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This autologous dendritic cell vaccine is a personalized cancer immunotherapy composed of dendritic cells transfected with messenger RNA (mRNA) encoding three distinct tumor-associated antigens: survivin, human telomerase reverse transcriptase (hTERT), and p53. Developed primarily at Duke University, the therapy involves harvesting a patient's monocytes via leukapheresis, differentiating them into mature dendritic cells, and using electroporation to introduce the mRNA transcripts. Once administered, these dendritic cells process the mRNA into proteins and present the resulting antigenic peptides on their surface via MHC class I and II molecules. This presentation primes and activates the patient's own CD8+ cytotoxic T lymphocytes and CD4+ helper T cells to recognize and eliminate tumor cells expressing these specific proteins. This multi-antigen approach is designed to overcome tumor heterogeneity and reduce the likelihood of immune escape. It has been primarily investigated in clinical trials for the treatment of malignant gliomas, specifically glioblastoma multiforme.
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