Revolutionizing cancer treatment: The power of dendritic cell-based vaccines in immunotherapy

IF 7.5 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Biomedicine & Pharmacotherapy Pub Date : 2025-03-01 Epub Date: 2025-02-16 DOI:10.1016/j.biopha.2025.117858
Mohsen Sheykhhasan , Amirhossein Ahmadieh-Yazdi , Reza Heidari , Mohsen Chamanara , Mohammad Akbari , Naresh Poondla , Piao Yang , Sara Malih , Hamed Manoochehri , Hamid Tanzadehpanah , Hanie Mahaki , Nashmin Fayazi Hosseini , Ashkan Dirbaziyan , Sharafaldin Al-Musawi , Naser Kalhor
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Abstract

In the modern time, cancer immunotherapies have increasingly become vital treatment options, joining long-established methods like surgery, chemotherapy, and radiotherapy treatment. Central to this emerging approach are dendritic cells (DCs), which boast a remarkable ability for antigen presentation. This ability is being leveraged to modulate T and B cell immunity, offering a groundbreaking strategy for tackling cancer. However, the percentage of patients experiencing meaningful benefits from this treatment remains relatively low, underscoring the ongoing necessity for further research and development in this field. This review offers a comprehensive analysis of the present-day progress in dendritic cell (DC)-based vaccines and recent efforts to enhance their efficacy. We explore the intricacies of DC function, from antigen capture to T cell stimulation, and discuss the outcomes of both preclinical and clinical trials across various cancer types. While the results are promising, the real-world application of DC-based vaccines is still nascent, posing multiple challenges that need to be overcome. These obstacles include optimizing the methods for DC generation and antigen loading, overcoming the immunosuppressive nature of the tumor microenvironment, and enhancing specificities of the immunologic response through personalized vaccines. The review concludes by emphasizing prospective opportunities for future research and emphasizing the critical need for extensive clinical trials. These trials are essential to validate the effectivity of DC-based vaccines and solidify their role in the broader spectrum of cancer immunotherapy options.
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革命性的癌症治疗:树突状细胞疫苗在免疫治疗中的作用
在现代,癌症免疫疗法越来越成为重要的治疗选择,加入了手术、化疗和放疗等长期存在的治疗方法。这种新兴方法的核心是树突状细胞(dc),它具有显著的抗原呈递能力。这种能力被用来调节T细胞和B细胞免疫,为治疗癌症提供了一种突破性的策略。然而,从这种治疗中获得有意义益处的患者比例仍然相对较低,这强调了在该领域进一步研究和开发的持续必要性。这篇综述提供了树突状细胞(DC)为基础的疫苗目前的进展和最近的努力,以提高其效力的综合分析。我们探讨了DC功能的复杂性,从抗原捕获到T细胞刺激,并讨论了各种癌症类型的临床前和临床试验的结果。虽然结果很有希望,但基于dc的疫苗的实际应用仍处于初期阶段,提出了需要克服的多重挑战。这些障碍包括优化DC生成和抗原负载的方法,克服肿瘤微环境的免疫抑制性质,以及通过个性化疫苗增强免疫反应的特异性。该综述最后强调了未来研究的潜在机会,并强调了广泛临床试验的迫切需要。这些试验对于验证基于dc的疫苗的有效性和巩固其在更广泛的癌症免疫治疗选择中的作用至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
11.90
自引率
2.70%
发文量
1621
审稿时长
48 days
期刊介绍: Biomedicine & Pharmacotherapy stands as a multidisciplinary journal, presenting a spectrum of original research reports, reviews, and communications in the realms of clinical and basic medicine, as well as pharmacology. The journal spans various fields, including Cancer, Nutriceutics, Neurodegenerative, Cardiac, and Infectious Diseases.
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