Hematopoietic cell transplantation (HCT) is a last treatment resort and only potentially curative treatment option for several hematological malignancies resistant to chemotherapy. The induction of profound immune regulation after allogeneic HCT is imperative to prevent graft-versus-host reactions and, at the same time, allow protective immune responses against pathogens and against tumor cells. Dendritic cells (DCs) are highly specialized antigen-presenting cells that are essential in regulating this balance and are of major interest as a tool to modulate immune responses in the complex and challenging phase of immune reconstitution early after allo-HCT. This review focuses on the use of DC vaccination to prevent cancer relapses early after allo-HCT. It describes the role of host and donor-DCs, various vaccination strategies, different DC subsets, antigen loading, DC maturation/activation, and injection sites and dose. At last, clinical trials using DC vaccination post-allo-HCT and the future perspectives of DC vaccination in combination with other cancer immunotherapies are discussed. © 2014 Plantinga, de Haar, Nierkens and Boelens.
CITATION STYLE
Plantinga, M., de Haar, C., Nierkens, S., & Boelens, J. J. (2014). Dendritic cell therapy in an allogeneic-hematopoietic cell transplantation setting: An effective strategy toward better disease control? Frontiers in Immunology. Frontiers Research Foundation. https://doi.org/10.3389/fimmu.2014.00218
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