John A. Paulson School of Engineering and Applied Sciences, Harvard University, Allston, MA, 02134, USA.
Wyss Institute for Biologically Inspired Engineering, Boston, MA, 02115, USA.
Adv Mater. 2024 Oct;36(43):e2210059. doi: 10.1002/adma.202210059. Epub 2023 Jul 6.
Cell therapies are emerging as a promising new therapeutic modality in medicine, generating effective treatments for previously incurable diseases. Clinical success of cell therapies has energized the field of cellular engineering, spurring further exploration of novel approaches to improve their therapeutic performance. Engineering of cell surfaces using natural and synthetic materials has emerged as a valuable tool in this endeavor. This review summarizes recent advances in the development of technologies for decorating cell surfaces with various materials including nanoparticles, microparticles, and polymeric coatings, focusing on the ways in which surface decorations enhance carrier cells and therapeutic effects. Key benefits of surface-modified cells include protecting the carrier cell, reducing particle clearance, enhancing cell trafficking, masking cell-surface antigens, modulating inflammatory phenotype of carrier cells, and delivering therapeutic agents to target tissues. While most of these technologies are still in the proof-of-concept stage, the promising therapeutic efficacy of these constructs from in vitro and in vivo preclinical studies has laid a strong foundation for eventual clinical translation. Cell surface engineering with materials can imbue a diverse range of advantages for cell therapy, creating opportunities for innovative functionalities, for improved therapeutic efficacy, and transforming the fundamental and translational landscape of cell therapies.
细胞治疗作为一种有前途的医学新治疗方式正在兴起,为以前无法治愈的疾病提供了有效的治疗方法。细胞治疗的临床成功激发了细胞工程领域的进一步探索,促使人们寻求新方法来提高其治疗性能。使用天然和合成材料对细胞表面进行工程改造已成为这方面的一项重要工具。本综述总结了利用各种材料(包括纳米颗粒、微颗粒和聚合物涂层)对细胞表面进行修饰的技术的最新进展,重点介绍了表面修饰如何增强载体细胞和治疗效果。经过表面修饰的细胞的主要优势包括保护载体细胞、减少颗粒清除、增强细胞迁移、掩蔽细胞表面抗原、调节载体细胞的炎症表型以及将治疗剂递送到靶组织。尽管这些技术大多数仍处于概念验证阶段,但这些构建体在体外和体内临床前研究中的有前途的治疗效果为最终的临床转化奠定了坚实的基础。利用材料进行细胞表面工程可以为细胞治疗带来多种优势,为创新功能、提高治疗效果创造机会,并改变细胞治疗的基础和转化格局。