Department of Medicine III, Medical Faculty, RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Germany.
Macromol Biosci. 2017 Oct;17(10). doi: 10.1002/mabi.201700021. Epub 2017 Apr 6.
Immunity has a major impact on inflammatory diseases and cancer, and biologics targeting immune cells and their factors reach a quarter trillion of market volume by this year. Adaptive leukocytes have recently been engaged in cancer immunotherapy, whereas modulation of the innate immune cells, specifically macrophages, is expected as next breakthrough. With patents of major biologics expiring, nanomedicine has the potential to substitute therapeutic proteins by using miniaturized macromolecules. This review includes an overview on the involvement of major immune cell types into disease and a summary on selected current therapies based on biologics and small molecules. Novel developments in nanomedicine-based immunotherapies, including associated chances and risks, are presented.
免疫对炎症性疾病和癌症有重大影响,今年针对免疫细胞及其因子的生物制剂的市场规模达到了 2500 亿美元。适应性白细胞最近已被应用于癌症免疫治疗,而先天免疫细胞(特别是巨噬细胞)的调节有望成为下一个突破。随着主要生物制剂专利的到期,纳米医学有可能通过使用小型化的大分子来替代治疗性蛋白。本综述包括主要免疫细胞类型在疾病中的作用概述,以及基于生物制剂和小分子的选定当前疗法的总结。介绍了基于纳米医学的免疫疗法的新进展,包括相关的机遇和风险。