feature of this construct is the fusion of the pp65 sequence to the full-length lysosomal-associated membrane protein (flLAMP) signal sequence. This fusion redirects the synthesized pp65 protein to the lysosomal compartment within the dendritic cell, which significantly enhances the presentation of pp65 peptides on MHC class II molecules in addition to MHC class I. This dual presentation is intended to provoke a robust and polyfunctional T-cell response, involving both CD4+ helper T cells and CD8+ cytotoxic T cells, against CMV antigens which are specifically expressed in GBM tumor cells but absent in the surrounding healthy brain tissue.
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