PMID- 17169781 OWN - NLM STAT- MEDLINE DCOM- 20070111 LR - 20201215 IS - 0883-0185 (Print) IS - 0883-0185 (Linking) VI - 25 IP - 5-6 DP - 2006 Sep-Dec TI - Dendritic cell-based immunotherapy. PG - 377-413 AB - Dendritic cells (DCs) play a crucial role in the induction of antigen-specific T-cell responses, and therefore their use for the active immunotherapy of malignancies has been studied with considerable interest. More than a decade has passed since the publication of the first clinical data of DC-based vaccines, and through this and subsequent studies, a number of important developmental insights have been gleaned. These include the ideal source and type of DCs, the discovery of novel antigens and methods of loading DCs, the role of DC maturation, and the most efficient route of immunization. The generation of immune responses against tumor antigens after DC immunization has been demonstrated, and favorable clinical responses have been reported in some patients; however, it is difficult to pool the results as a whole, and thus the body of data remains inconclusive, in part because of varying DC preparation and vaccination protocols, the use of different forms of antigens, and, most importantly, a lack of rigorous criteria for defining clinical responses. As such, the standardization of clinical and immunologic criteria utilized, as well as DC preparations employed, will allow for the comparison of results across multiple clinical studies and is required in order for future trials to measure the true value and role of this treatment modality. In addition, issues regarding the optimal dose and clinical setting for the application of DC vaccines remain to be resolved, and recent clinical studies have been designed to begin to address these questions. FAU - Osada, Takuya AU - Osada T AD - Department of Surgery, Program in Molecular Therapeutics, Comprehensive Cancer Center, Duke University Medical Center, Durham, North Carolina 27710, USA. FAU - Clay, Timothy M AU - Clay TM FAU - Woo, Christopher Y AU - Woo CY FAU - Morse, Michael A AU - Morse MA FAU - Lyerly, H Kim AU - Lyerly HK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Int Rev Immunol JT - International reviews of immunology JID - 8712260 RN - 0 (Antigens, Neoplasm) RN - 0 (Cancer Vaccines) SB - IM MH - Antigen Presentation MH - Antigens, Neoplasm/*immunology MH - Cancer Vaccines/*immunology MH - Clinical Trials as Topic MH - Dendritic Cells/*immunology MH - Humans MH - *Immunotherapy MH - Neoplasms/*immunology/therapy RF - 179 EDAT- 2006/12/16 09:00 MHDA- 2007/01/12 09:00 CRDT- 2006/12/16 09:00 PHST- 2006/12/16 09:00 [pubmed] PHST- 2007/01/12 09:00 [medline] PHST- 2006/12/16 09:00 [entrez] AID - H2X6WQ4286071X73 [pii] AID - 10.1080/08830180600992456 [doi] PST - ppublish SO - Int Rev Immunol. 2006 Sep-Dec;25(5-6):377-413. doi: 10.1080/08830180600992456.