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Pancreas cancer jab shows promise

By Caroline

BBC News Online health staff in Copenhagen

The vaccine takes proteins from the patient's tumour

Scientists say they have taken the first steps towards developing a vaccine

against pancreatic cancer.

Virtually all patients who develop the cancer die, the majority within two years

if being diagnosed.

The US researchers created a vaccine using proteins from the patient's own

tumour.

But they told the European Cancer Conference in Copenhagen more research was

needed before a vaccine for all patients could be developed.

There are almost 7,000 cases of the cancer in the UK each year.

Researchers from the Memorial Sloan-Kettering Cancer Center in New York carried

out an initial study on 10 patients with pancreatic cancer.

They created personalised vaccines using a heat-shock protein (HSP) which helps

cells rebuild after they have been attacked.

A tumour cell would have HSPs stuck to cancer proteins, so a HSP vaccine using

protein HSPPC-96 would prompt the patient's immune system to attack cells

containing the proteins stuck to the HSPs wherever they were in the body.

The greatest number of HSP proteins are in the tumour itself, so targeting them

will kill the cancer.

There were problems creating an effective vaccine because the pancreas makes

digestive enzymes that destroy proteins, so the tumour cells initially destroyed

the vaccine.

But the scientists developed a method of purifying the vaccine so that it could

be administered.

Promising findings

Each patient underwent surgery to remove their tumours. They were then

vaccinated within eight weeks of the operation.

The study found two patients were alive and disease-free after two years and one

more was alive and unaffected by the cancer five years after being vaccinated.

The average typical survival after surgery for pancreas cancer is 14 to 15

months.

However, the researchers stressed the research was still at a very early stage,

and much more work was needed on many more patients before it would be possible

to say if a vaccine could be developed to be used on all pancreatic cancer

patients.

Dr Maki, who led the research, said: " Over 95% of people with pancreatic

cancer die, typically within two years of diagnosis, and mortality is still

about 90% even for those who have complete removal of their pancreatic cancer.

" So the finding of even a few patients surviving two years or more is promising

regarding the usefulness of this vaccine after removal of the cancer.

" However, and this is a big however, we may be biased in who we selected for the

study. Only people who could have an operation were eligible; we screened out

people who had evidence of spread of tumour before they entered the study.

Perhaps, just by chance, we got a few people who were destined to do well.

The HSP has also been shown to skin cancer, and researchers are also looking to

see if it can be used as the basis of a vaccine against kidney cancer.

'Encouraging'

Dr Toy, medical director of Cancer Research UK, told BBC News Online: " This

small study reports a further effort in this area of research.

" It describes mildly encouraging results, but it is possible that just by chance

a few of the people selected for the study were destined to do well - that is,

without the vaccine - and a proper randomised study is required to determine

whether this vaccine could, indeed, truly prove to be useful.

Link: http://news.bbc.co.uk/1/hi/health/3122870.stm

I hope this finds you and yours well

Mark E. Armstrong

casca@...

www.top5plus5.com

PAI NW Rep

ICQ #59196115

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