PMID- 25327832 OWN - NLM STAT- MEDLINE DCOM- 20150722 LR - 20181202 IS - 1744-7682 (Electronic) IS - 1471-2598 (Linking) VI - 15 IP - 1 DP - 2015 Jan TI - Enhancing dendritic cell-based vaccination for highly aggressive glioblastoma. PG - 79-94 LID - 10.1517/14712598.2015.972361 [doi] AB - INTRODUCTION: Patients with primary glioblastoma (GBM) have a dismal prognosis despite standard therapy, which can induce potentially deleterious side effects. Arming the immune system is an alternative therapeutic approach, as its cellular effectors and inherent capacity for memory can be utilized to specifically target invasive tumor cells, while sparing collateral damage to otherwise healthy brain parenchyma. AREAS COVERED: Active immunotherapy is aimed at eliciting a specific immune response against tumor antigens. Dendritic cells (DCs) are one of the most potent activators of de novo and recall immune responses and are thus a vehicle for successful immunotherapy. Currently, investigators are optimizing DC vaccines by enhancing maturation status and migratory potential to induce more potent antitumor responses. An update on the most recent DC immunotherapy trials is provided. EXPERT OPINION: Targeting of unique antigens restricted to the tumor itself is the most important parameter in advancing DC vaccines. In order to overcome intrinsic mechanisms of immune evasion observed in GBM, the future of DC-based therapy lies in a multi-antigenic vaccine approach. Successful targeting of multiple antigens will require a comprehensive understanding of all immunologically relevant oncological epitopes present in each tumor, thereby permitting a rational vaccine design. FAU - Batich, Kristen A AU - Batich KA AD - Duke Brain Tumor Immunotherapy Program, Division of Neurosurgery, Department of Surgery ; Durham, NC 27710 , USA. FAU - Swartz, Adam M AU - Swartz AM FAU - Sampson, John H AU - Sampson JH LA - eng PT - Journal Article PT - Review DEP - 20141018 PL - England TA - Expert Opin Biol Ther JT - Expert opinion on biological therapy JID - 101125414 RN - 0 (Antigens, Neoplasm) RN - 0 (Cancer Vaccines) RN - 0 (Epitopes) SB - IM MH - Antigens, Neoplasm/immunology MH - Brain Neoplasms/immunology/pathology/*therapy MH - Cancer Vaccines/*therapeutic use MH - Clinical Trials as Topic MH - Combined Modality Therapy MH - Dendritic Cells/immunology/*transplantation MH - Epitopes/immunology MH - Glioblastoma/immunology/pathology/*therapy MH - Humans MH - Immunotherapy, Adoptive/*methods MH - Neoplasm Invasiveness MH - Tumor Escape OTO - NOTNLM OT - EGFR variant III OT - antigen escape OT - dendritic cell OT - glioblastoma OT - immunotherapy OT - tumor-specific antigen EDAT- 2014/10/21 06:00 MHDA- 2015/07/23 06:00 CRDT- 2014/10/21 06:00 PHST- 2014/10/21 06:00 [entrez] PHST- 2014/10/21 06:00 [pubmed] PHST- 2015/07/23 06:00 [medline] AID - 10.1517/14712598.2015.972361 [doi] PST - ppublish SO - Expert Opin Biol Ther. 2015 Jan;15(1):79-94. doi: 10.1517/14712598.2015.972361. Epub 2014 Oct 18.