Redefining hepatocellular carcinoma treatment: nanotechnology meets tumor immune microenvironment.

IF 4.3 4区 医学 Q1 PHARMACOLOGY & PHARMACY
Chuanliang Mi, Sai Liu, Zhida Chen
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引用次数: 0

Abstract

Hepatocellular carcinoma (HCC) is one of the most lethal malignancies worldwide, characterised by its complex pathogenesis and poor therapeutic outcomes. Despite recent advances in targeted molecular therapies, immune checkpoint inhibitors (ICIs), radiotherapy and conventional chemotherapy, the 5-year survival rate for this neoplasm remains dismally low. The progress in nanotechnology has revolutionised cancer treatment in recent years. These advances provide unprecedented opportunities to overcome the current limitations of different therapeutic modalities. This review provides a comprehensive analysis of how nanotechnology interfaces with the tumour immune microenvironment (TIME) in HCC and can present a new frontier in therapeutic interventions for HCC. We critically overview the latest developments in nanoparticle-based delivery systems for various drugs and also other antitumor agents like thermal therapy and radiotherapy. We also highlight the unique ability of nanoparticles to modulate the immunosuppressive tumour microenvironment (TME) and enhance therapeutic efficacy. Furthermore, we analyse emerging strategies that exploit nanoformulations to overcome biological barriers and enhance drug bioavailability in HCC treatment.

重新定义肝细胞癌治疗:纳米技术满足肿瘤免疫微环境。
肝细胞癌(HCC)是世界范围内最致命的恶性肿瘤之一,其发病机制复杂,治疗效果差。尽管最近在靶向分子治疗、免疫检查点抑制剂(ICIs)、放疗和常规化疗方面取得了进展,但这种肿瘤的5年生存率仍然很低。近年来,纳米技术的进步使癌症治疗发生了革命性的变化。这些进步为克服目前不同治疗方式的局限性提供了前所未有的机会。这篇综述全面分析了纳米技术如何在HCC中与肿瘤免疫微环境(TIME)结合,并为HCC治疗干预提供了新的前沿。我们批判性地概述了各种药物和其他抗肿瘤药物如热疗法和放疗的纳米颗粒为基础的输送系统的最新发展。我们还强调了纳米颗粒调节免疫抑制肿瘤微环境(TME)和提高治疗效果的独特能力。此外,我们分析了利用纳米制剂克服生物屏障和提高HCC治疗药物生物利用度的新兴策略。
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来源期刊
CiteScore
9.10
自引率
0.00%
发文量
165
审稿时长
2 months
期刊介绍: Journal of Drug Targeting publishes papers and reviews on all aspects of drug delivery and targeting for molecular and macromolecular drugs including the design and characterization of carrier systems (whether colloidal, protein or polymeric) for both vitro and/or in vivo applications of these drugs. Papers are not restricted to drugs delivered by way of a carrier, but also include studies on molecular and macromolecular drugs that are designed to target specific cellular or extra-cellular molecules. As such the journal publishes results on the activity, delivery and targeting of therapeutic peptides/proteins and nucleic acids including genes/plasmid DNA, gene silencing nucleic acids (e.g. small interfering (si)RNA, antisense oligonucleotides, ribozymes, DNAzymes), as well as aptamers, mononucleotides and monoclonal antibodies and their conjugates. The diagnostic application of targeting technologies as well as targeted delivery of diagnostic and imaging agents also fall within the scope of the journal. In addition, papers are sought on self-regulating systems, systems responsive to their environment and to external stimuli and those that can produce programmed, pulsed and otherwise complex delivery patterns.
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