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纳米颗粒在癌症免疫治疗和放射治疗中的临床应用基础

Fundamentals to clinical application of nanoparticles in cancer immunotherapy and radiotherapy.

作者信息

Selvaraja Vinodh Kumar, Gudipudi Deleep Kumar

机构信息

https://orcid.org/0000-0002-2507-8328.

https://orcid.org/0000-0003-3447-4725.

出版信息

Ecancermedicalscience. 2020 Sep 1;14:1095. doi: 10.3332/ecancer.2020.1095. eCollection 2020.

Abstract

Cancer immunotherapy has made rapid progress over the past decade leading to high enthusiasm and interest worldwide. Codelivery of immunomodulators with chemotherapeutic agents and radioisotopes has been shown to elicit a strong and sustained immune response in animal models. Despite showing promising results in metastatic and recurrent cancers, the utilisation of immunotherapy in clinical settings has been limited owing to uncertainties in elicited immune response and occurrence of immune-related adverse events. These uncertainties can be overcome with the help of nanoparticles possessing unique properties for the effective delivery of targeted agents to specific sites. Nanoparticles play a crucial role in the effective delivery of cancer antigens and adjuvants, modulation of tumour microenvironment, production of long-term immune response and development of cancer vaccines. Here, we provide a comprehensive summary of nanotechnology-based cancer immunotherapy and radiotherapy including basics of nanotechnology, properties of nanoparticles and various methods of employing nanoparticles in cancer treatment. Thus, nanotechnology is anticipated to overcome the limitations of existing cancer immunotherapy and to effectively combine various cancer treatment modalities.

摘要

在过去十年中,癌症免疫疗法取得了快速进展,在全球范围内引发了高度的热情和关注。在动物模型中,已证明将免疫调节剂与化疗药物和放射性同位素共同递送可引发强烈且持续的免疫反应。尽管免疫疗法在转移性和复发性癌症中显示出有前景的结果,但由于引发的免疫反应存在不确定性以及免疫相关不良事件的发生,其在临床环境中的应用一直受到限制。借助具有独特性质的纳米颗粒,可将靶向药物有效递送至特定部位,从而克服这些不确定性。纳米颗粒在有效递送癌症抗原和佐剂、调节肿瘤微环境、产生长期免疫反应以及开发癌症疫苗方面发挥着关键作用。在此,我们全面总结了基于纳米技术的癌症免疫疗法和放射疗法,包括纳米技术的基础知识、纳米颗粒的性质以及在癌症治疗中应用纳米颗粒的各种方法。因此,预计纳米技术将克服现有癌症免疫疗法的局限性,并有效结合各种癌症治疗方式。

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