Datta Jashodeep, Berk Erik, Cintolo Jessica A, Xu Shuwen, Roses Robert E, Czerniecki Brian J
Division of Endocrine and Oncologic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine , Philadelphia, PA , USA.
Division of Endocrine and Oncologic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine , Philadelphia, PA , USA ; Rena Rowen Breast Center, Hospital of the University of Pennsylvania , Philadelphia, PA , USA.
Front Immunol. 2015 Jun 2;6:271. doi: 10.3389/fimmu.2015.00271. eCollection 2015.
Dendritic cells (DC), master antigen-presenting cells that orchestrate interactions between the adaptive and innate immune arms, are increasingly utilized in cancer immunotherapy. Despite remarkable progress in our understanding of DC immunobiology, as well as several encouraging clinical applications - such as DC-based sipuleucel-T for metastatic castration-resistant prostate cancer - clinically effective DC-based immunotherapy as monotherapy for a majority of tumors remains a distant goal. The complex interplay between diverse molecular and immune processes that govern resistance to DC-based vaccination compels a multimodality approach, encompassing a growing arsenal of antitumor agents which target these distinct processes and synergistically enhance DC function. These include antibody-based targeted molecular therapies, immune checkpoint inhibitors, therapies that inhibit immunosuppressive cellular elements, conventional cytotoxic modalities, and immune potentiating adjuvants. It is likely that in the emerging era of "precision" cancer therapeutics, tangible clinical benefits will only be realized with a multifaceted - and personalized - approach combining DC-based vaccination with adjunctive strategies.
树突状细胞(DC)是协调适应性免疫和先天性免疫相互作用的主要抗原呈递细胞,在癌症免疫治疗中越来越多地被使用。尽管我们对DC免疫生物学的理解取得了显著进展,并且有一些令人鼓舞的临床应用,如基于DC的sipuleucel-T用于转移性去势抵抗性前列腺癌,但作为大多数肿瘤单一疗法的临床有效基于DC的免疫治疗仍然是一个遥远的目标。多种分子和免疫过程之间复杂的相互作用决定了对基于DC的疫苗接种的抗性,这就需要采取多模态方法,包括越来越多针对这些不同过程并协同增强DC功能的抗肿瘤药物。这些药物包括基于抗体的靶向分子疗法、免疫检查点抑制剂、抑制免疫抑制细胞成分的疗法、传统细胞毒性疗法和免疫增强佐剂。在新兴的“精准”癌症治疗时代,只有将基于DC的疫苗接种与辅助策略相结合的多方面且个性化的方法,才可能实现切实的临床益处。