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纳米技术增强癌症免疫治疗和重塑肿瘤微环境:癌症治疗的新视野。

Nanotechnology for Boosting Cancer Immunotherapy and Remodeling Tumor Microenvironment: The Horizons in Cancer Treatment.

机构信息

Department of Pharmaceutics, School of Pharmaceutical Sciences, Shandong University, 44 WenhuaXilu, Jinan 250012, China.

出版信息

ACS Nano. 2021 Aug 24;15(8):12567-12603. doi: 10.1021/acsnano.1c02103. Epub 2021 Aug 2.

Abstract

Immunotherapy that harnesses the human immune system to fight cancer has received widespread attention and become a mainstream strategy for cancer treatment. Cancer immunotherapy not only eliminates primary tumors but also treats metastasis and recurrence, representing a major advantage over traditional cancer treatments. Recently with the development of nanotechnology, there exists much work applying nanomaterials to cancer immunotherapy on the basis of their excellent physiochemical properties, such as efficient tissue-specific delivery function, huge specific surface area, and controllable surface chemistry. Consequently, nanotechnology holds significant potential in improving the efficacy of cancer immunotherapy. Nanotechnology-based immunotherapy mainly manifests its inhibitory effect on tumors two different approaches: one is to produce an effective anti-tumor immune response during tumorigenesis, and the other is to enhance tumor immune defense ability by modulating the immune suppression mechanism in the tumor microenvironment. With the success of tumor immunotherapy, understanding the interaction between the immune system and smart nanomedicine has provided vigorous vitality for the development of cancer treatment. This review highlights the application, progress, and prospect of nanomedicine in the process of tumor immunoediting and also discusses several engineering methods to improve the efficiency of tumor treatment.

摘要

免疫疗法利用人体免疫系统来对抗癌症,受到了广泛关注,并成为癌症治疗的主流策略。癌症免疫疗法不仅可以消除原发性肿瘤,还可以治疗转移和复发,这是传统癌症治疗方法的主要优势。最近,随着纳米技术的发展,许多工作将纳米材料应用于癌症免疫疗法,基于其优异的物理化学性质,如高效的组织特异性递送功能、巨大的比表面积和可控的表面化学性质。因此,纳米技术在提高癌症免疫疗法的疗效方面具有重要潜力。基于纳米技术的免疫疗法主要通过两种不同的方法来表现其对肿瘤的抑制作用:一种是在肿瘤发生过程中产生有效的抗肿瘤免疫反应,另一种是通过调节肿瘤微环境中的免疫抑制机制来增强肿瘤的免疫防御能力。随着肿瘤免疫疗法的成功,对免疫系统和智能纳米医学之间相互作用的理解为癌症治疗的发展提供了活力。本文重点介绍了纳米医学在肿瘤免疫编辑过程中的应用、进展和前景,并讨论了几种提高肿瘤治疗效率的工程方法。

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