Approaches to dendritic cell-based immunotherapy after peripheral blood stem cell transplantation

Ann N Y Acad Sci. 1999 Apr 30:872:363-71. doi: 10.1111/j.1749-6632.1999.tb08480.x.

Abstract

High-dose chemotherapy with peripheral blood progenitor cell transplantation (PBPCT) is a potentially curative treatment option for patients with both hematological malignancies and solid tumors, including breast cancer. However, based on a number of clinical studies, there is strong evidence that minimal residual disease (MRD) persists after high-dose chemotherapy in a number of patients, which eventually results in disease recurrence. Therefore, several approaches to the treatment of MRD are currently being evaluated, including treatment with dendritic cell (DC)-based cancer vaccines. DCs, which play a crucial role with regard to the initiation of T-lymphocyte responses, can be generated ex vivo either from CD34+ hematopoietic progenitor cells or from blood monocytes. They can be pulsed in vitro with tumor-derived peptides or proteins, and then used as a professional antigen-presenting cell (APC) vaccine for the induction of antigen-specific T-lymphocytes in vivo. This paper summarizes our preclinical studies on the induction of primary HER-2/neu specific cytotoxic T-lymphocyte (CTL) responses using peptide-pulsed DC. As HER-2/neu is overexpressed on 30-40% of breast and ovarian cancer cells, this novel vaccination approach might be particularly applicable to advanced breast or ovarian cancer patients after high-dose chemotherapy and autologous PBPCT.

Publication types

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

MeSH terms

  • Antigens, CD / analysis
  • Antigens, CD34 / analysis
  • Cancer Vaccines
  • Cells, Cultured
  • Dendritic Cells / immunology*
  • Hematologic Neoplasms / immunology
  • Hematologic Neoplasms / therapy
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Immunotherapy*
  • Neoplasm, Residual / immunology
  • Neoplasm, Residual / therapy*
  • Neoplasms / immunology
  • Neoplasms / therapy*
  • T-Lymphocytes, Cytotoxic / immunology

Substances

  • Antigens, CD
  • Antigens, CD34
  • Cancer Vaccines