Hankmanhub, This is my layman’s thinking on why DCVax can potentially use “non-self” cancer or viral antigens and still be substantially non-toxic.
DCVax-L process - target (malignant epitopes from tumor lysate, antigen) - dendritic cell (leukapheresis) - education, maturation - equals DCVax-L
DCVax-L as a best therapy - both the target and drug/vaccine are from self - 100% personalized, non-toxic, most efficacious - Equals a 100% match between target and actual cancer
DCVax as a (potential vaccine) immunization against a set of cancer antigens - The dendritic cell has to be from self. Otherwise the immune system would destroy it upon entry - The target can be off-the-shelf (a bank of epitopes/antigens). - The education and maturation of the DC with target epitopes has to be done outside of the body (DCVax manufacturing process). - Once matured, DCVax should not create an immune reaction. Why? Because these “non-self” epitopes would being carried by the DC. They get a free pass. After all, that is the job of DCs, to carry "non-self" and malignant epitopes to the lymph nodes for presentation and to activate an immune response. - That process would then result in unique memory T cells and B cells becoming activated, one for each of the malignant epitopes, ie the immunization against a set of cancer antigens.