PMID- 25553913 OWN - NLM STAT- MEDLINE DCOM- 20150918 LR - 20220311 IS - 1744-7682 (Electronic) IS - 1471-2598 (Linking) VI - 15 IP - 4 DP - 2015 Apr TI - Potential approaches for more successful dendritic cell-based immunotherapy. PG - 569-82 LID - 10.1517/14712598.2015.1000298 [doi] AB - INTRODUCTION: Dendritic cells (DCs) are the most important antigen-presenting cell population for activating antitumor T-cell responses; therefore, they offer a unique opportunity for specific targeting of tumors. AREAS COVERED: We will discuss the critical factors for the enhancement of DC vaccine efficacy: different DC subsets, types of in vitro DC manufacturing protocol, types of tumor antigen to be loaded and finally different adjuvants for activating them. We will cover potential combinatorial strategies with immunomodulatory therapies: depleting T-regulatory (Treg) cells, blocking VEGF and blocking inhibitory signals. Furthermore, recommendations to incorporate these criteria into DC-based tumor immunotherapy will be suggested. EXPERT OPINION: Monocyte-derived DCs are the most widely used DC subset in the clinic, whereas Langerhans cells and plasmacytoid DCs are two emerging DC subsets that are highly effective in eliciting cytotoxic T lymphocyte responses. Depending on the type of tumor antigens selected for loading DCs, it is important to optimize a protocol that will generate highly potent DCs. The future aim of DC-based immunotherapy is to combine it with one or more immunomodulatory therapies, for example, Treg cell depletion, VEGF blockage and T-cell checkpoint blockage, to elicit the most optimal antitumor immunity to induce long-term remission or even cure cancer patients. FAU - Chiang, Cheryl Lai-Lai AU - Chiang CL AD - University of Pennsylvania Medical Center, Ovarian Cancer Research Center , Philadelphia, PA 19104 , USA Lana.Kandalaft@chuv.ch ; cheryl_chiang@yahoo.com. FAU - Balint, Klara AU - Balint K FAU - Coukos, George AU - Coukos G FAU - Kandalaft, Lana E AU - Kandalaft LE LA - eng GR - P01-CA83638/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150102 PL - England TA - Expert Opin Biol Ther JT - Expert opinion on biological therapy JID - 101125414 RN - 0 (Cancer Vaccines) SB - IM MH - Animals MH - CD8-Positive T-Lymphocytes/immunology/transplantation MH - Cancer Vaccines/immunology/therapeutic use MH - Cell- and Tissue-Based Therapy/*methods/trends MH - Dendritic Cells/immunology/*transplantation MH - Humans MH - Immunotherapy/*methods/trends MH - Monocytes/immunology/transplantation MH - Neoplasms/immunology/therapy MH - T-Lymphocytes, Cytotoxic/immunology/transplantation MH - T-Lymphocytes, Regulatory/immunology/transplantation OTO - NOTNLM OT - cancer OT - dendritic cell OT - immunotherapy OT - vaccines EDAT- 2015/01/03 06:00 MHDA- 2015/09/19 06:00 CRDT- 2015/01/03 06:00 PHST- 2015/01/03 06:00 [entrez] PHST- 2015/01/03 06:00 [pubmed] PHST- 2015/09/19 06:00 [medline] AID - 10.1517/14712598.2015.1000298 [doi] PST - ppublish SO - Expert Opin Biol Ther. 2015 Apr;15(4):569-82. doi: 10.1517/14712598.2015.1000298. Epub 2015 Jan 2.