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基于纳米的癌症化学免疫治疗药物递送系统综述

A Review on Nano-Based Drug Delivery System for Cancer Chemoimmunotherapy.

作者信息

Mu Weiwei, Chu Qihui, Liu Yongjun, Zhang Na

机构信息

Department of Pharmaceutics, Key Laboratory of Chemical Biology (Ministry of Education), School of Pharmaceutical Sciences, Cheeloo College of Medicine, Shandong University, 44 Wenhuaxi Road, Jinan, 250012, People's Republic of China.

出版信息

Nanomicro Lett. 2020 Jul 5;12(1):142. doi: 10.1007/s40820-020-00482-6.

Abstract

Although notable progress has been made on novel cancer treatments, the overall survival rate and therapeutic effects are still unsatisfactory for cancer patients. Chemoimmunotherapy, combining chemotherapeutics and immunotherapeutic drugs, has emerged as a promising approach for cancer treatment, with the advantages of cooperating two kinds of treatment mechanism, reducing the dosage of the drug and enhancing therapeutic effect. Moreover, nano-based drug delivery system (NDDS) was applied to encapsulate chemotherapeutic agents and exhibited outstanding properties such as targeted delivery, tumor microenvironment response and site-specific release. Several nanocarriers have been approved in clinical cancer chemotherapy and showed significant improvement in therapeutic efficiency compared with traditional formulations, such as liposomes (Doxil, Lipusu), nanoparticles (Abraxane) and micelles (Genexol-PM). The applications of NDDS to chemoimmunotherapy would be a powerful strategy for future cancer treatment, which could greatly enhance the therapeutic efficacy, reduce the side effects and optimize the clinical outcomes of cancer patients. Herein, the current approaches of cancer immunotherapy and chemoimmunotherapy were discussed, and recent advances of NDDS applied for chemoimmunotherapy were further reviewed.

摘要

尽管在新型癌症治疗方面已取得显著进展,但癌症患者的总体生存率和治疗效果仍不尽人意。化学免疫疗法,即将化疗药物与免疫治疗药物相结合,已成为一种很有前景的癌症治疗方法,具有协同两种治疗机制、降低药物剂量和增强治疗效果等优点。此外,基于纳米的药物递送系统(NDDS)被用于封装化疗药物,并展现出靶向递送、肿瘤微环境响应和位点特异性释放等优异特性。几种纳米载体已被批准用于临床癌症化疗,与传统制剂相比,其治疗效率有显著提高,如脂质体(多柔比星脂质体、力朴素)、纳米颗粒(白蛋白结合型紫杉醇)和胶束(注射用紫杉醇脂质体)。NDDS在化学免疫疗法中的应用将是未来癌症治疗的有力策略,可大大提高治疗效果、减少副作用并优化癌症患者的临床结局。在此,本文讨论了当前癌症免疫疗法和化学免疫疗法的方法,并进一步综述了NDDS应用于化学免疫疗法的最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85d2/7770879/87830f4959ea/40820_2020_482_Fig1_HTML.jpg

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