癌症免疫疗法:从生物学到纳米医学。
Cancer immunotherapy from biology to nanomedicine.
机构信息
University of Science and Technology, Zewail City, 6th of October City, Giza 12578, Egypt; Molecular, Cellular, and Developmental Biology, College of Arts and Sciences, The Ohio State University, Columbus, OH 43210, United States of America.
University of Science and Technology, Zewail City, 6th of October City, Giza 12578, Egypt; Department of Chemistry, Center for Scientific Computation, Center for Drug Discovery, Design, and Delivery (CD4), Southern Methodist University, Dallas, Texas 75275, United States of America.
出版信息
J Control Release. 2021 Aug 10;336:410-432. doi: 10.1016/j.jconrel.2021.06.025. Epub 2021 Jun 24.
With the significant drawbacks of conventional cancer chemotherapeutics, cancer immunotherapy has demonstrated the ability to eradicate cancer cells and circumvent multidrug resistance (MDR) with fewer side effects than traditional cytotoxic therapies. Various immunotherapeutic agents have been investigated for that purpose including checkpoint inhibitors, cytokines, monoclonal antibodies and cancer vaccines. All these agents aid immune cells to recognize and engage tumor cells by acting on tumor-specific pathways, antigens or cellular targets. However, immunotherapeutics are still associated with some concerns such as off-target side effects and poor pharmacokinetics. Nanomedicine may resolve some limitations of current immunotherapeutics such as localizing delivery, controlling release and enhancing the pharmacokinetic profile. Herein, we discuss recent advances of immunotherapeutic agents with respect to their development and biological mechanisms of action, along with the advantages that nanomedicine strategies lend to immunotherapeutics by possibly improving therapeutic outcomes and minimizing side effects.
与传统癌症化疗的显著缺点相比,癌症免疫疗法具有消除癌细胞的能力,并能规避多药耐药性(MDR),副作用比传统细胞毒性疗法更少。已经研究了各种免疫治疗剂来实现这一目的,包括检查点抑制剂、细胞因子、单克隆抗体和癌症疫苗。所有这些药物通过作用于肿瘤特异性途径、抗原或细胞靶点,帮助免疫细胞识别和攻击肿瘤细胞。然而,免疫疗法仍然存在一些问题,如脱靶副作用和药代动力学不佳。纳米医学可以解决当前免疫疗法的一些局限性,如定位输送、控制释放和增强药代动力学特征。本文讨论了免疫治疗剂的最新进展,包括它们的开发和作用机制,以及纳米医学策略通过可能改善治疗效果和最小化副作用为免疫疗法带来的优势。