The disappointing clinical results of cancer immunotherapy of the past
few decades have not diminished the optimism about the potential of t
he new generation of immunotherapeutic strategies towards treatment of
malignant disease. Tremendous progress has been made over recent year
s in unveiling the molecular basis of antigen presentation and recogni
tion by cytotoxic T lymphocytes (CTL). The molecular concepts that hav
e emerged from these studies have led to the design of novel anticance
r vaccines and CTL-based immunotherapeutics. This review is to highlig
ht the current molecular insights of antigen presentation and CTL reco
gnition/activation, and their impact on the rational design of therape
utic interventions that may result in protective, CTL-based antitumor
immunity.