College of Pharmacy, Chonnam National University, Gwangju, 61186, South Korea.
Riphah Institute of Pharmaceutical Sciences, Riphah International University, Islamabad, Pakistan.
Drug Deliv Transl Res. 2023 Jul;13(7):1936-1954. doi: 10.1007/s13346-022-01241-3. Epub 2022 Oct 3.
The host immune system possesses an intrinsic ability to target and kill cancer cells in a specific and adaptable manner that can be further enhanced by cancer immunotherapy, which aims to train the immune system to boost the antitumor immune response. Several different categories of cancer immunotherapy have emerged as new standard cancer therapies in the clinic, including cancer vaccines, immune checkpoint inhibitors, adoptive T cell therapy, and oncolytic virus therapy. Despite the remarkable survival benefit for a subset of patients, the low response rate and immunotoxicity remain the major challenges for current cancer immunotherapy. Over the last few decades, nanomedicine has been intensively investigated with great enthusiasm, leading to marked advancements in nanoparticle platforms and nanoengineering technology. Advances in nanomedicine and immunotherapy have also led to the emergence of a nascent research field of nano-immunotherapy, which aims to realize the full therapeutic potential of immunotherapy with the aid of nanomedicine. In particular, nanocarriers present an exciting opportunity in immuno-oncology to boost the activity, increase specificity, decrease toxicity, and sustain the antitumor efficacy of immunological agents by potentiating immunostimulatory activity and favorably modulating pharmacological properties. This review discusses the potential of nanocarriers for cancer immunotherapy and introduces preclinical studies designed to improve clinical cancer immunotherapy modalities using nanocarrier-based engineering approaches. It also discusses the potential of nanocarriers to address the challenges currently faced by immuno-oncology as well as the challenges for their translation to clinical applications.
宿主免疫系统具有以特定和适应性的方式靶向和杀死癌细胞的内在能力,这种能力可以通过癌症免疫疗法进一步增强,癌症免疫疗法旨在训练免疫系统以增强抗肿瘤免疫反应。几种不同类别的癌症免疫疗法已经成为临床新的标准癌症疗法,包括癌症疫苗、免疫检查点抑制剂、过继性 T 细胞疗法和溶瘤病毒疗法。尽管部分患者的生存率显著提高,但低反应率和免疫毒性仍然是当前癌症免疫疗法的主要挑战。在过去的几十年中,纳米医学受到了极大的关注和研究,导致纳米颗粒平台和纳米工程技术取得了显著进展。纳米医学和免疫疗法的进步也催生了一个新兴的纳米免疫治疗研究领域,该领域旨在借助纳米医学实现免疫疗法的全部治疗潜力。特别是,纳米载体在免疫肿瘤学中具有巨大的应用潜力,可以通过增强免疫刺激活性和有利地调节药物特性来提高免疫药物的活性、增加特异性、降低毒性和维持抗肿瘤疗效。本文讨论了纳米载体在癌症免疫治疗中的潜力,并介绍了旨在通过基于纳米载体的工程方法改善临床癌症免疫治疗模式的临床前研究。本文还讨论了纳米载体在解决免疫肿瘤学当前面临的挑战以及将其转化为临床应用的挑战方面的潜力。
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