PMID- 23725285 OWN - NLM STAT- MEDLINE DCOM- 20140113 LR - 20130603 IS - 1750-7448 (Electronic) IS - 1750-743X (Linking) VI - 5 IP - 6 DP - 2013 Jun TI - Dendritic cells in myelodysplastic syndromes: from pathogenesis to immunotherapy. PG - 621-37 LID - 10.2217/imt.13.51 [doi] AB - Myelodysplastic syndromes (MDS) are clonal disorders of the hematopoietic stem cell characterized by ineffective hematopoiesis leading to peripheral cytopenias. Different processes are involved in its pathogenesis, such as (epi)genetic alterations and immunological dysfunctions. The nature of immune dysregulation is markedly different between various MDS risk groups. In low-risk MDS, the immune system is in a proinflammatory state, whereas in high-risk disease, immunosuppressive features facilitate expansion of the dysplastic clone and can eventually lead to disease progression to acute myeloid leukemia. Various cell types contribute to dysregulation of immune responses in MDS. Dendritic cells (DCs) are important regulators of immunity. However, the role of DCs in MDS has yet to be elucidated. It has been suggested that impaired DC function can hamper adequate immune responses. This review focuses on the involvement of DCs in immune dysregulation in low- and high-risk MDS and the implications for DC-targeted therapies. FAU - Kerkhoff, Nathalie AU - Kerkhoff N AD - Department of Hematology, VU University Medical Center, Cancer Center Amsterdam, Amsterdam, The Netherlands. n.kerkhoff@vumc.nl FAU - Bontkes, Hetty J AU - Bontkes HJ FAU - Westers, Theresia M AU - Westers TM FAU - de Gruijl, Tanja D AU - de Gruijl TD FAU - Kordasti, Shahram AU - Kordasti S FAU - van de Loosdrecht, Arjan A AU - van de Loosdrecht AA LA - eng PT - Journal Article PT - Review PL - England TA - Immunotherapy JT - Immunotherapy JID - 101485158 SB - IM MH - Animals MH - Dendritic Cells/*immunology MH - Hematopoietic Stem Cells/pathology MH - Humans MH - Immunotherapy/*methods MH - Myelodysplastic Syndromes/*immunology/*therapy EDAT- 2013/06/04 06:00 MHDA- 2014/01/15 06:00 CRDT- 2013/06/04 06:00 PHST- 2013/06/04 06:00 [entrez] PHST- 2013/06/04 06:00 [pubmed] PHST- 2014/01/15 06:00 [medline] AID - 10.2217/imt.13.51 [doi] PST - ppublish SO - Immunotherapy. 2013 Jun;5(6):621-37. doi: 10.2217/imt.13.51.