PMID- 26297944 OWN - NLM STAT- MEDLINE DCOM- 20160601 LR - 20170923 IS - 1878-1810 (Electronic) IS - 1878-1810 (Linking) VI - 168 DP - 2016 Feb TI - Antitumor dendritic cell-based vaccines: lessons from 20 years of clinical trials and future perspectives. PG - 74-95 LID - S1931-5244(15)00256-X [pii] LID - 10.1016/j.trsl.2015.07.008 [doi] AB - Dendritic cells (DCs) are versatile elements of the immune system and are best known for their unparalleled ability to initiate and modulate adaptive immune responses. During the past few decades, DCs have been the subject of numerous studies seeking new immunotherapeutic strategies against cancer. Despite the initial enthusiasm, disappointing results from early studies raised some doubts regarding the true clinical value of these approaches. However, our expanding knowledge of DC immunobiology and the definition of the optimal characteristics for antitumor immune responses have allowed a more rational development of DC-based immunotherapies in recent years. Here, after a brief overview of DC immunobiology, we sought to systematize the knowledge provided by 20 years of clinical trials, with a special emphasis on the diversity of approaches used to manipulate DCs and their consequent impact on vaccine effectiveness. We also address how new therapeutic concepts, namely the combination of DC vaccines with other anticancer therapies, are being implemented and are leveraging clinical outcomes. Finally, optimization strategies, new insights, and future perspectives on the field are also highlighted. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Constantino, Joao AU - Constantino J AD - Faculty of Pharmacy and Centre for Neuroscience and Cell Biology (CNC), University of Coimbra, Coimbra, Portugal. FAU - Gomes, Celia AU - Gomes C AD - Faculty of Medicine, Laboratory of Pharmacology and Experimental Therapeutics, Institute for Biomedical Imaging and Life Sciences (IBILI) and Center of Investigation in Environment, Genetics and Oncobiology (CIMAGO), University of Coimbra, Coimbra, Portugal; CNC.IBILI, University of Coimbra, Coimbra, Portugal. FAU - Falcao, Amilcar AU - Falcao A AD - Faculty of Pharmacy and Centre for Neuroscience and Cell Biology (CNC), University of Coimbra, Coimbra, Portugal; CNC.IBILI, University of Coimbra, Coimbra, Portugal. FAU - Cruz, Maria T AU - Cruz MT AD - Faculty of Pharmacy and Centre for Neuroscience and Cell Biology (CNC), University of Coimbra, Coimbra, Portugal; CNC.IBILI, University of Coimbra, Coimbra, Portugal. FAU - Neves, Bruno M AU - Neves BM AD - Faculty of Pharmacy and Centre for Neuroscience and Cell Biology (CNC), University of Coimbra, Coimbra, Portugal; CNC.IBILI, University of Coimbra, Coimbra, Portugal; Department of Chemistry and QOPNA, Mass Spectrometry Centre, University of Aveiro, Aveiro, Portugal. Electronic address: bruno.neves@ua.pt. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20150803 PL - United States TA - Transl Res JT - Translational research : the journal of laboratory and clinical medicine JID - 101280339 RN - 0 (Cancer Vaccines) SB - IM MH - Animals MH - Cancer Vaccines/*immunology MH - Dendritic Cells/*immunology MH - Humans MH - Neoplasms/*prevention & control EDAT- 2015/08/25 06:00 MHDA- 2016/06/02 06:00 CRDT- 2015/08/23 06:00 PHST- 2015/05/19 00:00 [received] PHST- 2015/07/25 00:00 [revised] PHST- 2015/07/28 00:00 [accepted] PHST- 2015/08/23 06:00 [entrez] PHST- 2015/08/25 06:00 [pubmed] PHST- 2016/06/02 06:00 [medline] AID - S1931-5244(15)00256-X [pii] AID - 10.1016/j.trsl.2015.07.008 [doi] PST - ppublish SO - Transl Res. 2016 Feb;168:74-95. doi: 10.1016/j.trsl.2015.07.008. Epub 2015 Aug 3.