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New Approaches to in silico Design of Epitope-Based Vaccines

New Approaches to in silico Design of Epitope-Based Vaccines

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96 CHAPTER 8. DISCUSSION & CONCLUSION<br />

<strong>of</strong> the score is controversial. For <strong>in</strong> <strong>silico</strong> EV design it would be desirable <strong>to</strong> have a widely<br />

accepted score. The constantly <strong>in</strong>creas<strong>in</strong>g number <strong>of</strong> sequenced viruses provides a sound<br />

basis for further statistical analyses <strong>in</strong> this regard. While based on real data, the results<br />

<strong>of</strong> the vacc<strong>in</strong>e design studies are theoretical <strong>in</strong> nature. To complement them, it would<br />

be <strong>in</strong>terest<strong>in</strong>g <strong>to</strong> experimentally evaluate the vacc<strong>in</strong>es and thus the performance <strong>of</strong> the<br />

proposed algorithms. Here, the development <strong>of</strong> a mouse model <strong>to</strong> efficiently test vacc<strong>in</strong>e<br />

constructs and delivery strategies <strong>in</strong> a high-throughput manner would be <strong>of</strong> great help.<br />

Ever decreas<strong>in</strong>g sequenc<strong>in</strong>g costs and improv<strong>in</strong>g analysis methods will contribute greatly<br />

<strong>to</strong> advances <strong>in</strong> vacc<strong>in</strong>e design. HLA typ<strong>in</strong>g will become considerably cheaper allow<strong>in</strong>g<br />

for high-resolution cl<strong>in</strong>ical data. Furthermore, <strong>in</strong>expensive and rapid sequenc<strong>in</strong>g <strong>of</strong>, e.g.,<br />

cancer genomes is an important step <strong>to</strong>wards an era <strong>of</strong> personalized medic<strong>in</strong>e.<br />

In the long term the use <strong>of</strong> <strong>in</strong> <strong>silico</strong> epi<strong>to</strong>pe discovery, selection and assembly, e.g.,<br />

as part <strong>of</strong> a vacc<strong>in</strong>e design pipel<strong>in</strong>e from sequenc<strong>in</strong>g data <strong>to</strong> the EV components, will<br />

significantly change the way vacc<strong>in</strong>es are developed. The use <strong>of</strong> standardized approaches<br />

for EVs will solve some <strong>of</strong> the issues <strong>of</strong> classical vacc<strong>in</strong>es based on attenuated pathogens.<br />

In particular, it promises shorter development times, which can be essential for emerg<strong>in</strong>g<br />

<strong>in</strong>fectious diseases. At the same time, it is <strong>in</strong>dispensable for fully personalized vacc<strong>in</strong>es,<br />

particularly for cancer immunotherapy.

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