Antigen peptide chain group for treating tumors and application thereof in medicines
An antigen peptide and drug technology, applied in the field of malignant tumor bioimmune drugs, can solve the problems of difficult side reactions and non-specificity
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Embodiment 1
[0062] Patient A, female, 47 years old. Lung squamous cell carcinoma, liver metastases, clinical stage IV, lung tumor treated with iodine 125 seed implantation once, progressed after 3 times of gemcitabine single-drug chemotherapy, progressed after chemoembolization for liver metastases, EGFR molecular targeted drug resistance . Multiple lung metastases, liver metastases, pleural metastases, bone metastases, abdominal lymph node metastases. A lung lesion biopsy was taken, and after whole exome sequencing and HLA typing chip detection, the patient carried EGFR p.T790M, and the HLA typing was HLA-A: A*0216A*3002; HLA-B: B*1502B* 5801; HLA-C: C*0303C*1203; HLA-DQB1: DQB1*0401DQB1*0602; HLA-DRB1: DRB1*1101DRB1*1501.
[0063] Use the specific tumor antigen peptide chain combination therapy of the present invention once a week for a total of 6 weeks. Detect the secretion of specific CD8+Tetramer+T cells by spot detection before and after the injection of antigen peptide chain gro...
Embodiment 2
[0079]Patient B, male, 70 years old, right lung adenocarcinoma, multiple lymph node metastases, no indication for surgery, received pemetrexed + cisplatin intravenous chemotherapy for 6 weeks, progressed after 1 cycle of pemetrexed chemotherapy, and received iodine 125 seed implantation. Progression after entry. After whole exome sequencing and HLA typing chip detection, the results showed that the patient carried the EGFRp.T790M mutation, and the HLA typing was HLA-A: A*0202A*0212; HLA-B: B*0702B*0808; HLA-C : C*0401C*0701; HLA-DQB1: DQB1*030302DQB1*0601; HLA-DRB1: DRB1*0401DRB1*1002.
[0080] Combination therapy was performed with the antigen peptide chain group for treating tumors of the present invention once a week for a total of 12 weeks. The specific selected peptide chains are as follows:
[0081] a) MQLMPFGCLLDY
[0082] b) TSTVQLIMQLMP
[0083] c) GICLTSTVQLIM
[0084] d) TSTVQLIMQLM
[0085] e)QLIMQLMPFGC
[0086] f) VQLIMQLMPF
[0087] g) QLIMQLMPF
[0088...
Embodiment 3-50
[0093] In Example 3-50, cancer patients of different types and degrees were treated with combinations of different antigen peptide chain groups, once a week for a total of 12 weeks. The results of HLA*A3101-HVKITDFGR Tetramer staining in Example 3-50 and the changes in the size of lung tumors before and after treatment are similar to those in Example 1-2, and will not be repeated here due to space limitations. The above results can all show that the antigen peptide chain group of the present invention can induce dendritic cells that produce tumors, and dendritic cells as antigen-presenting cells can present antigen information to T cells, interact with T cells, and cause T cells to produce tumors. It specifically kills tumor cells, plays a role in killing tumor cells, and the effect is obvious.
[0094] During the treatment of Examples 1-50, ELISA was used to detect the specific IFN-γ secretion before the antigen peptide chain was used, 3 weeks, 7 weeks, and 11 weeks after the...
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