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| <a href="#IntroVaccine" data-scroll-to data-scroll-to-offset="50" class="list-group-item list-group-item-action d-flex justify-content-between"> | | <a href="#IntroVaccine" data-scroll-to data-scroll-to-offset="50" class="list-group-item list-group-item-action d-flex justify-content-between"> |
| <div> | | <div> |
− | <span>Introduction</span> | + | <span>Preface</span> |
| </div> | | </div> |
| <div> | | <div> |
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| </div> | | </div> |
| </a> | | </a> |
− | <a href="#ImportanceVaccine" data-scroll-to data-scroll-to-offset="50" class="list-group-item list-group-item-action d-flex justify-content-between"> | + | <<a href="#EncapsulinDelivery" data-scroll-to data-scroll-to-offset="50" class="list-group-item list-group-item-action d-flex justify-content-between"> |
| <div> | | <div> |
− | <span>Rising Importance of Cancer Vaccination</span> | + | <span>Encapsulin Antigen Delivery</span> |
| </div> | | </div> |
| <div> | | <div> |
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| <h1 id="IntroVaccine">Introduction</h1> | | <h1 id="IntroVaccine">Introduction</h1> |
− | <p class="lead">The aim of the vaccine part is ....</p> | + | <h3>How Neoantigen-based Cancer Immunotherapy Works</h3> |
| + | <p class="lead"><b>[FIGURE HERE]</b></p> |
| + | <p class="lead">A specific neoantigen that is differentially expressed on tumour cells, and not healthy cells is supplied to the patient through a vaccine formulation. Dendritic cells uptake the neoantigen from the vaccine formulation. Alongside the neoantigen, the vaccine formulation supplies an adjuvant that activates the dendritic cell to uptake foreign material, and perceive them as danger signals.</p> |
| + | <p class="lead">The dendritic cell then processes the neoantigen and cross-represents it on MHC1 complexes, where naïve CD8+ T cells can recognize it. Once the naïve CD8+ cells recognize the neoantigen, they mature into cytotoxic CD8+ T cells that specifically attack cells that express this neoantigen; in this case, the tumour cells.</p> |
| + | <br> |
| + | <h3>Rising Importance of Cancer Vaccination</h3> |
| + | <p class="lead">The immunogenicity of Neoantigens leading to T cell activation has long been demonstrated in patients (<a href="#Wolfel1995"><span style="color:blue">Wolfel <i>et al.</i>, 1995</span></a>). In fact, preclinical and clinical data has already shown that neoantigen specific cytotoxic T lymphocytes (CTLs) constitute the most potent T cell populations for tumour rejection (<a href="#Wolfel1995"><span style="color:blue">Wolfel <i>et al.</i>, 1995</span></a>; <a href="#Matsushita2012"><span style="color:blue">Matsushita <i>et al.</i>). Still, the natural production of neoantigen specific CTLs by a patient’s immune system is scarce because of low clonal frequency and ineffective presentation of neoantigens (<a href="#Alexandrov2013"><span style="color:blue">Alexandrov <i>et al.</i>, 2013</span></a>; <a href="#Zhu2017"><span style="color:blue">Zhu <i>et al.</i>, 2017</span></a>). Therefore, cancer vaccines or adjuvant cancer therapies (ACT) are crucial to potentiate immunity against neoantigens for cancer treatment. Accordingly, a large number of strategies have been progressed for the creation, formulation and delivery of various cancer vaccines; for example, whole tumor cell lysate, nucleotide (mRNA/ DNA), protein or peptides-based vaccines, dendritic cell (DC) based vaccines, viral vectors, biomaterial-assisted vaccines, and so on. However, it remains challenging to develop a universal and effective delivery strategy to target neoantigen-based vaccines to professional antigen-presenting cells (APCs) for eliciting robust and potent T cell responses against cancer.</p> |
| </div> | | </div> |
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| <hr style="height:2px;border:none;color:#333;background-color:#333;" /> | | <hr style="height:2px;border:none;color:#333;background-color:#333;" /> |
| <br> | | <br> |
− | <h1 id="ImportanceVaccine">Rising Importance of Cancer Vaccination</h1> | + | <h1 id="EncapsulinDelivery">Encapsulin Antigen Delivery</h1> |
− | <p class="lead"> | + | <p class="lead"></p> |
− | (<a href="#Wolfel1995"><span style="color:blue">Wolfel <i>et al.</i>, 1995</span></a>)
| + | |
| .... | | .... |
| (<a href="#Matsushita2012"><span style="color:blue">Matsushita <i>et al.</i>, 2012</span></a>; <a href="#Tran2014"><span style="color:blue">Tran <i>et al.</i>, 2014</span></a>; <a href="#Tran2016"><span style="color:blue">Tran <i>et al.</i>, 2016</span></a>; <a href="#Tran2017"><span style="color:blue">Tran <i>et al.</i>, 2017</span></a>) | | (<a href="#Matsushita2012"><span style="color:blue">Matsushita <i>et al.</i>, 2012</span></a>; <a href="#Tran2014"><span style="color:blue">Tran <i>et al.</i>, 2014</span></a>; <a href="#Tran2016"><span style="color:blue">Tran <i>et al.</i>, 2016</span></a>; <a href="#Tran2017"><span style="color:blue">Tran <i>et al.</i>, 2017</span></a>) |
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| <h1 id="Cas12aAssay">Our detection scheme</h1> | | <h1 id="Cas12aAssay">Our detection scheme</h1> |
| <p class="lead">We envision a follow-up based on repeated liquid biopsies in order to track the sequences that have been identified using our bioinformatic software, amplified by either PCR, isothermal amplification or RCA, and finally detected directly in the plasma using our Cas12a based system.</p> | | <p class="lead">We envision a follow-up based on repeated liquid biopsies in order to track the sequences that have been identified using our bioinformatic software, amplified by either PCR, isothermal amplification or RCA, and finally detected directly in the plasma using our Cas12a based system.</p> |
− | <p class="lead"><b>[FIGURE HERE]</b></p> | + | |
| + | <center> |
| + | <figure> |
| + | <img alt="Image" src="https://static.igem.org/mediawiki/2018/6/64/T--EPFL--FromBloodTo.png" class="img-fluid rounded" width="800" > |
| + | <figcaption class="mt-3 text-muted">Representation of our detection scheme: from a single drop of blood we collect the plasma in which reside our biomarkers, ctDNA and miRNAs. Depending on the follow-up assay (vaccine monitoring or relapse detection), we will amplify specific target sequences that we will detect afterwards using our Cas12a assay.</figcaption> |
| + | </figure> |
| + | </center> |
| <br> | | <br> |
| <p class="lead">In the following example, the patient receives our treatment based on a cocktail of neoantigens presented on the surface of the encapsulin. The target population decreases with time, which suggests a response to our immunotherapy-based vaccine for a certain period of time but, due to the emergence of resistance or the survival of another cell population, the patient relapses. Chromosomal rearrangements and miRNAs are then the object of our detection, which would suggest a potential relapse. It is then strongly recommended for the patient to carry out a clinical test (biopsy, imaging, endoscopy) for confirmation.</p> | | <p class="lead">In the following example, the patient receives our treatment based on a cocktail of neoantigens presented on the surface of the encapsulin. The target population decreases with time, which suggests a response to our immunotherapy-based vaccine for a certain period of time but, due to the emergence of resistance or the survival of another cell population, the patient relapses. Chromosomal rearrangements and miRNAs are then the object of our detection, which would suggest a potential relapse. It is then strongly recommended for the patient to carry out a clinical test (biopsy, imaging, endoscopy) for confirmation.</p> |
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| <figure> | | <figure> |
| <img alt="Image" src="https://static.igem.org/mediawiki/2018/c/c8/T--EPFL--GraphDetection.png" class="img-fluid rounded" width="800" > | | <img alt="Image" src="https://static.igem.org/mediawiki/2018/c/c8/T--EPFL--GraphDetection.png" class="img-fluid rounded" width="800" > |
− | <figcaption class="mt-3 text-muted"><b>[CAPTION HERE]</b></figcaption> | + | <figcaption class="mt-3 text-muted">Example of the use of biomarkers as a means of prognosis on the health of a patient with melanoma. In this case, the patient receives our vaccine as a treatment, and we assume that the treatment worked. This would be marked by a decrease in the concentration of ctDNA characteristic of the neoantigens targeted by our vaccine, ideally until their complete eradication. The condition of the patient stabilizes for a certain amount of time but it still ends up in relapse, which is nonetheless promptly marked by an increase of chromosomal rearrangements ctDNA fragments in the blood.</figcaption> |
| </figure> | | </figure> |
| </center> | | </center> |