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基于纳米颗粒的药物传递系统增强实体瘤中的癌症免疫治疗。

Nanoparticle-based drug delivery systems to enhance cancer immunotherapy in solid tumors.

机构信息

Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Department of Pathology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

出版信息

Front Immunol. 2023 Aug 3;14:1230893. doi: 10.3389/fimmu.2023.1230893. eCollection 2023.

Abstract

Immunotherapy has developed rapidly in solid tumors, especially in the areas of blocking inhibitory immune checkpoints and adoptive T-cell transfer for immune regulation. Many patients benefit from immunotherapy. However, the response rate of immunotherapy in the overall population are relatively low, which depends on the characteristics of the tumor and individualized patient differences. Moreover, the occurrence of drug resistance and adverse reactions largely limit the development of immunotherapy. Recently, the emergence of nanodrug delivery systems (NDDS) seems to improve the efficacy of immunotherapy by encapsulating drug carriers in nanoparticles to precisely reach the tumor site with high stability and biocompatibility, prolonging the drug cycle of action and greatly reducing the occurrence of toxic side effects. In this paper, we mainly review the advantages of NDDS and the mechanisms that enhance conventional immunotherapy in solid tumors, and summarize the recent advances in NDDS-based therapeutic strategies, which will provide valuable ideas for the development of novel tumor immunotherapy regimen.

摘要

免疫疗法在实体瘤中迅速发展,特别是在阻断抑制性免疫检查点和过继性 T 细胞转移以进行免疫调节方面。许多患者从中受益。然而,免疫疗法在总体人群中的反应率相对较低,这取决于肿瘤的特征和个体患者的差异。此外,耐药性和不良反应的发生在很大程度上限制了免疫疗法的发展。最近,纳米药物递送系统(NDDS)的出现似乎通过将药物载体包裹在纳米颗粒中以高稳定性和生物相容性精确到达肿瘤部位,从而提高了免疫疗法的疗效,延长了药物作用周期,大大降低了毒性副作用的发生。本文主要综述了 NDDS 的优势以及增强实体肿瘤常规免疫疗法的机制,并总结了基于 NDDS 的治疗策略的最新进展,这将为新型肿瘤免疫治疗方案的发展提供有价值的思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edee/10435760/5e2e3525c7de/fimmu-14-1230893-g001.jpg

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