Department of Radiology, Liuzhou People's Hospital Affiliated to Guangxi Medical University, No. 8 Wenchang Road, Liuzhou, 545006, P. R. China.
Central Laboratory, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, P. R. China.
Adv Sci (Weinh). 2022 Oct;9(29):e2203921. doi: 10.1002/advs.202203921. Epub 2022 Aug 24.
Independent of tumor type and non-invasive or minimally-invasive feature, current physical treatments including ultrasound therapy, microwave ablation (MWA), and radiofrequency ablation (RFA) are widely used as the local treatment methods in clinics for directly killing tumors and activating systematic immune responses. However, the activated immune responses are inadequate and incompetent for tumor recession, and the incomplete thermal ablation even aggravates the immunosuppressive tumor microenvironment (ITM), resulting in the intractable tumor recurrence and metastasis. Intriguingly, nanomedicine provides a powerful platform as they can elevate energy utilization efficiency and augment oncolytic effects for mitigating ITM and potentiating the systematic immune responses. Especially after combining with clinical immunotherapy, the anti-tumor killing effect by activating or enhancing the human anti-tumor immune system is reached, enabling the effective prevention against tumor recurrence and metastasis. This review systematically introduces the cutting-edge progress and direction of nanobiotechnologies and their corresponding nanomaterials. Moreover, the enhanced physical treatment efficiency against tumor progression, relapse, and metastasis via activating or potentiating the autologous immunity or combining with exogenous immunotherapeutic agents is exemplified, and their rationales are analyzed. This review offers general guidance or directions to enhance clinical physical treatment from the perspectives of immunity activation or magnification.
独立于肿瘤类型和非侵入性或微创特征,目前的物理治疗方法包括超声治疗、微波消融(MWA)和射频消融(RFA),被广泛用作临床中直接杀死肿瘤和激活全身免疫反应的局部治疗方法。然而,激活的免疫反应不足以使肿瘤消退,不完全的热消融甚至会加重免疫抑制性肿瘤微环境(ITM),导致肿瘤的难治性复发和转移。有趣的是,纳米医学提供了一个强大的平台,因为它们可以提高能量利用效率,并增强溶瘤效应,以减轻 ITM 并增强全身免疫反应。特别是在与临床免疫疗法结合后,通过激活或增强人体抗肿瘤免疫系统来达到抗肿瘤杀伤效果,从而有效地预防肿瘤复发和转移。本综述系统地介绍了纳米生物技术及其相应的纳米材料的最新进展和方向。此外,通过激活或增强自身免疫或与外源性免疫治疗剂结合来增强物理治疗对肿瘤进展、复发和转移的效果的例子也被列举出来,并分析了其合理性。本综述从免疫激活或放大的角度为增强临床物理治疗提供了一般性的指导或方向。
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