School of Integrative Engineering, Chung-Ang University, Seoul, Republic of Korea.
Pharmaceutical Sciences Division, School of Pharmacy, University of Wisconsin, Madison, WI, USA.
Int J Nanomedicine. 2023 Jan 29;18:509-525. doi: 10.2147/IJN.S394389. eCollection 2023.
Nanoparticle-based drug delivery systems have been designed to treat various diseases. However, many problems remain, such as inadequate tumor targeting and poor therapeutic outcomes. To overcome these obstacles, cell-based drug delivery systems have been developed. Candidates for cell-mediated drug delivery include blood cells, immune cells, and stem cells with innate tumor tropism and low immunogenicity; they act as a disguise to deliver the therapeutic payload. In drug delivery systems, therapeutic agents are encapsulated intracellularly or attached to the surface of the plasma membrane and transported to the desired site. Here, we review the pros and cons of cell-based therapies and discuss their homing mechanisms in the tumor microenvironment. In addition, different strategies to load therapeutic agents inside or on the surface of circulating cells and the current applications for a wide range of disease treatments are summarized.
基于纳米粒子的药物传递系统被设计用于治疗各种疾病。然而,仍然存在许多问题,如肿瘤靶向不足和治疗效果不佳。为了克服这些障碍,已经开发了基于细胞的药物传递系统。细胞介导的药物输送的候选物包括具有先天肿瘤趋向性和低免疫原性的血细胞、免疫细胞和干细胞;它们充当伪装物来输送治疗有效载荷。在药物传递系统中,治疗剂被包裹在细胞内或附着在质膜表面,并被运输到所需部位。在这里,我们综述了基于细胞的治疗方法的优缺点,并讨论了它们在肿瘤微环境中的归巢机制。此外,还总结了将治疗剂装载到循环细胞内部或表面的不同策略,以及当前在各种疾病治疗中的应用。