Grup d'Enginyeria de Materials (Gemat), Institut Químic de Sarrià (IQS), Universitat Ramon Llull (URL), Barcelona, 08017, Spain.
Drug Deliv Transl Res. 2024 Dec;14(12):3477-3493. doi: 10.1007/s13346-024-01585-y. Epub 2024 May 3.
Immunotherapy has emerged as a promising approach to cancer treatment, offering improved survival rates and enhanced patients' quality of life. However, realizing the full potential of immunotherapy in clinical practice remains a challenge, as there is still plenty of room for modulating the complexity of the human immune system in favor of an antitumor immunogenicity. Nanotechnology, with its unique properties, holds promise in augmenting the efficacy of cancer immunotherapies in biotherapeutic protection and site- and time-controlled delivery of the immune modulator biologicals. Polymeric nanoparticles are promising biomaterials among different nanocarriers thanks to their robustness, versatility, and cost-efficient design and production. This perspective paper overviews critical concepts in nanometric advanced delivery systems applied to cancer immunotherapy. We focus on a detailed exploration of the current state of the art and trends in using poly(beta-aminoester) (pBAE) polymers for nucleic acid-based antitumor immunotherapies. Through different examples of the use of pBAE polymers reported in the literature, we revise the main advantages these polymers offer and some challenges to overcome. Finally, the paper provides insights and predictions on the path toward the clinical implementation of cancer nano-immunotherapies, highlighting the potential of pBAE polymers for advancements in this field.
免疫疗法已成为癌症治疗的一种有前途的方法,提高了生存率并提高了患者的生活质量。然而,要在临床实践中充分发挥免疫疗法的潜力仍然是一个挑战,因为仍然有很多空间可以调节人类免疫系统的复杂性,以支持抗肿瘤免疫原性。纳米技术具有独特的特性,有望增强癌症免疫疗法在生物治疗保护和免疫调节剂生物的位点和时间控制递送上的功效。聚合物纳米粒子是不同纳米载体中很有前途的生物材料,因为它们具有坚固性、多功能性以及成本效益高的设计和生产。本文综述了应用于癌症免疫疗法的纳米先进递药系统的关键概念。我们重点详细探讨了使用聚(β-氨基酯)(pBAE)聚合物进行基于核酸的抗肿瘤免疫疗法的最新技术现状和趋势。通过文献中报道的使用 pBAE 聚合物的不同实例,我们回顾了这些聚合物提供的主要优势以及克服的一些挑战。最后,本文对癌症纳米免疫疗法的临床实施途径提供了见解和预测,强调了 pBAE 聚合物在该领域的进步潜力。