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Some 18,000 Americans, typically between the ages of 60 and 65, are
diagnosed annually with this incurable, slow-growing type of cancer. Study
coauthor Ronald Levy, an oncologist at the Stanford University School of
Medicine, says that physicians generally take their cues from the disease,
waiting to see how fast it is moving—and treating it with toxic
chemotherapy (sometimes with radiation) only if it becomes aggressive.
He says that if future trials are successful, the experimental vaccine, which can
be made relatively quickly and cheaply, could become a short-term therapy
administered immediately after diagnosis to try to keep tumors in check.
This and other anti-cancer vaccines work by pumping a patient full of the
same protein or antigen that is on the surface of tumor cells. Researchers
believe that if the body contains enough of the protein, the immune system
will recognize it as a potential danger and send out armies of disease-killing
cells to seek and destroy tumors harboring it.
In this case, the scientists achieved this by inserting the gene into a plant
microbe known a tobacco mosaic virus (TMV). Plants are infected with TMV
simply by scratching their leaves and depositing the virus into the tears.
Researchers discovered that the virus spreads throughout tobacco plants
within a week, in the process cranking out a surfeit of the coveted proteins.
The scientists ground the leaves and separated out the antigen, which they
then injected into volunteers.
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Tobacco plants may provide a new way of treating non-Hodgkin's lymphoma, a cancer that will strike an
estimated 56,800 Americans this year. Scientists at Stanford University and Biosource Technologies are
developing a customized lymphoma vaccine produced in tobacco plants that are being grown indoors at
the biotechnology company's Vacaville, Calif., facility.
The most common form of non-Hodgkin's lymphoma affects cells that produce antibodies to infectious
disease. For a decade, a Stanford team led by Dr. Ronald Levy has been treating patients by using
antibodies produced by the patients' tumor cells to trick the patients' immune systems into attacking the
tumors. Levy has reported that half of lymphoma patients tested respond to the treatment with longer
remissions and added years of survival.
The experimental vaccine is given following standard therapy, which can include chemotherapy,
radiation and the new drug Rituxan, which was also developed at Stanford and is marketed by IDEC
Pharmaceuticals of San Diego and Genentech of South San Francisco.
The Stanford researchers reported in the Proceedings of the National Academy of Sciences that they
have developed a rapid way to make a similar vaccine in tobacco plants and that it successfully
protected mice from a lethal dose of mouse lymphoma tumors. The researchers reported that 80% of
the mice treated with the vaccine survived, while all of the untreated mice died.
Biosource CEO Robert L. Erwin said the vaccine is produced by taking a gene from the patient's
lymphoma cells and splicing it to a tobacco virus that is then sprayed onto growing plants. Six weeks
later, leaves are harvested from the infected plants and the protein extracted.
Even though the vaccine must be customized for each patient, Erwin believes the privately held
company will be able to keep costs comparable to those for other forms of cancer therapy. The company
hopes to begin testing the safety of the plant-grown vaccine in lymphoma patients this fall.
http://articles.latimes.com/1999/feb/01/business/fi-3688