Antigenic differences between normal and malignant cells form the basis of
clinical immunotherapy protocols. Because the antigenic phenotype varies wi
dely among different cells within the same tumor mass, immunization with a
vaccine that stimulates immunity to a broad array of tumor antigens express
ed by the entire population of malignant cells is likely to be more efficac
ious than immunization with a vaccine for a single antigen. One strategy is
to prepare a vaccine by transfer of DNA from the patient's tumor into a hi
ghly immunogenic cell line. Weak tumor antigens, characteristic of malignan
t cells, become strongly antigenic if they are expressed by immunogenic cel
ls. In animal models of melanoma and breast cancer, immunization with a DNA
-based vaccine is sufficient to deter tumor growth and to prolong the lives
of tumor-bearing mice.