The identification of human tumor-associated antigens has opened new avenue
s for immune intervention in cancer. Clinical trials using synthetic peptid
es that match segments of known tumor-associated proteins are ongoing. Alte
rnatively, naturally processed peptides, obtained by acid treatment of tumo
r cells can be used. Here, Matteo Bellone and colleagues discuss the advant
ages and disadvantages of synthetic versus natural tumor peptides in cancer
immunotherapy.