The application of immunotherapeutic principles to the treatment and preven
tion of breast cancer is a relatively new undertaking. Although cytokine in
fusions, cancer vaccines, and T cell therapy have been extensively studied
in solid tumors such as melanoma and renal cell carcinoma, the therapeutic
efficacy of these approaches is not well explored in breast cancer. The rec
ent definition of tumor-specific immunity in breast cancer patients and the
identification of several breast cancer antigens has generated enthusiasm
for the application of immune-based therapies to the treatment of breast ma
lignancies. In general, immunotherapies can be considered either non-specif
ic, such as a general immunomodulator (e.g., a cytokine), or tumor-specific
(e.g., a vaccine that targets breast cancer tumor antigens). This review d
escribes three major immunotherapeutic strategies that have the potential t
o enhance or generate an anti-breast cancer T cell immune response: (i) cyt
okine therapy: (ii) cancer vaccines; and (iii)T cell therapy, and explores
how each strategy has been applied to the treatment of breast cancer.