Reichardt Volker L, Brossart Peter
Department of Hematology, Oncology, Immunology and Rheumatology, University of Tübingen, Tübingen, Germany.
Methods Mol Med. 2005;109:127-36. doi: 10.1385/1-59259-862-5:127.
Due to the existence of the truly specific tumor antigen idiotype in multiple myeloma and based on encouraging data from dendritic cell vaccinated B-cell non-Hodgkin's lymphoma (NHL) patients, dendritic cell-based vaccination was first initiated in myeloma patients in 1995. This overview will summarize published and ongoing clinical trials in patients with multiple myeloma who are treated with idiotype-based dendritic cell (Id/DC) vaccination. All groups of investigators have found that Id/DC vaccination of multiple-myeloma patients is feasible and that myeloma-specific immunity can be induced in heavily pretreated individuals. In future trials, new dendritic cell-based immunization strategies will be investigated based on techniques like RNA transfection of DC.
由于多发性骨髓瘤中存在真正特异性的肿瘤抗原独特型,并且基于树突状细胞疫苗接种的B细胞非霍奇金淋巴瘤(NHL)患者的鼓舞人心的数据,基于树突状细胞的疫苗接种于1995年首次在骨髓瘤患者中开展。本综述将总结已发表的以及正在进行的、针对接受独特型树突状细胞(Id/DC)疫苗接种治疗的多发性骨髓瘤患者的临床试验。所有研究团队均发现,对多发性骨髓瘤患者进行Id/DC疫苗接种是可行的,并且在经过大量预处理的个体中可诱导产生骨髓瘤特异性免疫。在未来的试验中,将基于如树突状细胞的RNA转染等技术研究新的基于树突状细胞的免疫策略。