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纳米医学用于联合泌尿系统癌症免疫治疗

英文原题:Nanomedicine for Combination Urologic Cancer Immunotherapy.

查看英文原题

Nanomedicine for Combination Urologic Cancer Immunotherapy.

PubMed 2023/02/06(内容时间) Pharmaceutics Q1 · IF 6.9(JCR 2025)

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中文摘要

泌尿系统癌症,尤其是肾癌、膀胱癌和前列腺癌,发病率不断上升,全球每年约有100万人因此死亡。手术、化疗、放疗、激素治疗和免疫治疗等是泌尿系统癌症的主要治疗选择。免疫治疗现已成为临床现实,在实体瘤中取得显著成功。免疫检查点阻断、免疫系统非特异性激活、过继细胞治疗和肿瘤疫苗是免疫治疗的主要方式。免疫治疗长期以来一直用于治疗泌尿系统癌症;然而,剂量限制性毒性和低缓解率仍是临床中的主要挑战。在此,基于纳米材料的平台被用作“救星”。纳米技术与免疫治疗的结合可以实现精准医学、提高疗效并降低毒性。在本综述中,我们重点阐述泌尿系统肿瘤免疫治疗的原理。同时,我们总结目前用于泌尿系统癌症治疗的纳米免疫技术和平台。最终目标是帮助合理设计基于纳米医学的泌尿系统癌症免疫治疗策略。

展开英文摘要原文

Urologic cancers, particularly kidney, bladder, and prostate cancer, have a growing incidence and account for about a million annual deaths worldwide. Treatments, including surgery, chemotherapy, radiotherapy, hormone therapy, and immunotherapy are the main therapeutic options in urologic cancers. Immunotherapy is now a clinical reality with marked success in solid tumors.

Immunological checkpoint blockade, non-specific activation of the immune system, adoptive cell therapy, and tumor vaccine are the main modalities of immunotherapy. Immunotherapy has long been used to treat urologic cancers; however, dose-limiting toxicities and low response rates remain major challenges in the clinic.

Herein, nanomaterial-based platforms are utilized as the "savior". The combination of nanotechnology with immunotherapy can achieve precision medicine, enhance efficacy, and reduce toxicities. In this review, we highlight the principles of cancer immunotherapy in urology. Meanwhile, we summarize the nano-immune technology and platforms currently used for urologic cancer treatment. The ultimate goal is to help in the rational design of strategies for nanomedicine-based immunotherapy in urologic cancer.

论文信息

作者
Tian Y、Liu Z、Wang J、Li L、Wang F、Zhu Z、Wang X
单位
Department of Urology, The First Affiliated Hospital of Dalian Medical University, Dalian 116021, China.China
文献类型
综述
期刊
Pharmaceutics2023 Feb 6
原文标识
PubMed 36839868 · DOI 10.3390/pharmaceutics15020546