Lin Yunfan, Lin Pei, Chen Xu, Zhao Xinyuan, Cui Li
Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, 510280, Guangdong, China.
School of Dentistry, University of California, Los Angeles, Los Angeles, 90095, CA, USA.
Mater Today Bio. 2025 May 31;32:101933. doi: 10.1016/j.mtbio.2025.101933. eCollection 2025 Jun.
Nanoprodrugs, leveraging advanced nanoparticle-based delivery systems, represent a promising strategy to enhance the efficacy of immunotherapy in cancer treatment. These systems offer precise tumor targeting, controlled drug release, and the potential to modulate the immune microenvironment, addressing several limitations of conventional therapeutic approaches. This review systematically evaluates the role of nanoprodrugs in improving immunotherapy outcomes, focusing on their ability to overcome challenges such as poor bioavailability, systemic toxicity, and limited tumor specificity. We also discuss the key advantages of these systems, including their ability to co-deliver immune checkpoint inhibitors and other immunomodulatory agents, potentially enabling more synergistic and effective treatment strategies. Despite their promise, several challenges remain, including achieving precise control over drug release, integrating multiple stimulus-responsive mechanisms, addressing tumor heterogeneity, and overcoming barriers to clinical translation. The review concludes with a perspective on future directions, emphasizing the need for further optimization of nanomaterial design, improved delivery strategies, and solutions to the complexities of the tumor microenvironment to maximize the clinical impact of nanoprodrugs in cancer immunotherapy.
纳米前药利用先进的基于纳米颗粒的递送系统,是一种在癌症治疗中提高免疫治疗疗效的有前景的策略。这些系统能够实现精确的肿瘤靶向、可控的药物释放,并具有调节免疫微环境的潜力,解决了传统治疗方法的一些局限性。本综述系统地评估了纳米前药在改善免疫治疗结果中的作用,重点关注其克服生物利用度低、全身毒性和肿瘤特异性有限等挑战的能力。我们还讨论了这些系统的关键优势,包括它们共同递送免疫检查点抑制剂和其他免疫调节剂的能力,这可能实现更具协同性和有效性的治疗策略。尽管它们前景广阔,但仍存在一些挑战,包括实现对药物释放的精确控制、整合多种刺激响应机制、解决肿瘤异质性以及克服临床转化障碍。综述最后展望了未来的方向,强调需要进一步优化纳米材料设计、改进递送策略以及解决肿瘤微环境复杂性的方案,以最大限度地发挥纳米前药在癌症免疫治疗中的临床影响。