用于癌症免疫疗法的脂质基纳米粒子。

Medical review (Berlin, Germany) Pub Date : 2023-08-17 eCollection Date: 2023-06-01 DOI:10.1515/mr-2023-0020
Shumin Fan, Huize Han, Zhicheng Yan, Yao Lu, Bing He, Qiang Zhang
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引用次数: 0

摘要

作为除手术、化疗和放疗之外的第四种最重要的癌症管理策略,癌症免疫疗法已被证实通过利用患者自身的免疫系统根除癌症细胞,在临床上引发持久的抗肿瘤效果。然而,受益于当前免疫疗法和免疫相关不良事件的患者人数有限,阻碍了其发展。免疫抑制微环境是导致癌症免疫逃避和免疫循环阻断的主要原因。令人鼓舞的是,纳米技术已被设计为通过时空控制生物分布和释放动力学来提高其治疗货物的疗效并降低脱靶毒性。其中,基于脂质的纳米颗粒是第一批进行临床翻译的纳米药物,目前已为不同领域建立了平台。从这个角度来看,我们讨论了研究和市场上可用的基于脂质的纳米颗粒,然后描述了它们在癌症免疫疗法中的应用,特别强调了T细胞活化和巨噬细胞靶向递送系统。通过维持癌症免疫循环的每一步,基于脂质的纳米颗粒可以减少免疫抑制并促进药物递送,从而引发强大的抗肿瘤反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Lipid-based nanoparticles for cancer immunotherapy.

Lipid-based nanoparticles for cancer immunotherapy.

Lipid-based nanoparticles for cancer immunotherapy.

Lipid-based nanoparticles for cancer immunotherapy.

As the fourth most important cancer management strategy except surgery, chemotherapy and radiotherapy, cancer immunotherapy has been confirmed to elicit durable antitumor effects in the clinic by leveraging the patient's own immune system to eradicate the cancer cells. However, the limited population of patients who benefit from the current immunotherapies and the immune related adverse events hinder its development. The immunosuppressive microenvironment is the main cause of the failure, which leads to cancer immune evasion and immunity cycle blockade. Encouragingly, nanotechnology has been engineered to enhance the efficacy and reduce off-target toxicity of their therapeutic cargos by spatiotemporally controlling the biodistribution and release kinetics. Among them, lipid-based nanoparticles are the first nanomedicines to make clinical translation, which are now established platforms for diverse areas. In this perspective, we discuss the available lipid-based nanoparticles in research and market here, then describe their application in cancer immunotherapy, with special emphasis on the T cells-activated and macrophages-targeted delivery system. Through perpetuating each step of cancer immunity cycle, lipid-based nanoparticles can reduce immunosuppression and promote drug delivery to trigger robust antitumor response.

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