PMID- 22971679 OWN - NLM STAT- MEDLINE DCOM- 20130322 LR - 20240322 IS - 1791-2423 (Electronic) IS - 1019-6439 (Print) IS - 1019-6439 (Linking) VI - 41 IP - 5 DP - 2012 Nov TI - Phase I/II study of immunotherapy using tumor antigen-pulsed dendritic cells in patients with hepatocellular carcinoma. PG - 1601-9 LID - 10.3892/ijo.2012.1626 [doi] AB - Dendritic cells (DCs) are increasingly used as adjuvants for vaccination strategies; however, there has been very little development in DC vaccines for patients with hepatocellular carcinoma (HCC). In this study, we assessed the safety, feasibility and efficacy of a multiple tumor-associated antigen (TAA)-pulsed DC vaccine in 5 patients with advanced HCC. DCs were generated by culturing blood monocytes in the presence of granulocyte macrophage-colony stimulating factor and interleukin-4 for 5 days. The DC vaccine was prepared by pulsing DCs with cytoplasmic transduction peptide-attached alpha-fetoprotein, glypican-3 and MAGE-1 recombinant fusion proteins and cultivating them in the presence of maturation cocktail. DCs were injected subcutaneously near the inguinal lymph nodes, followed by topical application of toll-like receptor-7 agonist around the injection site. We showed that our DC vaccine was safe and well-tolerated over 6 vaccinations in 5 patients. All 5 patients showed T cell responses against TAAs. Clinical benefit was observed in one of the 5 patients. In conclusion, the feasibility, safety and immune activity of DCs pulsed with TAAs were confirmed in HCC patients. However, clinical response was detected only in one patient. Future trials may consider applying this therapy in a less advanced stage to obtain better clinical responses. FAU - Tada, Fujimasa AU - Tada F AD - Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, To-on, Ehime 791‑0925, Japan. FAU - Abe, Masanori AU - Abe M FAU - Hirooka, Masashi AU - Hirooka M FAU - Ikeda, Yoshiou AU - Ikeda Y FAU - Hiasa, Yoichi AU - Hiasa Y FAU - Lee, Yoon AU - Lee Y FAU - Jung, Nam-Chul AU - Jung NC FAU - Lee, Woo-Bok AU - Lee WB FAU - Lee, Hyun-Soo AU - Lee HS FAU - Bae, Yong-Soo AU - Bae YS FAU - Onji, Morikazu AU - Onji M LA - eng PT - Clinical Trial, Phase I PT - Clinical Trial, Phase II PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120911 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (Antigens, Neoplasm) RN - 0 (Cancer Vaccines) RN - 0 (Cytokines) SB - IM MH - Aged MH - Antigens, Neoplasm/*immunology MH - Cancer Vaccines/adverse effects/immunology/*therapeutic use MH - Carcinoma, Hepatocellular/pathology/*therapy MH - Cytokines/biosynthesis/immunology MH - Dendritic Cells/*immunology MH - Female MH - Humans MH - Liver Neoplasms/pathology/*therapy MH - Male MH - Middle Aged MH - Neoplasm Staging MH - T-Lymphocytes/immunology MH - Treatment Outcome PMC - PMC3583872 EDAT- 2012/09/14 06:00 MHDA- 2013/03/23 06:00 PMCR- 2012/09/11 CRDT- 2012/09/14 06:00 PHST- 2012/04/25 00:00 [received] PHST- 2012/06/29 00:00 [accepted] PHST- 2012/09/14 06:00 [entrez] PHST- 2012/09/14 06:00 [pubmed] PHST- 2013/03/23 06:00 [medline] PHST- 2012/09/11 00:00 [pmc-release] AID - ijo-41-05-1601 [pii] AID - 10.3892/ijo.2012.1626 [doi] PST - ppublish SO - Int J Oncol. 2012 Nov;41(5):1601-9. doi: 10.3892/ijo.2012.1626. Epub 2012 Sep 11.