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多功能纳米载体介导的免疫检查点抑制剂癌症免疫疗法与介入肿瘤学疗法的协同联合

Multifunctional Nanocarriers-Mediated Synergistic Combination of Immune Checkpoint Inhibitor Cancer Immunotherapy and Interventional Oncology Therapy.

作者信息

Choi Bongseo, Kim Dong-Hyun

机构信息

Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.

Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, United States.

出版信息

Adv Nanobiomed Res. 2021 Oct;1(10). doi: 10.1002/anbr.202100010. Epub 2021 Aug 2.

Abstract

Immune checkpoint inhibitor (ICI) cancer immunotherapies are becoming one of the standard therapies for cancer patients. However, ICI cancer immunotherapy's overall response rate is still moderate and even combinational ICI cancer immunotherapies are not showing significant improvement in therapeutic outcomes. Only a subset of patients responds to the therapy due to the resistance and ignorance to the ICI cancer immunotherapy. Following immune-related adverse events (irAEs) are also limiting the whole therapeutic regimens. New approaches that can increase the immunotherapeutic efficacy and reduce systemic irAEs are required. Recently, multifunctional nanocarriers, which can extend the half-life of ICIs and modulate tumor microenvironment (TME), have shown a substantial opportunity to enhance ICI cancer immunotherapies. Interventional oncology (IO) allowing simultaneous diagnosis, immunogenic loco-regional therapeutic delivery, and real-time monitoring of the treatment efficacy have advanced to demonstrate the effective conversion of TME. The use of multifunctional nanocarriers with the IO therapies amplify the image guidance capability and immunogenic therapeutic localization for the potential combinational ICI cancer immunotherapy. This article will discuss the emerging opportunity of multifunctional nanocarriers mediated synergistic combination of ICI cancer immunotherapy and IO local therapy.

摘要

免疫检查点抑制剂(ICI)癌症免疫疗法正成为癌症患者的标准疗法之一。然而,ICI癌症免疫疗法的总体缓解率仍然适中,即使是联合ICI癌症免疫疗法在治疗效果上也未显示出显著改善。由于对ICI癌症免疫疗法的耐药性和无知,只有一部分患者对该疗法有反应。免疫相关不良事件(irAE)也限制了整个治疗方案。需要能够提高免疫治疗疗效并减少全身性irAE的新方法。最近,能够延长ICI半衰期并调节肿瘤微环境(TME)的多功能纳米载体已显示出增强ICI癌症免疫疗法的巨大潜力。介入肿瘤学(IO)允许同时进行诊断、免疫原性局部治疗递送以及对治疗效果进行实时监测,已发展到能够有效转化TME。将多功能纳米载体与IO疗法结合使用,可增强潜在联合ICI癌症免疫疗法的图像引导能力和免疫原性治疗定位。本文将探讨多功能纳米载体介导的ICI癌症免疫疗法与IO局部疗法协同联合的新机遇。

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