While the promise of harnessing the immune system for a therapeutic ef
fect has remained largely unfulfilled for many years, the discovery of
the central role of dendritic cells in stimulating antigen-specific i
mmune responses has prompted new enthusiasm for immunotherapy of malig
nancies. Elucidation of the pathways of dendritic cell development and
trafficking, acquisition and processing of antigen, and stimulation o
f T cells has suggested methods for generating and antigen-loading den
dritic cells for use in immunotherapy protocols. Animal models have de
monstrated that dendritic cells can stimulate protective antitumor res
ponses in vivo. Phase I clinical trials have been initiated to address
the safety and feasibility of immunizations with dendritic cells in h
umans with various malignancies.