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纳米颗粒在癌症免疫治疗中的应用:靶向肿瘤微环境。

The application of nanoparticles in cancer immunotherapy: Targeting tumor microenvironment.

作者信息

Yang Muyue, Li Jipeng, Gu Ping, Fan Xianqun

机构信息

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, 200011, China.

出版信息

Bioact Mater. 2020 Dec 26;6(7):1973-1987. doi: 10.1016/j.bioactmat.2020.12.010. eCollection 2021 Jul.

Abstract

The tumor development and metastasis are closely related to the structure and function of the tumor microenvironment (TME). Recently, TME modulation strategies have attracted much attention in cancer immunotherapy. Despite the preliminary success of immunotherapeutic agents, their therapeutic effects have been restricted by the limited retention time of drugs in TME. Compared with traditional delivery systems, nanoparticles with unique physical properties and elaborate design can efficiently penetrate TME and specifically deliver to the major components in TME. In this review, we briefly introduce the substitutes of TME including dendritic cells, macrophages, fibroblasts, tumor vasculature, tumor-draining lymph nodes and hypoxic state, then review various nanoparticles targeting these components and their applications in tumor therapy. In addition, nanoparticles could be combined with other therapies, including chemotherapy, radiotherapy, and photodynamic therapy, however, the nanoplatform delivery system may not be effective in all types of tumors due to the heterogeneity of different tumors and individuals. The changes of TME at various stages during tumor development are required to be further elucidated so that more individualized nanoplatforms could be designed.

摘要

肿瘤的发生发展和转移与肿瘤微环境(TME)的结构和功能密切相关。近年来,TME调节策略在癌症免疫治疗中备受关注。尽管免疫治疗药物取得了初步成功,但其治疗效果受到药物在TME中保留时间有限的限制。与传统递送系统相比,具有独特物理性质和精心设计的纳米颗粒能够有效穿透TME,并特异性递送至TME中的主要成分。在这篇综述中,我们简要介绍了TME的替代物,包括树突状细胞、巨噬细胞、成纤维细胞、肿瘤血管、肿瘤引流淋巴结和缺氧状态,然后综述了靶向这些成分的各种纳米颗粒及其在肿瘤治疗中的应用。此外,纳米颗粒可与其他疗法联合使用,包括化疗、放疗和光动力疗法,然而,由于不同肿瘤和个体的异质性,纳米平台递送系统可能并非对所有类型的肿瘤都有效。需要进一步阐明肿瘤发展过程中各个阶段TME的变化,以便设计出更具个性化的纳米平台。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe7/7773537/a86455e9703f/fx1.jpg

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