4.4 Review

Dendritic cell-based cancer vaccination:: quo vadis?

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EXPERT REVIEW OF VACCINES
卷 7, 期 7, 页码 1041-1053

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EXPERT REVIEWS
DOI: 10.1586/14760584.7.7.1041

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adjuvant; cancer vaccine; chemotherapy; cytotoxic T cell; dendritic cell; immunomonitoring; monocyte

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Dendritic cells (DCs) play a central role in the initiation and regulation of primary immune responses. DCs loaded with tumor-associated antigens induce anti-tumoral cytotoxic T cells in vitro and in vivo. However, clinical trials using ex vivo-generated DCs have failed to demonstrate clinical efficacy. This review summarizes recent advances in concepts and techniques that are providing new impulses to DC-based cancer vaccination. Improvements in protocols for ex vivo-generation of DCs, innovations in immunomonitoring, strategies to overcome tumor-induced immunosuppression and insights into the mutual beneficial effects of vaccines and chemotherapy are all considered. Furthermore, we highlight novel developments in cell-free vaccines targeting DCs in vivo.

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