PMID- 34830221 OWN - NLM STAT- MEDLINE DCOM- 20211220 LR - 20211220 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 22 DP - 2021 Nov 15 TI - Dendritic Cells and Cancer Immunotherapy: The Adjuvant Effect. LID - 10.3390/ijms222212339 [doi] LID - 12339 AB - Dendritic cells (DCs) are immune specialized cells playing a critical role in promoting immune response against antigens, and may represent important targets for therapeutic interventions in cancer. DCs can be stimulated ex vivo with pro-inflammatory molecules and loaded with tumor-specific antigen(s). Protocols describing the specific details of DCs vaccination manufacturing vary widely, but regardless of the employed protocol, the DCs vaccination safety and its ability to induce antitumor responses is clearly established. Many years of studies have focused on the ability of DCs to provide overall survival benefits at least for a selection of cancer patients. Lessons learned from early trials lead to the hypothesis that, to improve the efficacy of DCs-based immunotherapy, this should be combined with other treatments. Thus, the vaccine's ultimate role may lie in the combinatorial approaches of DCs-based immunotherapy with chemotherapy and radiotherapy, more than in monotherapy. In this review, we address some key questions regarding the integration of DCs vaccination with multimodality therapy approaches for cancer treatment paradigms. FAU - Nava, Sara AU - Nava S AUID- ORCID: 0000-0001-9912-8255 AD - Cell Therapy Production Unit, Neurology Unit, UCV, Neurological Institute "C. Besta" IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy. FAU - Lisini, Daniela AU - Lisini D AUID- ORCID: 0000-0002-7436-8401 AD - Cell Therapy Production Unit, Neurology Unit, UCV, Neurological Institute "C. Besta" IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy. FAU - Frigerio, Simona AU - Frigerio S AUID- ORCID: 0000-0001-7078-075X AD - Cell Therapy Production Unit, Neurology Unit, UCV, Neurological Institute "C. Besta" IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy. FAU - Bersano, Anna AU - Bersano A AUID- ORCID: 0000-0002-2493-628X AD - Cell Therapy Production Unit, Neurology Unit, UCV, Neurological Institute "C. Besta" IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy. LA - eng PT - Journal Article PT - Review DEP - 20211115 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Adjuvants, Immunologic) RN - 0 (Antigens, Neoplasm) RN - 0 (Cancer Vaccines) RN - 0 (Immune Checkpoint Inhibitors) SB - IM MH - Adjuvants, Immunologic/*therapeutic use MH - Animals MH - Antigens, Neoplasm/immunology MH - Cancer Vaccines/immunology/*therapeutic use MH - Combined Modality Therapy/methods MH - Dendritic Cells/*immunology MH - Humans MH - Immune Checkpoint Inhibitors/*therapeutic use MH - Immunotherapy, Adoptive/*methods MH - Neoplasms/*drug therapy/immunology/*radiotherapy MH - Progression-Free Survival MH - Tumor Escape/drug effects/radiation effects PMC - PMC8620771 OTO - NOTNLM OT - adjuvant therapy OT - cancer OT - dendritic cells OT - immunotherapy COIS- The authors declare no conflict of interest. EDAT- 2021/11/28 06:00 MHDA- 2021/12/21 06:00 PMCR- 2021/11/15 CRDT- 2021/11/27 01:11 PHST- 2021/09/29 00:00 [received] PHST- 2021/11/10 00:00 [revised] PHST- 2021/11/12 00:00 [accepted] PHST- 2021/11/27 01:11 [entrez] PHST- 2021/11/28 06:00 [pubmed] PHST- 2021/12/21 06:00 [medline] PHST- 2021/11/15 00:00 [pmc-release] AID - ijms222212339 [pii] AID - ijms-22-12339 [pii] AID - 10.3390/ijms222212339 [doi] PST - epublish SO - Int J Mol Sci. 2021 Nov 15;22(22):12339. doi: 10.3390/ijms222212339.