Immunologic Targeting of Cancer Stem Cells

Surg Oncol Clin N Am. 2019 Jul;28(3):431-445. doi: 10.1016/j.soc.2019.02.010. Epub 2019 Apr 10.

Abstract

Cancer stem cells (CSCs) are crucial for tumor recurrence and distant metastasis. Immunologically targeting CSCs represents a promising strategy to improve efficacy of multimodal cancer therapy. Modulating the innate immune response involving Toll-like receptors, macrophages, natural killer cells, and γδT cells has therapeutic effects on CSCs. Antigens expressed by CSCs provide specific targets for immunotherapy. CSC-primed dendritic cell-based vaccines have induced significant antitumor immunity as an adjuvant therapy in experimental models of established tumors. Targeting the tumor microenvironment CSC niche with cytokines or checkpoint blockade provides additional strategies to eliminate CSCs.

Keywords: Cancer stem cells; Immunotherapy; Innate immune response; Tumor antigens; Vaccine.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Cancer Vaccines / immunology*
  • Humans
  • Immunotherapy / methods*
  • Neoplasms / immunology
  • Neoplasms / therapy*
  • Neoplastic Stem Cells / immunology*
  • T-Lymphocytes, Cytotoxic / immunology*
  • Tumor Microenvironment / immunology*

Substances

  • Cancer Vaccines