Division of Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, 1319 Kerr Hall, Chapel Hill, North Carolina 27599, USA.
Pharm Res. 2011 Feb;28(2):200-14. doi: 10.1007/s11095-010-0258-8. Epub 2010 Sep 4.
The immune system has the ability to recognize and kill pre-cancer and cancer cells. However, with the immune system's surveillance, the survival tumor cells learn how to escape the immune system after immunoselection. Cancer immunotherapy develops strategies to overcome these problems. Nanomedicine applications in cancer immunotherapy include the nanodiagnostics and nanobiopharmaceuticals. In cancer nanodiagnostics, it looks for specific "molecular signatures" in cancer cells or their microenvironment by using genomics and proteomics. Nanobiopharmaceuticals is the field that studies nanotechnology-based therapeutic agents and drug carriers. DNA, RNA, peptides, proteins and small molecules can all be used as cancer therapies when formulated in nanocarriers. Currently, cancer vaccines are applied in treatments with existing cancer or to prevent the development of cancer in certain high risk individuals. Most of the non-specific immune activation agents include adjuvants which enhance immunogenicity and accelerate and prolong the response of cancer vaccines. The carriers of vaccines, such as viruses and nanoparticles, have also been in clinical studies for many years. This review will discuss the relationships between the tumor and the immune system, and also will include topics covering the strategies used in eliminating tumors by using nanomedicine.
免疫系统具有识别和杀死癌前和癌细胞的能力。然而,在免疫系统的监视下,经过免疫选择,存活的肿瘤细胞学会了如何逃避免疫系统。癌症免疫疗法开发了克服这些问题的策略。纳米医学在癌症免疫治疗中的应用包括纳米诊断和纳米生物制药。在癌症纳米诊断中,通过基因组学和蛋白质组学寻找癌细胞或其微环境中的特定“分子特征”。纳米生物制药是研究基于纳米技术的治疗剂和药物载体的领域。当将 DNA、RNA、肽、蛋白质和小分子制成纳米载体时,它们都可以用作癌症治疗药物。目前,癌症疫苗应用于治疗现有癌症或预防某些高危人群的癌症发展。大多数非特异性免疫激活剂包括佐剂,佐剂可增强免疫原性并加速和延长癌症疫苗的反应。疫苗的载体,如病毒和纳米颗粒,也已经在临床研究中进行了多年。本文将讨论肿瘤与免疫系统之间的关系,并包括利用纳米医学消除肿瘤的策略。