Graciotti Michele, Berti Cristiana, Klok Harm-Anton, Kandalaft Lana
Center of Experimental Therapeutics, Department of Oncology, University Hospital of Lausanne, Lausanne, Switzerland.
Laboratoire des Polymères, Institut des Matériaux and Institut des Sciences et Ingénierie Chimiques, École Polytechnique Fédérale de Lausanne (EPFL), Bâtiment MXD, Station 12, 1015, Lausanne, Switzerland.
J Transl Med. 2017 Jun 19;15(1):142. doi: 10.1186/s12967-017-1244-2.
Immunotherapy consists of activating the patient's immune system to fight cancer and has the great potential of preventing future relapses thanks to immunological memory. A great variety of strategies have emerged to harness the immune system against tumors, from the administration of immunomodulatory agents that activate immune cells, to therapeutic vaccines or infusion of previously activated cancer-specific T cells. However, despite great recent progress many difficulties still remain, which prevent the widespread use of immunotherapy. Some of these limitations include: systemic toxicity, weak immune cellular responses or persistence over time and most ultimately costly and time-consuming procedures.
Synthetic and natural biomaterials hold great potential to address these hurdles providing biocompatible systems capable of targeted local delivery, co-delivery, and controlled and/or sustained release. In this review we discuss some of the bioengineered solutions and approaches developed so far and how biomaterials can be further implemented to help and shape the future of cancer immunotherapy.
The bioengineering strategies here presented constitute a powerful toolkit to develop safe and successful novel cancer immunotherapies.
免疫疗法包括激活患者的免疫系统来对抗癌症,由于免疫记忆,它具有预防未来复发的巨大潜力。为利用免疫系统对抗肿瘤,已出现了各种各样的策略,从给予激活免疫细胞的免疫调节剂,到治疗性疫苗或输注先前激活的癌症特异性T细胞。然而,尽管最近取得了巨大进展,但仍存在许多困难,这阻碍了免疫疗法的广泛应用。其中一些局限性包括:全身毒性、免疫细胞反应微弱或随时间持续存在,以及大多数最终成本高昂且耗时的程序。
合成和天然生物材料具有巨大潜力来克服这些障碍,提供能够进行靶向局部递送、共递送以及控制和/或持续释放的生物相容性系统。在本综述中,我们讨论了迄今为止开发的一些生物工程解决方案和方法,以及生物材料如何能够进一步用于帮助塑造癌症免疫疗法的未来。
本文提出的生物工程策略构成了开发安全且成功的新型癌症免疫疗法的强大工具包。