4.3 Editorial Material

Dendritic cell vaccination against ovarian cancer - tipping the Treg/TH17 balance to therapeutic advantage?

Journal

EXPERT OPINION ON BIOLOGICAL THERAPY
Volume 11, Issue 4, Pages 441-445

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1517/14712598.2011.554812

Keywords

dendritic cells; ovarian cancer; p38 MAPK; regulatory T cells; T(H)17 T cells

Funding

  1. NCRR NIH HHS [UL1RR029884-01, UL1 RR029884-01, UL1 RR029884] Funding Source: Medline

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The pathology of ovarian cancer is characterized by profound immunosuppression in the tumor microenvironment. Mechanisms that contribute to the immunosuppressed state include tumor infiltration by regulatory T cells (Treg), expression of B7-H1 (PDL-1), which can promote T cell anergy and apoptosis through engagement of PD-1 expressed by effector T cells, and expression of indoleamine 2,3-dioxygenase (IDO), which can also contribute to effector T cell anergy. Expression of both B7-H1 and IDO has been associated with differentiation and recruitment of Treg, and clinical studies have shown that each of these mechanisms correlates independently with increased morbidity and mortality in patients with ovarian cancer. In a remarkable counterpoint to these observations, ovarian tumor infiltration with T(H)17 cells correlates with markedly improved clinical outcomes. In this Future Perspectives review, we argue that dendritic cell (DC) vaccination designed to drive tumor-antigen-specific T(H)17 T cell responses, combined with adjuvant treatments that abrogate immunosuppressive mechanisms operative in the tumor microenvironment, offers the potential for clinical benefit in the treatment of ovarian cancer. We also discuss pharmacological approaches to modulation of MAP kinase signaling for manipulation of the functional plasticity of DC, such that they may be directed to promote T(H)17 responses following DC vaccination.

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