While many advances have been made in the treatment of patients with c
ancer, significant challenges that remain include tumor cell resistanc
e and the toxicity associated with currently used intensive chemothera
peutic regimens. This is particularly true for patients with acute mye
logenous leukemia (AML). Most patients with AML usually are able to ac
hieve complete remission, but only a minority obtain long-term surviva
l In addition much of the success achieved has been due to escalation
of chemotherapeutic dosing and hematopoietic stem cell transplantation
. There is thus a great need for improved therapies which would ideall
y be able to circumvent drug resistance and more specifically target l
eukemic cells. Advances in immunobiology over the past century have le
d to new hope for the development of immune-mediated vaccine therapies
for patients with cancer. This review focuses on the development of v
accine approaches for treatment of AML and some of the potential advan
tages and problems.