Cancer center, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan 430060, China.
J Control Release. 2023 Mar;355:85-108. doi: 10.1016/j.jconrel.2023.01.051. Epub 2023 Feb 2.
Hepatocellular carcinoma (HCC) remains one of the leading causes of cancer-related deaths worldwide, however, current clinical diagnostic and treatment approaches remain relatively limited, creating an urgent need for the development of effective technologies. Immunotherapy has emerged as a powerful treatment strategy for advanced cancer. The number of clinically approved drugs for HCC immunotherapy has been increasing. However, it remains challenging to improve their transport and therapeutic efficiency, control their targeting and release, and mitigate their adverse effects. Nanotechnology has recently gained attention for improving the effectiveness of precision therapy for HCC. We summarize the key features of HCC associated with nanoparticle (NPs) targeting, release, and uptake, the roles and limitations of several major immunotherapies in HCC, the use of NPs in immunotherapy, the properties of NPs that influence their design and application, and current clinical trials of NPs in HCC, with the aim of informing the design of delivery platforms that have the potential to improve the safety and efficacy of HCC immunotherapy,and thus, ultimately improve the prognosis of HCC patients.
肝细胞癌 (HCC) 仍然是全球癌症相关死亡的主要原因之一,然而,目前的临床诊断和治疗方法仍然相对有限,因此迫切需要开发有效的技术。免疫疗法已成为治疗晚期癌症的一种强大策略。用于 HCC 免疫治疗的临床批准药物的数量一直在增加。然而,提高它们的运输和治疗效率、控制其靶向和释放以及减轻其不良反应仍然具有挑战性。纳米技术最近受到关注,因为它可以提高 HCC 精准治疗的效果。我们总结了与纳米颗粒 (NPs) 靶向、释放和摄取相关的 HCC 的关键特征,几种主要的 HCC 免疫疗法的作用和局限性,NPs 在免疫疗法中的应用,影响 NPs 设计和应用的性质,以及目前 HCC 中 NPs 的临床试验,旨在为设计具有改善 HCC 免疫治疗安全性和疗效潜力的输送平台提供信息,从而最终改善 HCC 患者的预后。
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