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@ARTICLE{Maia:305222,
author = {A. Maia and J. Schuhmacher and S. Nadalin and A.
Königsrainer and K. Thiel and A. Nelde and R. S. Zinser and
C. Schroeder$^*$ and S. Mattern and S. Singer and H.
Bösmüller and H.-G. Rammensee$^*$ and M. W. Löffler$^*$
and C. Gouttefangeas$^*$},
title = {{E}xceptional tumor-free survival of a patient with
metastatic intrahepatic cholangiocarcinoma after surgery and
personalized peptide vaccination: revisiting a striking
case.},
journal = {Journal for ImmunoTherapy of Cancer},
volume = {13},
number = {10},
issn = {2051-1426},
address = {London},
publisher = {BioMed Central},
reportid = {DKFZ-2025-02068},
pages = {e012107},
year = {2025},
abstract = {Cholangiocarcinomas are rare but aggressive liver tumors of
high lethality with scarce treatment options. Here we report
on the follow-up of a patient diagnosed with an intrahepatic
cholangiocarcinoma who experienced repeated tumor
recurrences including distant metastasis, therefore facing a
dismal prognosis. At present, this patient is tumor-free for
more than 8 years following repeated surgery and application
of two successive personalized vaccines. In-depth functional
immune cell analyses revealed a dominant CD4+ T-cell
response against the vaccine antigens with infiltration of
the tumor site and immune responses prevailing for years
following the last vaccine administration. Additionally,
spontaneous tumor neoantigen-specific CD4+ and CD8+ T-cell
responses have been detected, which might have contributed
to the outstanding outcome witnessed in this patient. This
case report highlights vaccination strategies targeting
non-mutated antigens as well as the increasingly recognized
central role of antitumor CD4+ T cells.},
keywords = {Humans / Cholangiocarcinoma: therapy / Cholangiocarcinoma:
pathology / Cholangiocarcinoma: immunology /
Cholangiocarcinoma: surgery / Bile Duct Neoplasms: therapy /
Bile Duct Neoplasms: pathology / Bile Duct Neoplasms:
immunology / Cancer Vaccines: therapeutic use / Male /
Middle Aged / Precision Medicine: methods / Vaccines,
Subunit: therapeutic use / Disease-Free Survival / CD4+T
cells (Other) / cancer vaccine (Other) / case report (Other)
/ metastatic cholangiocarcinoma (Other) / Cancer Vaccines
(NLM Chemicals) / Vaccines, Subunit (NLM Chemicals)},
cin = {TU01},
ddc = {610},
cid = {I:(DE-He78)TU01-20160331},
pnm = {899 - ohne Topic (POF4-899)},
pid = {G:(DE-HGF)POF4-899},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:41067882},
doi = {10.1136/jitc-2025-012107},
url = {https://inrepo02.dkfz.de/record/305222},
}