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纳米药物通过调节肿瘤免疫微环境来进行癌症治疗。

Nanomedicines modulate the tumor immune microenvironment for cancer therapy.

作者信息

Chao Po-Han, Chan Vanessa, Li Shyh-Dar

机构信息

Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada.

出版信息

Expert Opin Drug Deliv. 2024 Dec;21(12):1719-1733. doi: 10.1080/17425247.2024.2412245. Epub 2024 Oct 4.

Abstract

INTRODUCTION

In recent years, the evolution of immunotherapy as a means to trigger a robust antitumor immune response has revolutionized cancer treatment. Despite its potential, the effectiveness of cancer immunotherapy is hindered by low response rates and significant systemic side effects. Nanotechnology emerges as a promising frontier in shaping the future of cancer immunotherapy.

AREAS COVERED

This review elucidates the pivotal role of nanomedicine in reshaping the immune tumor microenvironment and explores innovative strategies pursued by diverse research groups to enhance the therapeutic efficacy of cancer immunotherapy. It discusses the hurdles encountered in cancer immunotherapy and the application of nanomedicine for small molecule immune modulators and nucleic acid therapeutics. It also highlights the advancements in DNA and mRNA vaccines facilitated by nanotechnology and outlines future trajectories in this evolving field.

EXPERT OPINION

Collectively, the integration of nanomedicine into cancer immunotherapy stands as a promising avenue to tackle the intricacies of the immune tumor microenvironment. Innovations such as immune checkpoint inhibitors and cancer vaccines have shown promise. Future developments will likely optimize nanoparticle design through artificial intelligence and create biocompatible, multifunctional nanoparticles, promising more effective, personalized, and durable cancer treatments, potentially transforming the field in the foreseeable future.

摘要

引言

近年来,免疫疗法作为一种引发强大抗肿瘤免疫反应的手段不断发展,彻底改变了癌症治疗方式。尽管具有潜力,但癌症免疫疗法的有效性受到低响应率和显著全身副作用的阻碍。纳米技术成为塑造癌症免疫疗法未来的一个有前景的前沿领域。

涵盖领域

本综述阐明了纳米医学在重塑免疫肿瘤微环境中的关键作用,并探讨了不同研究团队为提高癌症免疫疗法的治疗效果所采用的创新策略。讨论了癌症免疫疗法中遇到的障碍以及纳米医学在小分子免疫调节剂和核酸疗法中的应用。还强调了纳米技术推动的DNA和mRNA疫苗的进展,并概述了这一不断发展领域的未来发展轨迹。

专家观点

总体而言,将纳米医学整合到癌症免疫疗法中是解决免疫肿瘤微环境复杂性的一条有前景的途径。免疫检查点抑制剂和癌症疫苗等创新已显示出前景。未来的发展可能会通过人工智能优化纳米颗粒设计,并制造出生物相容性好、多功能的纳米颗粒,有望实现更有效、个性化和持久的癌症治疗,可能在可预见的未来改变这一领域。

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