Abstract
Gastrointestinal (GI) malignancies are one of the most frequently occurring tumors found worldwide. Surgery remains the primary treatment for most solid tumors and adjuvant chemotherapy and radiotherapy are limited by lack of specificity and toxicity. In view of the poor survival rate, there is a great need to introduce new and effective therapeutic modalities. Recently, dendritic cells (DCs)-based vaccines are being explored as a promising therapeutic strategy but their success is limited by the tumor-induced immune escape mechanisms. This article provides a comprehensive analysis of clinical trials conducted using this approach. It also showcases the necessity of exploring nano-engineered strategies for improving the clinical utility of DC-vaccination for GI tract malignancies to overcome immune tolerance.
Acknowledgments
The authors are thankful to Council of Scientific and Industrial Research (CSIR) and Department of Biotechnology (DBT), Government of India, New Delhi for providing necessary assistance. The award of Senior Research Fellowship to A. Bhargava by CSIR is gratefully acknowledged. All authors have read the journal’s policy on conflicts of interest and have none to declare.
Declaration of interest
The authors report no conflict of interest.