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修饰免疫细胞来源的外泌体以增强癌症免疫治疗:当前进展与治疗应用

英文原题:Modification of immune cell-derived exosomes for enhanced cancer immunotherapy: current advances and therapeutic applications.

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Modification of immune cell-derived exosomes for enhanced cancer immunotherapy: current advances and therapeutic applications.

PubMed 2024/01/04(内容时间) Exp Mol Med Q1 · IF 17.5(JCR 2025)

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中文摘要

癌症免疫疗法通过利用人体免疫系统选择性靶向癌细胞,彻底改变了恶性肿瘤的治疗方式。尽管取得了显著进展,但在实现成功的临床应答方面仍存在挑战。近期证据表明,免疫细胞来源的外泌体可调节免疫系统以产生有效的抗肿瘤免疫应答,使其成为一种前沿的治疗策略。然而,天然外泌体由于药物递送效率低和抗肿瘤能力不足,在临床应用中受到限制。技术进步使得外泌体修饰能够放大其内在功能、装载不同的治疗性货物,并优先靶向肿瘤部位。这些工程化外泌体发挥强效抗肿瘤作用,在癌症免疫治疗中具有巨大潜力。在本综述中,我们描述了为达到所需性能而采用的巧妙修饰策略。此外,我们系统总结了工程化免疫细胞来源外泌体在固有免疫和适应性免疫中的肿瘤控制特性。总体而言,本综述为利用修饰的免疫细胞来源外泌体方法的潜力提供了全面而直观的指南,为增强和优化癌症免疫治疗提供了有价值的策略。

展开英文摘要原文

Cancer immunotherapy has revolutionized the approach to cancer treatment of malignant tumors by harnessing the body's immune system to selectively target cancer cells. Despite remarkable advances, there are still challenges in achieving successful clinical responses. Recent evidence suggests that immune cell-derived exosomes modulate the immune system to generate effective antitumor immune responses, making them a cutting-edge therapeutic strategy.

However, natural exosomes are limited in clinical application due to their low drug delivery efficiency and insufficient antitumor capacity. Technological advancements have allowed exosome modifications to magnify their intrinsic functions, load different therapeutic cargoes, and preferentially target tumor sites. These engineered exosomes exert potent antitumor effects and have great potential for cancer immunotherapy. In this review, we describe ingenious modification strategies to attain the desired performance.

Moreover, we systematically summarize the tumor-controlling properties of engineered immune cell-derived exosomes in innate and adaptive immunity. Collectively, this review provides a comprehensive and intuitive guide for harnessing the potential of modified immune cell-derived exosome-based approaches, offering valuable strategies to enhance and optimize cancer immunotherapy.

论文信息

作者
Jung I、Shin S、Baek MC、Yea K
第一作者单位
Department of New Biology, DGIST, Daegu, 42988, Republic of Korea.South Korea
通讯作者单位
Department of New Biology, DGIST, Daegu, 42988, Republic of Korea. ykm31@dgist.ac.kr.South Korea
文献类型
综述 · 非美国政府资助研究
期刊
Experimental & molecular medicine2024 Feb
原文标识
PubMed 38172594 · DOI 10.1038/s12276-023-01132-8