PMID- 31759433 OWN - NLM STAT- MEDLINE DCOM- 20200427 LR - 20200427 IS - 1937-6448 (Print) IS - 1937-6448 (Linking) VI - 349 DP - 2019 TI - Ex vivo dendritic cell generation-A critical comparison of current approaches. PG - 251-307 LID - S1937-6448(19)30100-5 [pii] LID - 10.1016/bs.ircmb.2019.10.003 [doi] AB - Dendritic cells (DCs) are professional antigen-presenting cells, required for the initiation of naive and memory T cell responses and regulation of adaptive immunity. The discovery of DCs in 1973, which culminated in the Nobel Prize in Physiology or Medicine in 2011 for Ralph Steinman and colleagues, initially focused on the identification of adherent mononuclear cell fractions with uniquely stellate dendritic morphology, followed by key discoveries of their critical immunologic role in initiating and maintaining antigen-specific immunity and tolerance. The medical promise of marshaling these key capabilities of DCs for therapeutic modulation of antigen-specific immune responses has guided decades of research in hopes to achieve genuine physiologic partnership with the immune system. The potential uses of DCs in immunotherapeutic applications include cancer, infectious diseases, and autoimmune disorders; thus, methods for rapid and reliable large-scale production of DCs have been of great academic and clinical interest. However, difficulties in obtaining DCs from lymphoid and peripheral tissues, low numbers and poor survival in culture, have led to advancements in ex vivo production of DCs, both for probing molecular details of DC function as well as for experimenting with their clinical utility. Here, we review the development of a diverse array of DC production methodologies, ranging from cytokine-based strategies to genetic engineering tools devised for enhancing DC-specific immunologic functions. Further, we explore the current state of DC therapies in clinic, as well as emerging insights into physiologic production of DCs inspired by existing therapies. CI - (c) 2019 Elsevier Inc. All rights reserved. FAU - Han, Patrick AU - Han P AD - Department of Chemical and Environmental Engineering, School of Engineering and Applied Science, Yale University, New Haven, CT, United States. FAU - Hanlon, Douglas AU - Hanlon D AD - Department of Dermatology, School of Medicine, Yale University, New Haven, CT, United States. FAU - Sobolev, Olga AU - Sobolev O AD - Department of Dermatology, School of Medicine, Yale University, New Haven, CT, United States. FAU - Chaudhury, Rabib AU - Chaudhury R AD - Department of Chemical and Environmental Engineering, School of Engineering and Applied Science, Yale University, New Haven, CT, United States. FAU - Edelson, Richard L AU - Edelson RL AD - Department of Dermatology, School of Medicine, Yale University, New Haven, CT, United States. Electronic address: redelson@yale.edu. LA - eng PT - Comparative Study PT - Journal Article PT - Review DEP - 20191115 PL - Netherlands TA - Int Rev Cell Mol Biol JT - International review of cell and molecular biology JID - 101475846 RN - 0 (Vaccines) SB - IM MH - Animals MH - Cell Differentiation MH - Dendritic Cells/*cytology/*immunology MH - Genetic Engineering MH - Humans MH - Immunotherapy MH - Inflammation/immunology MH - Vaccines/immunology OTO - NOTNLM OT - Clinical trials OT - Cytokine OT - Dendritic cell OT - Ex vivo production OT - Extracorporeal photopheresis OT - Genetic engineering OT - Immunotherapy OT - Physiologic generation EDAT- 2019/11/25 06:00 MHDA- 2020/04/28 06:00 CRDT- 2019/11/25 06:00 PHST- 2019/11/25 06:00 [entrez] PHST- 2019/11/25 06:00 [pubmed] PHST- 2020/04/28 06:00 [medline] AID - S1937-6448(19)30100-5 [pii] AID - 10.1016/bs.ircmb.2019.10.003 [doi] PST - ppublish SO - Int Rev Cell Mol Biol. 2019;349:251-307. doi: 10.1016/bs.ircmb.2019.10.003. Epub 2019 Nov 15.