有效的癌症免疫治疗的纳米颗粒设计策略。

Praveena Velpurisiva, Aniket Gad, Brandon Piel, Rahul Jadia, Prakash Rai
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引用次数: 45

摘要

癌症免疫治疗是一种快速发展和范式转变的治疗方式,为集体癌症治疗武器库增加了一个强大的工具。它甚至对晚期诊断也有效,并已获得临床批准。肿瘤不仅可以避免免疫监视,还可以利用免疫系统继续局部肿瘤生长和转移。正因为如此,大多数免疫疗法,特别是针对实体癌的免疫疗法,迄今为止只使一小部分患者受益。早期的临床证实证实了这样一种说法,即癌症免疫疗法是一种适应性强、持久的治疗方法,当它们有效地制成纳米颗粒或支架时,比作为免费药物施用时,能产生更持久、更强大的抗癌效果。因此,利用纳米材料进行癌症免疫治疗是一个非常有前途的领域,值得进一步考虑和研究。本文综述了利用纳米颗粒增强多种免疫疗法治疗效果的癌症免疫工程的最新进展。向抗肿瘤免疫细胞(如树突状细胞或抗原呈递细胞)递送免疫刺激剂,可能是比向癌细胞递送常规化疗和细胞毒性药物更有效的根除肿瘤的策略。除了其巨大的治疗潜力,使用纳米颗粒的免疫工程也为揭示和理解肿瘤生物学的基础提供了一个有价值的工具。最近使用纳米颗粒进行癌症免疫治疗的研究表明,物理化学操作在改善免疫刺激剂的递送方面具有优势。体内研究已经测试了一系列颗粒尺寸,大多数小于300纳米,以及具有正负zeta电位的颗粒,用于各种应用。材料组成和表面修饰已被证明在选择性靶向、有效递送和主动刺激免疫系统靶标方面有重要贡献。因此,这些研究,包括广泛的纳米颗粒用于癌症免疫治疗,证实了纳米载体用于有效的癌症免疫治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Nanoparticle Design Strategies for Effective Cancer Immunotherapy.

Nanoparticle Design Strategies for Effective Cancer Immunotherapy.

Nanoparticle Design Strategies for Effective Cancer Immunotherapy.

Cancer immunotherapy is a rapidly evolving and paradigm shifting treatment modality that adds a strong tool to the collective cancer treatment arsenal. It can be effective even for late stage diagnoses and has already received clinical approval. Tumors are known to not only avoid immune surveillance but also exploit the immune system to continue local tumor growth and metastasis. Because of this, most immunotherapies, particularly those directed against solid cancers, have thus far only benefited a small minority of patients. Early clinical substantiation lends weight to the claim that cancer immunotherapies, which are adaptive and enduring treatment methods, generate much more sustained and robust anticancer effects when they are effectively formulated in nanoparticles or scaffolds than when they are administered as free drugs. Engineering cancer immunotherapies using nanomaterials is, therefore, a very promising area worthy of further consideration and investigation. This review focuses on the recent advances in cancer immunoengineering using nanoparticles for enhancing the therapeutic efficacy of a diverse range of immunotherapies. The delivery of immunostimulatory agents to antitumor immune cells, such as dendritic or antigen presenting cells, may be a far more efficient tactic to eradicate tumors than delivery of conventional chemotherapeutic and cytotoxic drugs to cancer cells. In addition to its immense therapeutic potential, immunoengineering using nanoparticles also provides a valuable tool for unearthing and understanding the basics of tumor biology. Recent research using nanoparticles for cancer immunotherapy has demonstrated the advantage of physicochemical manipulation in improving the delivery of immunostimulatory agents. In vivo studies have tested a range of particle sizes, mostly less than 300 nm, and particles with both positive and negative zeta potentials for various applications. Material composition and surface modifications have been shown to contribute significantly in selective targeting, efficient delivery and active stimulation of immune system targets. Thus, these investigations, including a wide array of nanoparticles for cancer immunotherapy, substantiate the employment of nanocarriers for efficacious cancer immunotherapies.

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