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采用纳米载体作为多功能药物平台的化疗、免疫和基因治疗联合应用。

Combinations of chemo-, immuno-, and gene therapies using nanocarriers as a multifunctional drug platform.

机构信息

Pharmaceutical Sciences Division, School of Pharmacy, University of Wisconsin, Madison, Wisconsin, USA.

Wisconsin Center for NanoBioSystems, School of Pharmacy, University of Wisconsin, Madison, Wisconsin, USA.

出版信息

Expert Opin Drug Deliv. 2022 Oct;19(10):1337-1349. doi: 10.1080/17425247.2022.2112569. Epub 2022 Sep 26.


DOI:10.1080/17425247.2022.2112569
PMID:35949105
Abstract

INTRODUCTION: Cancer immunotherapies have created a new generation of therapeutics to employ the immune system to attack cancer cells. However, these therapies are typically based on biologics that are nonspecific and often exhibit poor tumor penetration and dose-limiting toxicities. Nanocarriers allow the opportunity to overcome these barriers as they have the capabilities to direct immunomodulating drugs to tumor sites via passive and active targeting, decreasing potential adverse effects from nonspecific targeting. In addition, nanocarriers can be multifunctionalized to deliver multiple cancer therapeutics in a single drug platform, offering synergistic potential from co-delivery approaches. AREAS COVERED: This review focuses on the delivery of cancer therapeutics using emerging nanocarriers to achieve synergistic results via co-delivery of immune-modulating components (i.e. chemotherapeutics, monoclonal antibodies, and genes). EXPERT OPINION: Nanocarrier-mediated delivery of combinatorial immunotherapy creates the opportunity to fine-tune drug release while achieving superior tumor targeting and tumor cell death, compared to free drug counterparts. As these nanoplatforms are constantly improved upon, combinatorial immunotherapy will afford the greatest benefit to treat an array of tumor types while inhibiting cancer evasion pathways.

摘要

简介:癌症免疫疗法开创了新一代治疗方法,利用免疫系统攻击癌细胞。然而,这些疗法通常基于非特异性的生物制剂,往往表现出较差的肿瘤穿透性和剂量限制性毒性。纳米载体有机会克服这些障碍,因为它们具有通过被动和主动靶向将免疫调节药物靶向肿瘤部位的能力,从而降低非特异性靶向的潜在不良反应。此外,纳米载体可以多功能化,在单个药物平台中递送多种癌症治疗药物,提供协同递送方法的协同潜力。

涵盖领域:本综述重点介绍了使用新兴纳米载体递送癌症治疗药物,通过共递送免疫调节成分(即化疗药物、单克隆抗体和基因)来实现协同效果。

专家意见:与游离药物相比,纳米载体介导的联合免疫疗法的递药为精细调控药物释放提供了机会,同时实现了更好的肿瘤靶向和肿瘤细胞死亡。随着这些纳米平台的不断改进,联合免疫疗法将为治疗一系列肿瘤类型提供最大的益处,同时抑制癌症逃逸途径。

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