Dendritic cell vaccine trials in gliomas: Untangling the lines

Author:

Hotchkiss Kelly M1,Batich Kristen A1,Mohan Aditya1,Rahman Rifaquat2,Piantadosi Steven3ORCID,Khasraw Mustafa1ORCID

Affiliation:

1. Department of Neurosurgery, The Preston Robert Tisch Brain Tumor Center at Duke, Duke University Medical Center , Durham, North Carolina , USA

2. Department of Radiation Oncology, Dana-Farber/Brigham and Women’s Cancer Center, Harvard Medical School , Boston, Massachusetts , USA

3. Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School , Boston, Massachusetts , USA (S.P.)

Abstract

Abstract Glioblastoma is a deadly brain tumor without any significantly successful treatments to date. Tumor antigen-targeted immunotherapy platforms including peptide and dendritic cell (DC) vaccines, have extended survival in hematologic malignancies. The relatively “cold” tumor immune microenvironment and heterogenous nature of glioblastoma have proven to be major limitations to translational application and efficacy of DC vaccines. Furthermore, many DC vaccine trials in glioblastoma are difficult to interpret due to a lack of contemporaneous controls, absence of any control comparison, or inconsistent patient populations. Here we review glioblastoma immunobiology aspects that are relevant to DC vaccines, review the clinical experience with DC vaccines targeting glioblastoma, discuss challenges in clinical trial design, and summarize conclusions and directions for future research for the development of effective DC vaccines for patients.

Publisher

Oxford University Press (OUP)

Subject

Cancer Research,Neurology (clinical),Oncology

Reference87 articles.

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