PMID- 33810248 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240331 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 13 IP - 7 DP - 2021 Mar 26 TI - The Flt3L/Flt3 Axis in Dendritic Cell Biology and Cancer Immunotherapy. LID - 10.3390/cancers13071525 [doi] LID - 1525 AB - Dendritic cells (DCs) prime anti-tumor T cell responses in tumor-draining lymph nodes and can restimulate T effector responses in the tumor site. Thus, in addition to unleashing T cell effector activity, current immunotherapies should be directed to boost DC function. Herein, we review the potential function of Flt3L as a tool for cancer immunotherapy. Flt3L is a growth factor that acts in Flt3-expressing multipotent progenitors and common lymphoid progenitors. Despite the broad expression of Flt3 in the hematopoietic progenitors, the main effect of the Flt3/Flt3L axis, revealed by the characterization of mice deficient in these genes, is the generation of conventional DCs (cDCs) and plasmacytoid DCs (pDCs). However, Flt3 signaling through PI3K and mTOR may also affect the function of mature DCs. We recapitulate the use of Flt3L in preclinical studies either as a single agent or in combination with other cancer therapies. We also analyze the use of Flt3L in clinical trials. The strong correlation between type 1 cDC (cDC1) infiltration of human cancers with overall survival in many cancer types suggests the potential use of Flt3L to boost expansion of this DC subset. However, this may need the combination of Flt3L with other immunomodulatory agents to boost cancer immunotherapy. FAU - Cueto, Francisco J AU - Cueto FJ AUID- ORCID: 0000-0002-7457-9583 AD - Centro Nacional de Investigaciones Cardiovasculares (CNIC), 28029 Madrid, Spain. FAU - Sancho, David AU - Sancho D AD - Centro Nacional de Investigaciones Cardiovasculares (CNIC), 28029 Madrid, Spain. LA - eng GR - ERC-2016-Consolidator Grant 725091/ERC_/European Research Council/International GR - PID2019-108157RB/Agencia Estatal de Investigacion/ GR - B2017/BMD-3733 Immunothercan-CM/Comunidad de Madrid/ GR - 201723/Fundacio la Marato de TV3/ GR - Fondo Solidario Juntos/Banco Santander/ PT - Journal Article PT - Review DEP - 20210326 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC8037622 OTO - NOTNLM OT - Flt3 OT - Flt3L OT - cancer immunotherapy OT - dendritic cells COIS- The authors declare no conflict of interest. EDAT- 2021/04/04 06:00 MHDA- 2021/04/04 06:01 PMCR- 2021/03/26 CRDT- 2021/04/03 01:35 PHST- 2021/02/28 00:00 [received] PHST- 2021/03/21 00:00 [revised] PHST- 2021/03/23 00:00 [accepted] PHST- 2021/04/03 01:35 [entrez] PHST- 2021/04/04 06:00 [pubmed] PHST- 2021/04/04 06:01 [medline] PHST- 2021/03/26 00:00 [pmc-release] AID - cancers13071525 [pii] AID - cancers-13-01525 [pii] AID - 10.3390/cancers13071525 [doi] PST - epublish SO - Cancers (Basel). 2021 Mar 26;13(7):1525. doi: 10.3390/cancers13071525.