Recently, cancer immunotherapy has emerged as a therapeutic option for
the management of cancer patients. This is based on the fact that our
immune system, once activated, is capable of developing specific immu
nity against neoplastic but not normal cells. Increasing evidence sugg
ests that cell-mediated immunity, particularly T-cell-mediated immunit
y, is important for the control of tumor cells. Several experimental v
accine strategies have been developed to enhance cell-mediated immunit
y against tumors. Some of these tumor vaccines have generated promisin
g results in murine tumor systems. In addition, several phase I/II cli
nical trials using these vaccine strategies have shown extremely encou
raging results in patients. In this review, we will discuss many of th
ese promising cancer vaccine strategies. We will pay particular attent
ion to the strategies employing dendritic cells, the central player fo
r tumor vaccine development.