PMID- 9563890 OWN - NLM STAT- MEDLINE DCOM- 19980528 LR - 20131121 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 4 IP - 4 DP - 1998 Apr TI - Idiotypic protein-pulsed adherent peripheral blood mononuclear cell-derived dendritic cells prime immune system in multiple myeloma. PG - 957-62 AB - Adherent peripheral blood mononuclear cell-derived dendritic cells pulsed with autologous idiotypic protein (Id) were given to a patient with advanced-stage refractory myeloma. Potentially beneficial antimyeloma Id-specific immune responses were produced, characterized by MHC-dependent T-cell-proliferative responses with cytokine release and the production of anti-Id antibodies. A T-cell line generated after vaccination was also able to lyse autologous Id-pulsed targets and recognize fresh autologous myeloma cells. The immune responses were associated with a transient minor fall in the serum Id level and were not ablated by high-dose myeloablative chemotherapy. This report therefore demonstrates the clinical use of adherent peripheral blood mononuclear cell-derived dendritic cells for vaccination in cancer and the persistence of immune responses after high-dose chemotherapy. Such a therapeutic approach may be useful in reducing the relapse rate in patients who have minimal residual disease after chemotherapy. FAU - Wen, Y J AU - Wen YJ AD - Department of Haematology, University of Wales College of Medicine, Heath Park, Cardiff, United Kingdom. FAU - Ling, M AU - Ling M FAU - Bailey-Wood, R AU - Bailey-Wood R FAU - Lim, S H AU - Lim SH LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (Antibodies, Neoplasm) RN - 0 (Antineoplastic Agents, Alkylating) RN - Q41OR9510P (Melphalan) SB - IM MH - Adult MH - Antibodies, Anti-Idiotypic/*blood MH - Antibodies, Neoplasm/blood MH - Antineoplastic Agents, Alkylating/pharmacology/therapeutic use MH - Dendritic Cells/*immunology MH - Humans MH - Immunotherapy/methods MH - Leukocytes, Mononuclear/*immunology MH - Male MH - Melphalan/pharmacology/therapeutic use MH - Multiple Myeloma/drug therapy/*immunology MH - Vaccination EDAT- 1998/05/14 00:00 MHDA- 1998/05/14 00:01 CRDT- 1998/05/14 00:00 PHST- 1998/05/14 00:00 [pubmed] PHST- 1998/05/14 00:01 [medline] PHST- 1998/05/14 00:00 [entrez] PST - ppublish SO - Clin Cancer Res. 1998 Apr;4(4):957-62.