Department of Immunology and Microbiology, School of Medicine, University of Texas Rio Grande Valley, McAllen, TX 78504, USA; Department of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Powai, Mumbai 400076, India.
Department of Immunology and Microbiology, School of Medicine, University of Texas Rio Grande Valley, McAllen, TX 78504, USA.
Eur J Pharm Biopharm. 2021 Jun;163:72-101. doi: 10.1016/j.ejpb.2021.03.010. Epub 2021 Mar 24.
Novel strategies modulating the immune system yielded enhanced anticancer responses and improved cancer survival. Nevertheless, the success rate of immunotherapy in cancer treatment has been below expectation(s) due to unpredictable efficacy and off-target effects from systemic dosing of immunotherapeutic(s). As a result, there is an unmet clinical need for improving conventional immunotherapy. Nanotechnology offers several new strategies, multimodality, and multiplex biological targeting advantage to overcome many of these challenges. These efforts enable programming the pharmacodynamics, pharmacokinetics, and delivery of immunomodulatory agents/co-delivery of compounds to prime at the tumor sites for improved therapeutic benefits. This review provides an overview of the design and clinical principles of biomaterials driven nanotechnology and their potential use in personalized nanomedicines, vaccines, localized tumor modulation, and delivery strategies for cancer immunotherapy. In this review, we also summarize the latest highlights and recent advances in combinatorial therapies availed in the treatment of cold and complicated tumors. It also presents key steps and parameters implemented for clinical success. Finally, we analyse, discuss, and provide clinical perspectives on the integrated opportunities of nanotechnology and immunology to achieve synergistic and durable responses in cancer treatment.
新型调节免疫系统的策略产生了增强的抗癌反应和提高的癌症生存率。然而,由于免疫疗法的全身性给药具有不可预测的疗效和脱靶效应,免疫疗法在癌症治疗中的成功率一直低于预期。因此,临床上需要改进常规免疫疗法。纳米技术提供了几种新策略、多模态和多重生物靶向优势,以克服许多这些挑战。这些努力使免疫调节剂的药效学、药代动力学和递送得以编程,在肿瘤部位进行预激活,以提高治疗效果。本综述概述了基于生物材料的纳米技术的设计和临床原则及其在个性化纳米医学、疫苗、局部肿瘤调节和癌症免疫治疗的递药策略中的潜在用途。在本综述中,我们还总结了联合治疗在治疗冷肿瘤和复杂肿瘤方面的最新亮点和进展。它还介绍了实现临床成功所实施的关键步骤和参数。最后,我们分析、讨论并提供了纳米技术和免疫学相结合的临床观点,以在癌症治疗中实现协同和持久的反应。