dendritic cell therapy in allogeneic-hematopoietic cell transplantation setting: an effective strategy towards better disease control?

dendritic cell therapy in allogeneic-hematopoietic cell transplantation setting: an effective strategy towards better disease control?

;Maud ePlantinga;Colin ede Haar;Stefan eNierkens;Jaap Jan eBoelens;Jaap Jan eBoelens
sudebno-meditsinskaia ekspertiza 2014 Vol. 5 pp. -
206
eplantinga2014frontiersdendritic

Abstract

Hematopoietic cell transplantation (HCT) is a last treatment resort and only potentially curative treatment option for several hematological malignancies resistant to chemotherapy. The induction of profound immune regulation after allogeneic HCT is imperative to prevent graft-versus-host reactions and, at the same time, allow protective immune responses against pathogens and against tumor cells. Dendritic cells (DCs) are highly specialized antigen-presenting cells (APC) that are essential in regulating this balance and are of major interest as a tool to modulate immune responses in the complex and challenging phase of immune reconstitution early after allo-HCT. This review focuses on the use of dendritic cell vaccination to prevent cancer relapses early after allo-HCT. It describes the role of host and donor-DCs, various vaccination strategies, different DC subsets, antigen loading, DC maturation/activation and injection sites and dose. At last, clinical trials using DC vaccination post-allo-HCT and the future perspectives of DC vaccination in combination with other cancer immunotherapies are discussed.

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165078
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10.3389/fimmu.2014.00218
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