CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Nanoimmunotherapy: the smart trooper for cancer therapy.
Nanoimmunotherapy: the smart trooper for cancer therapy.
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免疫疗法受到广泛关注,目前已成为利用机体免疫系统抗癌的常用治疗方法。尽管早期取得成功,其更广泛的临床应用仍受患者应答异质性及肿瘤免疫微环境相关挑战限制。近期纳米技术进展为克服这些障碍提供了创新方案,显著推动癌症免疫治疗。纳米技术可通过多种机制发挥作用,包括在肿瘤发生过程中有效诱导抗肿瘤免疫应答,并克服免疫抑制机制、提高免疫防御能力。纳米药物包括纳米颗粒疫苗、脂质体、免疫调节剂及基因递送系统,已显示可激活免疫应答、调节肿瘤微环境并靶向特定免疫细胞。临床前及早期临床研究中生存率提高、肿瘤消退增强和免疫活化指标上升等结果凸显了这些技术的潜力。尽管取得进展,仍面临制造规模化、脱靶效应及监管复杂性等挑战。本综述强调需采用跨学科方法解决这些障碍,推动更广泛的临床应用,并介绍相关跨学科策略、技术进展及纳米免疫疗法的变革潜力,包括检查点抑制剂递送、纳米颗粒介导的光热疗法、免疫调节及纳米颗粒抑制作用和癌症疫苗等领域的有希望结果。
Immunotherapy has gathered significant attention and is now a widely used cancer treatment that uses the body's immune system to fight cancer. Despite initial successes, its broader clinical application is hindered by limitations such as heterogeneity in patient response and challenges associated with the tumor immune microenvironment. Recent advancements in nanotechnology have offered innovative solutions to these barriers, providing significant enhancements to cancer immunotherapy. Nanotechnology-based approaches exhibit multifaceted mechanisms, including effective anti-tumor immune responses during tumorigenesis and overcoming immune suppression mechanisms to improve immune defense capacity. Nanomedicines, including nanoparticle-based vaccines, liposomes, immune modulators, and gene delivery systems, have demonstrated the ability to activate immune responses, modulate tumor microenvironments, and target specific immune cells.
Success metrics in preclinical and early clinical studies, such as improved survival rates, enhanced tumor regression, and elevated immune activation indices, highlight the promise of these technologies. Despite these achievements, several challenges remain, including scaling up manufacturing, addressing off-target effects, and navigating regulatory complexities.
The review emphasizes the need for interdisciplinary approaches to address these barriers, ensuring broader clinical adoption. It also provides insights into interdisciplinary approaches, advancements, and the transformative potential of nano-immunotherapy and promising results in checkpoint inhibitor delivery, nanoparticle-mediated photothermal therapy, immunomodulation as well as inhibition by nanoparticles and cancer vaccines.
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