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抗体药物递送系统用于癌症治疗:机制、挑战与展望。

Antibody-based drug delivery systems for cancer therapy: Mechanisms, challenges, and prospects.

机构信息

School of Food and Bioengineering, Institute for advanced study, Chengdu University, Chengdu 610106, Sichuan, PR China.

Institute of Biomaterials and Tissue Engineering, Huaqiao University, Xiamen 361021, Fujian, PR China.

出版信息

Theranostics. 2022 May 1;12(8):3719-3746. doi: 10.7150/thno.72594. eCollection 2022.

Abstract

In recent years, antibody-based cancer therapy has emerged as one of the efficient therapeutic strategies, such as immune checkpoint inhibitors (ICIs), angiogenesis inhibitors, antibody-drug conjugates (ADCs), multi-specific antibodies, and chimeric antigen receptor T (CAR-T) cells, among others. To date, various drug delivery platforms have been developed to improve the bioavailability, delivery convenience, and reduced toxicity towards increased therapeutic efficacy of antibodies. Herein, we emphasize the clinical manifestations of various antibody-based tumor therapies, highlighting their mechanisms and applications for cancer therapy. Further, based on the problems to be solved in the current clinical application of antibodies, and combined with the advanced drug delivery technologies, we discuss the roles of antibody-based drug delivery systems (DDSs) in cancer therapy, such as enhanced patient compliance and regulating the tumor microenvironment for combined therapy. By expounding the importance of DDSs and discussing the challenges and prospects of their implementation, we suggest that pharmaceutical enterprises and scientists develop appropriate antibody-based delivery platforms.

摘要

近年来,抗体类癌症疗法已经成为一种有效的治疗策略,例如免疫检查点抑制剂(ICIs)、血管生成抑制剂、抗体药物偶联物(ADC)、多特异性抗体和嵌合抗原受体 T(CAR-T)细胞等。迄今为止,已经开发了各种药物输送平台来提高抗体的生物利用度、输送便利性和降低毒性,以提高治疗效果。在此,我们强调了各种基于抗体的肿瘤疗法的临床应用,重点介绍了它们的机制和在癌症治疗中的应用。此外,基于当前抗体临床应用中需要解决的问题,并结合先进的药物输送技术,我们讨论了抗体类药物输送系统(DDS)在癌症治疗中的作用,例如提高患者依从性和调节肿瘤微环境以进行联合治疗。通过阐述 DDS 的重要性并讨论其实施的挑战和前景,我们建议制药企业和科学家开发合适的抗体类输送平台。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b4/9131265/3a82f2cee88d/thnov12p3719g001.jpg

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