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使用先进药物纳米技术的癌症纳米免疫疗法。

Cancer nanoimmunotherapy using advanced pharmaceutical nanotechnology.

作者信息

Li Wei, Wei Huafeng, Li Huafei, Gao Jie, Feng Si-Shen, Guo Yajun

机构信息

International Joint Cancer Institute, The Second Military Medical University, 800 Xiangyin Road, Shanghai 200433, PR China.

出版信息

Nanomedicine (Lond). 2014 Nov;9(16):2587-605. doi: 10.2217/nnm.14.127.

Abstract

Immunotherapy is a promising option for cancer treatment that might cure cancer with fewer side effects by primarily activating the host's immune system. However, the effect of traditional immunotherapy is modest, frequently due to tumor escape and resistance of multiple mechanisms. Pharmaceutical nanotechnology, which is also called cancer nanotechnology or nanomedicine, has provided a practical solution to solve the limitations of traditional immunotherapy. This article reviews the latest developments in immunotherapy and nanomedicine, and illustrates how nanocarriers (including micelles, liposomes, polymer-drug conjugates, solid lipid nanoparticles and biodegradable nanoparticles) could be used for the cellular transfer of immune effectors for active and passive nanoimmunotherapy. The fine engineering of nanocarriers based on the unique features of the tumor microenvironment and extra-/intra-cellular conditions of tumor cells can greatly tip the triangle immunobalance among host, tumor and nanoparticulates in favor of antitumor responses, which shows a promising prospect for nanoimmunotherapy.

摘要

免疫疗法是一种很有前景的癌症治疗选择,它主要通过激活宿主的免疫系统,有望以较少的副作用治愈癌症。然而,传统免疫疗法的效果有限,这通常是由于肿瘤逃逸和多种机制的耐药性。药物纳米技术,也被称为癌症纳米技术或纳米医学,为解决传统免疫疗法的局限性提供了切实可行的解决方案。本文综述了免疫疗法和纳米医学的最新进展,并阐述了纳米载体(包括胶束、脂质体、聚合物 - 药物偶联物、固体脂质纳米粒和可生物降解纳米粒)如何用于免疫效应器的细胞转运,以实现主动和被动纳米免疫疗法。基于肿瘤微环境的独特特征以及肿瘤细胞的细胞外/细胞内条件对纳米载体进行精细设计,能够极大地打破宿主、肿瘤和纳米颗粒之间的三角免疫平衡,有利于抗肿瘤反应,这为纳米免疫疗法展示了广阔的前景。

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