Harnessing the Complete Repertoire of Conventional Dendritic Cell Functions for Cancer Immunotherapy

The onset of checkpoint inhibition revolutionized the treatment of cancer. However, studies from the last decade suggested that the sole enhancement of T cell functionality might not suffice to fight malignancies in all individuals. Dendritic cells (DCs) are not only part of the innate immune system...

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Main Authors: Lukas Amon, Lukas Hatscher, Lukas Heger, Diana Dudziak, Christian H. K. Lehmann
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/12/7/663
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author Lukas Amon
Lukas Hatscher
Lukas Heger
Diana Dudziak
Christian H. K. Lehmann
author_facet Lukas Amon
Lukas Hatscher
Lukas Heger
Diana Dudziak
Christian H. K. Lehmann
author_sort Lukas Amon
collection DOAJ
description The onset of checkpoint inhibition revolutionized the treatment of cancer. However, studies from the last decade suggested that the sole enhancement of T cell functionality might not suffice to fight malignancies in all individuals. Dendritic cells (DCs) are not only part of the innate immune system, but also generals of adaptive immunity and they orchestrate the de novo induction of tolerogenic and immunogenic T cell responses. Thus, combinatorial approaches addressing DCs and T cells in parallel represent an attractive strategy to achieve higher response rates across patients. However, this requires profound knowledge about the dynamic interplay of DCs, T cells, other immune and tumor cells. Here, we summarize the DC subsets present in mice and men and highlight conserved and divergent characteristics between different subsets and species. Thereby, we supply a resource of the molecular players involved in key functional features of DCs ranging from their sentinel function, the translation of the sensed environment at the DC:T cell interface to the resulting specialized T cell effector modules, as well as the influence of the tumor microenvironment on the DC function. As of today, mostly monocyte derived dendritic cells (moDCs) are used in autologous cell therapies after tumor antigen loading. While showing encouraging results in a fraction of patients, the overall clinical response rate is still not optimal. By disentangling the general aspects of DC biology, we provide rationales for the design of next generation DC vaccines enabling to exploit and manipulate the described pathways for the purpose of cancer immunotherapy in vivo. Finally, we discuss how DC-based vaccines might synergize with checkpoint inhibition in the treatment of malignant diseases.
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spelling doaj.art-7cb4926558a84b5d9545a337e3f97c0b2023-11-20T06:46:35ZengMDPI AGPharmaceutics1999-49232020-07-0112766310.3390/pharmaceutics12070663Harnessing the Complete Repertoire of Conventional Dendritic Cell Functions for Cancer ImmunotherapyLukas Amon0Lukas Hatscher1Lukas Heger2Diana Dudziak3Christian H. K. Lehmann4Laboratory of Dendritic Cell Biology, Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander University of Erlangen-Nürnberg, Hartmannstraße 14, D-91052 Erlangen, GermanyLaboratory of Dendritic Cell Biology, Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander University of Erlangen-Nürnberg, Hartmannstraße 14, D-91052 Erlangen, GermanyLaboratory of Dendritic Cell Biology, Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander University of Erlangen-Nürnberg, Hartmannstraße 14, D-91052 Erlangen, GermanyLaboratory of Dendritic Cell Biology, Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander University of Erlangen-Nürnberg, Hartmannstraße 14, D-91052 Erlangen, GermanyLaboratory of Dendritic Cell Biology, Department of Dermatology, University Hospital Erlangen, Friedrich-Alexander University of Erlangen-Nürnberg, Hartmannstraße 14, D-91052 Erlangen, GermanyThe onset of checkpoint inhibition revolutionized the treatment of cancer. However, studies from the last decade suggested that the sole enhancement of T cell functionality might not suffice to fight malignancies in all individuals. Dendritic cells (DCs) are not only part of the innate immune system, but also generals of adaptive immunity and they orchestrate the de novo induction of tolerogenic and immunogenic T cell responses. Thus, combinatorial approaches addressing DCs and T cells in parallel represent an attractive strategy to achieve higher response rates across patients. However, this requires profound knowledge about the dynamic interplay of DCs, T cells, other immune and tumor cells. Here, we summarize the DC subsets present in mice and men and highlight conserved and divergent characteristics between different subsets and species. Thereby, we supply a resource of the molecular players involved in key functional features of DCs ranging from their sentinel function, the translation of the sensed environment at the DC:T cell interface to the resulting specialized T cell effector modules, as well as the influence of the tumor microenvironment on the DC function. As of today, mostly monocyte derived dendritic cells (moDCs) are used in autologous cell therapies after tumor antigen loading. While showing encouraging results in a fraction of patients, the overall clinical response rate is still not optimal. By disentangling the general aspects of DC biology, we provide rationales for the design of next generation DC vaccines enabling to exploit and manipulate the described pathways for the purpose of cancer immunotherapy in vivo. Finally, we discuss how DC-based vaccines might synergize with checkpoint inhibition in the treatment of malignant diseases.https://www.mdpi.com/1999-4923/12/7/663dendritic cellsT cellscancer therapycheckpoint inhibitionantigen targetingvaccination
spellingShingle Lukas Amon
Lukas Hatscher
Lukas Heger
Diana Dudziak
Christian H. K. Lehmann
Harnessing the Complete Repertoire of Conventional Dendritic Cell Functions for Cancer Immunotherapy
Pharmaceutics
dendritic cells
T cells
cancer therapy
checkpoint inhibition
antigen targeting
vaccination
title Harnessing the Complete Repertoire of Conventional Dendritic Cell Functions for Cancer Immunotherapy
title_full Harnessing the Complete Repertoire of Conventional Dendritic Cell Functions for Cancer Immunotherapy
title_fullStr Harnessing the Complete Repertoire of Conventional Dendritic Cell Functions for Cancer Immunotherapy
title_full_unstemmed Harnessing the Complete Repertoire of Conventional Dendritic Cell Functions for Cancer Immunotherapy
title_short Harnessing the Complete Repertoire of Conventional Dendritic Cell Functions for Cancer Immunotherapy
title_sort harnessing the complete repertoire of conventional dendritic cell functions for cancer immunotherapy
topic dendritic cells
T cells
cancer therapy
checkpoint inhibition
antigen targeting
vaccination
url https://www.mdpi.com/1999-4923/12/7/663
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