Institute of Pharmaceutics, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, 310058, People's Republic of China.
Int J Nanomedicine. 2021 Feb 22;16:1435-1456. doi: 10.2147/IJN.S285999. eCollection 2021.
Cancer immunotherapy is a promising treatment strategy that aims to strengthen immune responses against cancer. However, the low immunogenicity of tumor cells and inhibition of effector T cells in the tumor immunosuppressive microenvironment remain two major challenges. Immunogenic cell death (ICD) inducers not only directly kill cancer cells but also increase the tumor immunogenicity and induce antitumor immune responses. Immune checkpoint inhibitors can alleviate the inhibition of immune cells. Significantly, the combination of ICD inducers and immune checkpoint inhibitors elicits a remarkable antitumor effect. Nanoparticles confer the ability to modulate systemic biodistribution and achieve targeted accumulation of administered therapeutic agents, thereby facilitating the clinical translation of immunotherapies based on ICD inducers in a safe and effective manner. In this review, we summarize the nanoparticle-based chemical and physical cues that induce effective tumor ICD and elicit an antitumor immune response. In particular, combination of ICD inducers with immune checkpoint inhibitors can further reverse immunosuppression and prevent tumor metastasis and recurrence. An overview of the future challenges and prospects is also provided.
癌症免疫疗法是一种有前途的治疗策略,旨在增强针对癌症的免疫反应。然而,肿瘤细胞的低免疫原性和肿瘤免疫抑制微环境中效应 T 细胞的抑制仍然是两个主要挑战。免疫原性细胞死亡 (ICD) 诱导剂不仅可以直接杀死癌细胞,还可以提高肿瘤的免疫原性并诱导抗肿瘤免疫反应。免疫检查点抑制剂可以缓解免疫细胞的抑制。值得注意的是,ICD 诱导剂与免疫检查点抑制剂的联合使用会产生显著的抗肿瘤作用。纳米颗粒赋予调节全身生物分布和实现给予的治疗剂靶向积累的能力,从而以安全有效的方式促进基于 ICD 诱导剂的免疫疗法的临床转化。在这篇综述中,我们总结了基于纳米颗粒的化学和物理线索,这些线索可以诱导有效的肿瘤 ICD 并引发抗肿瘤免疫反应。特别是,ICD 诱导剂与免疫检查点抑制剂的联合使用可以进一步逆转免疫抑制,防止肿瘤转移和复发。还概述了未来的挑战和前景。
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