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用于T细胞介导免疫疗法的纳米医学

Nanomedicine for T-Cell Mediated Immunotherapy.

作者信息

Li Fangzhou, Ouyang Jiang, Chen Zuqin, Zhou Ziran, Milon Essola Julien, Ali Barkat, Wu Xinyue, Zhu Mengliang, Guo Weisheng, Liang Xing-Jie

机构信息

Department of Minimally Invasive Interventional Radiology, the State Key Laboratory of Respiratory Disease, School of Biomedical Engineering & The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, 510260, P. R. China.

CAS Key Laboratory for Biomedical Effects of Nanomaterials and Nanosafety, CAS Center for Excellence in Nanoscience, National Center for Nanoscience and Technology of China, No. 11, First North Road, Zhongguancun, Beijing, 100190, P. R. China.

出版信息

Adv Mater. 2024 May;36(22):e2301770. doi: 10.1002/adma.202301770. Epub 2023 Nov 3.

Abstract

T-cell immunotherapy offers outstanding advantages in the treatment of various diseases, and with the selection of appropriate targets, efficient disease treatment can be achieved. T-cell immunotherapy has made great progress, but clinical results show that only a small proportion of patients can benefit from T-cell immunotherapy. The extensive mechanistic work outlines a blueprint for using T cells as a new option for immunotherapy, but also presents new challenges, including the balance between different fractions of T cells, the inherent T-cell suppression patterns in the disease microenvironment, the acquired loss of targets, and the decline of T-cell viability. The diversity, flexibility, and intelligence of nanomedicines give them great potential for enhancing T-cell immunotherapy. Here, how T-cell immunotherapy strategies can be adapted with different nanomaterials to enhance therapeutic efficacy is discussed. For two different pathological states, immunosuppression and immune activation, recent advances in nanomedicines for T-cell immunotherapy in diseases such as cancers, rheumatoid arthritis, systemic lupus erythematosus, ulcerative colitis, and diabetes are summarized. With a focus on T-cell immunotherapy, this review highlights the outstanding advantages of nanomedicines in disease treatment, and helps advance one's understanding of the use of nanotechnology to enhance T-cell immunotherapy.

摘要

T细胞免疫疗法在多种疾病的治疗中具有显著优势,通过选择合适的靶点,可实现高效的疾病治疗。T细胞免疫疗法已取得了巨大进展,但临床结果表明,只有一小部分患者能从T细胞免疫疗法中获益。广泛的机制研究工作勾勒出了将T细胞用作免疫疗法新选择的蓝图,但也带来了新的挑战,包括不同T细胞亚群之间的平衡、疾病微环境中固有的T细胞抑制模式、靶点的获得性丧失以及T细胞活力的下降。纳米药物的多样性、灵活性和智能性使其在增强T细胞免疫疗法方面具有巨大潜力。在此,将讨论如何利用不同的纳米材料调整T细胞免疫疗法策略以提高治疗效果。针对免疫抑制和免疫激活这两种不同的病理状态,总结了纳米药物在癌症、类风湿性关节炎、系统性红斑狼疮、溃疡性结肠炎和糖尿病等疾病的T细胞免疫疗法中的最新进展。本综述聚焦于T细胞免疫疗法,突出了纳米药物在疾病治疗中的显著优势,并有助于增进人们对利用纳米技术增强T细胞免疫疗法的理解。

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