Zhejiang Provincial Key Laboratory for Advanced Drug Delivery Systems, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, 310058, China.
Department of Burns and Wound Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, China.
Adv Mater. 2024 Oct;36(43):e2209778. doi: 10.1002/adma.202209778. Epub 2023 Apr 20.
The human immune system is an interaction network of biological processes, and its dysfunction is closely associated with a wide array of diseases, such as cancer, infectious diseases, tissue damage, and autoimmune diseases. Manipulation of the immune response network in a desired and controlled fashion has been regarded as a promising strategy for maximizing immunotherapeutic efficacy and minimizing side effects. Integration of "smart" bioresponsive materials with immunoactive agents including small molecules, biomacromolecules, and cells can achieve on-demand release of agents at targeted sites to reduce overdose-related toxicity and alleviate off-target effects. This review highlights the design principles of bioresponsive immunotherapeutic materials and discusses the critical roles of controlled release of immunoactive agents from bioresponsive materials in recruiting, housing, and manipulating immune cells for evoking desired immune responses. Challenges and future directions from the perspective of clinical translation are also discussed.
人体免疫系统是一个生物过程的相互作用网络,其功能障碍与多种疾病密切相关,如癌症、传染病、组织损伤和自身免疫性疾病。以期望和可控的方式操纵免疫反应网络已被视为最大限度地提高免疫治疗效果和最小化副作用的有前途的策略。将“智能”生物响应材料与免疫活性物质(包括小分子、生物大分子和细胞)集成,可以在靶向部位按需释放药物,以减少与过量相关的毒性并减轻脱靶效应。本文重点介绍了生物响应免疫治疗材料的设计原则,并讨论了生物响应材料中免疫活性物质的控制释放在募集、容纳和操纵免疫细胞以引发所需免疫反应方面的关键作用。还从临床转化的角度讨论了挑战和未来方向。