Morse M A, Lyerly H K
Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA.
Cytokines Cell Mol Ther. 1998 Mar;4(1):35-44.
While the promise of harnessing the immune system for a therapeutic effect has remained largely unfulfilled for many years, the discovery of the central role of dendritic cells in stimulating antigen-specific immune responses has prompted new enthusiasm for immunotherapy of malignancies. Elucidation of the pathways of dendritic cell development and trafficking, acquisition and processing of antigen, and stimulation of T cells has suggested methods for generating and antigen-loading dendritic cells for use in immunotherapy protocols. Animal models have demonstrated that dendritic cells can stimulate protective antitumor responses in vivo. Phase I clinical trials have been initiated to address the safety and feasibility of immunizations with dendritic cells in humans with various malignancies.
尽管多年来利用免疫系统获得治疗效果的前景在很大程度上仍未实现,但树突状细胞在刺激抗原特异性免疫反应中核心作用的发现,激发了人们对恶性肿瘤免疫治疗的新热情。对树突状细胞发育和迁移途径、抗原的获取与加工以及T细胞刺激的阐明,提示了在免疫治疗方案中生成和负载抗原的树突状细胞的方法。动物模型已证明树突状细胞可在体内刺激保护性抗肿瘤反应。已启动I期临床试验,以探讨用树突状细胞对患有各种恶性肿瘤的人类进行免疫接种的安全性和可行性。