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纳米材料:肿瘤免疫治疗的有力工具。

Nanomaterials: A powerful tool for tumor immunotherapy.

机构信息

Clinical Medicine, Harbin Medical University, Harbin, China.

Department of Forensic Medicine, Harbin Medical University, Harbin, China.

出版信息

Front Immunol. 2022 Aug 22;13:979469. doi: 10.3389/fimmu.2022.979469. eCollection 2022.

Abstract

Cancer represents the leading global driver of death and is recognized as a critical obstacle to increasing life expectancy. In recent years, with the development of precision medicine, significant progress has been made in cancer treatment. Among them, various therapies developed with the help of the immune system have succeeded in clinical treatment, recognizing and killing cancer cells by stimulating or enhancing the body's intrinsic immune system. However, low response rates and serious adverse effects, among others, have limited the use of immunotherapy. It also poses problems such as drug resistance and hyper-progression. Fortunately, thanks to the rapid development of nanotechnology, engineered multifunctional nanomaterials and biomaterials have brought breakthroughs in cancer immunotherapy. Unlike conventional cancer immunotherapy, nanomaterials can be rationally designed to trigger specific tumor-killing effects. Simultaneously, improved infiltration of immune cells into metastatic lesions enhances the efficiency of antigen submission and induces a sustained immune reaction. Such a strategy directly reverses the immunological condition of the primary tumor, arrests metastasis and inhibits tumor recurrence through postoperative immunotherapy. This paper discusses several types of nanoscale biomaterials for cancer immunotherapy, and they activate the immune system through material-specific advantages to provide novel therapeutic strategies. In summary, this article will review the latest advances in tumor immunotherapy based on self-assembled, mesoporous, cell membrane modified, metallic, and hydrogel nanomaterials to explore diverse tumor therapies.

摘要

癌症是全球主要的死亡原因,也是提高预期寿命的重大障碍。近年来,随着精准医学的发展,癌症治疗取得了重大进展。其中,借助免疫系统开发的各种疗法在临床治疗中取得了成功,通过刺激或增强机体固有免疫系统来识别和杀死癌细胞。然而,低反应率和严重的不良反应等问题限制了免疫疗法的应用。它还存在耐药性和超进展等问题。幸运的是,得益于纳米技术的快速发展,经过工程设计的多功能纳米材料和生物材料在癌症免疫治疗方面带来了突破。与传统的癌症免疫疗法不同,纳米材料可以被合理设计来触发特定的肿瘤杀伤效应。同时,免疫细胞向转移性病变的渗透得到改善,增强了抗原呈递的效率,并诱导持续的免疫反应。这种策略通过术后免疫治疗直接逆转原发性肿瘤的免疫状态,阻止转移并抑制肿瘤复发。本文讨论了几种用于癌症免疫治疗的纳米级生物材料,它们通过材料的特异性优势激活免疫系统,为癌症治疗提供了新的策略。总之,本文将综述基于自组装、介孔、细胞膜修饰、金属和水凝胶纳米材料的肿瘤免疫治疗的最新进展,探索多样化的肿瘤治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3f1/9441741/c74aa22480a4/fimmu-13-979469-g009.jpg

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