Role of Immune Therapies for Myeloma

J Natl Compr Canc Netw. 2015 Nov;13(11):1440-7. doi: 10.6004/jnccn.2015.0168.

Abstract

Immune therapy has emerged as a promising area of cancer therapeutics based on its potential for tumor selectivity and targeting of chemotherapy-resistant clones. Allogeneic transplantation produces durable remissions in a subset of patients, albeit at the cost of graft- versus-host disease. Recent years have witnessed efforts to induce more selective immune responses via dendritic cell vaccines, autologous and engineered T-cell therapy, and immune checkpoint blockade. Optimizing these immunotherapeutic approaches, understanding how to best use them in combination, and determining how to integrate them with standard anti-myeloma therapy could provide the potential to alter the natural history of this disease.

Publication types

  • Review

MeSH terms

  • Animals
  • B7-H1 Antigen / antagonists & inhibitors
  • Cancer Vaccines / therapeutic use
  • Cell- and Tissue-Based Therapy / methods
  • Humans
  • Immunomodulation
  • Immunotherapy* / methods
  • Immunotherapy, Adoptive / methods
  • Killer Cells, Natural / immunology
  • Killer Cells, Natural / metabolism
  • Multiple Myeloma / immunology*
  • Multiple Myeloma / mortality
  • Multiple Myeloma / therapy*
  • Programmed Cell Death 1 Receptor / antagonists & inhibitors
  • Receptors, Antigen, T-Cell / genetics
  • Receptors, Antigen, T-Cell / metabolism
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism
  • Transplantation / adverse effects
  • Transplantation / methods
  • Transplantation, Homologous

Substances

  • B7-H1 Antigen
  • Cancer Vaccines
  • Programmed Cell Death 1 Receptor
  • Receptors, Antigen, T-Cell