Jan 2026· Journal of Immunological Research· Vol 2026· 0 citations· 62 references
Medicine
TL;DR
This review explores how AI facilitates neoantigen discovery, RNA vaccine optimization, and CAR‐T cell engineering, and examines the emerging interplay between these modalities.
Abstract
Oncology is undergoing a profound transformation driven by the convergence of artificial intelligence (AI), RNA‐based vaccines, and chimeric antigen receptor T‐cell (CAR‐T) therapies. Individually, these technologies have advanced cancer diagnosis, treatment, and patient stratification. AI‐driven approaches enhance drug discovery, optimize clinical trial design, and enable personalized therapeutic decision‐making. RNA vaccines provide a flexible platform for encoding tumor‐specific neoantigens, while CAR‐T therapies enable targeted immune‐mediated tumor cell elimination. Early‐phase clinical trials, particularly those combining RNA vaccines with immune checkpoint inhibitors, have demonstrated promising improvements in recurrence‐free survival (RFS) and immunogenicity. However, evidence supporting direct combinations of RNA vaccines and CAR‐T therapies remains largely preclinical or limited to early‐phase investigation and should therefore be interpreted with caution. This review explores how AI facilitates neoantigen discovery, RNA vaccine optimization, and CAR‐T cell engineering, and examines the emerging interplay between these modalities. While their integration represents a compelling framework for personalized oncology, significant challenges remain, including clinical validation, scalability, regulatory oversight, and equitable access.
Chimeric antigen receptor T‐cell (CAR‐T) therapy is a transformative tumor immunotherapy that redirects autologous T cells to eliminate malignant cells. However, its broader clinical translation is constrained by complex and costly ex vivo manufacturing, variable product quality, and limited control over in vivo activi...
Zhen-Xin Bai, Ming Yi, Sheng-Tao Hu et al.· MedComm· 0 citations
Therapeutic mRNA vaccines are a clinically validated cancer immunotherapy platform using
in vitro
transcribed mRNA encoding tumor antigens to induce durable anti-tumor immunity. Advances in mRNA engineering, lipid nanoparticle (LNP) delivery, and immunomodulatory combinations have propelled this approach from precl...
This review examines recent advances in neoantigen cancer vaccine development, highlighting clinical progress across cancer types while discussing ongoing challenges and opportunities to enhance vaccine design, delivery, and combination immunotherapy approaches.
N. Markosyan, Robert H. Vonderheide· Nature Communications· 0 citations
Cancer‐testis antigens (CTAs) represent a unique class of tumor‐associated antigens (TAAs) with highly restricted expression in immune‐privileged tissues and widespread aberrant activation in various malignancies. Their potent immunogenicity and tumor specificity make CTAs promising targets for cancer immunotherapy. Th...
Ran-Ran Shi, Ling Ran, Tian-Tian Song et al.· Journal of Immunological Res...· 0 citations
By integrating molecular vaccine design with tumor evolution, immune-contexture remodeling, and checkpoint sensitivity, this review identifies determinants that may distinguish successful immune priming from durable therapeutic efficacy and outlines priorities for biomarker-guided patient selection and future combinati...
T. Demircan, Berna Yıldırım, Halil İbrahim Ünsal et al.· International Journal of Mol...· 0 citations
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