Anti-idiotypic monoclonal antibodies (MAb) can mimic both protein and
non-protein in antigenic epitopes. In animal models, and now in patien
ts, it is possible to induce immune responses against tumor antigens u
sing anti-idiotypic MAb vaccines. While it is not clear how the effica
cy of anti-idiotypic MAb vaccines compares with the efficacy of vaccin
es constructed from antigen, there are two situations where anti-idiot
ypic vaccines have potential advantages: (1) when the antigen is not r
eadily available in sufficient quantities or purity, and (2) when the
antigen is a non-protein. Clinical trials are underway using anti-idio
typic MAb vaccines in both of these situations.