Day Nicole B, Wixson William C, Shields C Wyatt
Department of Chemical & Biological Engineering, University of Colorado, Boulder, CO 80303, USA.
Acta Pharm Sin B. 2021 Aug;11(8):2172-2196. doi: 10.1016/j.apsb.2021.03.023. Epub 2021 Apr 30.
Immunotherapy is a rapidly developing area of cancer treatment due to its higher specificity and potential for greater efficacy than traditional therapies. Immune cell modulation through the administration of drugs, proteins, and cells can enhance antitumoral responses through pathways that may be otherwise inhibited in the presence of immunosuppressive tumors. Magnetic systems offer several advantages for improving the performance of immunotherapies, including increased spatiotemporal control over transport, release, and dosing of immunomodulatory drugs within the body, resulting in reduced off-target effects and improved efficacy. Compared to alternative methods for stimulating drug release such as light and pH, magnetic systems enable several distinct methods for programming immune responses. First, we discuss how magnetic hyperthermia can stimulate immune cells and trigger thermoresponsive drug release. Second, we summarize how magnetically targeted delivery of drug carriers can increase the accumulation of drugs in target sites. Third, we review how biomaterials can undergo magnetically driven structural changes to enable remote release of encapsulated drugs. Fourth, we describe the use of magnetic particles for targeted interactions with cellular receptors for promoting antitumor activity. Finally, we discuss translational considerations of these systems, such as toxicity, clinical compatibility, and future opportunities for improving cancer treatment.
免疫疗法是癌症治疗中一个快速发展的领域,因为它比传统疗法具有更高的特异性和更大的疗效潜力。通过给药药物、蛋白质和细胞来调节免疫细胞,可以通过在存在免疫抑制性肿瘤时可能会被抑制的途径增强抗肿瘤反应。磁性系统为提高免疫疗法的性能提供了几个优势,包括对体内免疫调节药物的运输、释放和给药增加时空控制,从而减少脱靶效应并提高疗效。与光和pH等刺激药物释放的替代方法相比,磁性系统能够采用几种不同的方法来调控免疫反应。首先,我们讨论磁热疗如何刺激免疫细胞并触发热响应性药物释放。其次,我们总结药物载体的磁性靶向递送如何增加药物在靶位点的积累。第三,我们回顾生物材料如何通过磁驱动发生结构变化以实现包封药物远程释放。第四,我们描述磁性颗粒用于与细胞受体进行靶向相互作用以促进抗肿瘤活性的用途。最后,我们讨论这些系统的转化考量,如毒性、临床兼容性以及改善癌症治疗的未来机遇。