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DEN-STEM is a personalized, trivalent dendritic cell (DC) vaccine developed by Oslo University Hospital for the treatment of glioblastoma. The therapy involves harvesting a patient's own monocytes via leukapheresis and differentiating them into dendritic cells *ex vivo*. These dendritic cells are then transfected with messenger RNA (mRNA) encoding three distinct sources of antigens: autologous tumor stem cells (derived from the patient's own tumorspheres), survivin (BIRC5), and human telomerase reverse transcriptase (hTERT). The engineered dendritic cells are administered via intradermal injection to activate the patient's immune system against glioblastoma. As potent antigen-presenting cells, the DCs present these tumor-associated antigens to T-cells, educating the immune system to recognize and attack the cancer stem cell population, which is believed to drive tumor progression and recurrence.
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