Institute of Biology and Biomedicine, Lobachevsky State University of Nizhny Novgorod, Nizhny Novgorod, Russian Federation.
Institute of Biology and Biomedicine, Lobachevsky State University of Nizhny Novgorod, Nizhny Novgorod, Russian Federation
J Immunother Cancer. 2021 Jan;9(1). doi: 10.1136/jitc-2020-001926.
The past decade has witnessed major breakthroughs in cancer immunotherapy. This development has been largely motivated by cancer cell evasion of immunological control and consequent tumor resistance to conventional therapies. Immunogenic cell death (ICD) is considered one of the most promising ways to achieve total tumor cell elimination. It activates the T-cell adaptive immune response and results in the formation of long-term immunological memory. ICD can be triggered by many anticancer treatment modalities, including photodynamic therapy (PDT). In this review, we first discuss the role of PDT based on several classes of photosensitizers, including porphyrins and non-porphyrins, and critically evaluate their potential role in ICD induction. We emphasize the emerging trend of ICD induction by PDT in combination with nanotechnology, which represents third-generation photosensitizers and involves targeted induction of ICD by PDT. However, PDT also has some limitations, including the reduced efficiency of ICD induction in the hypoxic tumor microenvironment. Therefore, we critically evaluate strategies for overcoming this limitation, which is essential for increasing PDT efficiency. In the final part, we suggest several areas for future research for personalized cancer immunotherapy, including strategies based on oxygen-boosted PDT and nanoparticles. In conclusion, the insights from the last several years increasingly support the idea that PDT is a powerful strategy for inducing ICD in experimental cancer therapy. However, most studies have focused on mouse models, but it is necessary to validate this strategy in clinical settings, which will be a challenging research area in the future.
过去十年见证了癌症免疫疗法的重大突破。这种发展在很大程度上是由癌细胞逃避免疫控制以及随后的肿瘤对传统疗法的耐药性所驱动的。免疫原性细胞死亡 (ICD) 被认为是实现肿瘤细胞完全消除的最有前途的方法之一。它激活 T 细胞适应性免疫反应,并导致长期的免疫记忆形成。ICD 可被多种抗癌治疗方式触发,包括光动力疗法 (PDT)。在这篇综述中,我们首先讨论了基于几种光敏剂(包括卟啉和非卟啉)的 PDT 的作用,并批判性地评估了它们在 ICD 诱导中的潜在作用。我们强调了 PDT 与纳米技术结合诱导 ICD 的新兴趋势,这代表了第三代光敏剂,并涉及通过 PDT 靶向诱导 ICD。然而,PDT 也存在一些局限性,包括在缺氧肿瘤微环境中 ICD 诱导效率降低。因此,我们批判性地评估了克服这一限制的策略,这对于提高 PDT 效率至关重要。在最后一部分,我们为个性化癌症免疫治疗提出了未来研究的几个方向,包括基于氧增强 PDT 和纳米粒子的策略。总之,过去几年的研究越来越支持 PDT 是一种在实验性癌症治疗中诱导 ICD 的有力策略的观点。然而,大多数研究都集中在小鼠模型上,但有必要在临床环境中验证这一策略,这将是未来具有挑战性的研究领域。
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