Yin Bohan, Wong Wai-Ki, Ng Yip-Ming, Yang Mo, Leung Franco King-Chi, Wong Dexter Siu-Hong
Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong 999077, China.
State Key Laboratory for Chemical Biology and Drug Discovery, Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong 999077, China.
Pharmaceutics. 2023 May 7;15(5):1427. doi: 10.3390/pharmaceutics15051427.
Although tumor immunotherapy has emerged as a promising therapeutic method for oncology, it encounters several limitations, especially concerning low response rates and potential off-targets that elicit side effects. Furthermore, tumor immunogenicity is the critical factor that predicts the success rate of immunotherapy, which can be boosted by the application of nanotechnology. Herein, we introduce the current approach of cancer immunotherapy and its challenges and the general methods to enhance tumor immunogenicity. Importantly, this review highlights the integration of anticancer chemo/immuno-based drugs with multifunctional nanomedicines that possess imaging modality to determine tumor location and can respond to stimuli, such as light, pH, magnetic field, or metabolic changes, to trigger chemotherapy, phototherapy, radiotherapy, or catalytic therapy to upregulate tumor immunogenicity. This promotion rouses immunological memory, such as enhanced immunogenic cell death, promoted maturation of dendritic cells, and activation of tumor-specific T cells against cancer. Finally, we express the related challenges and personal perspectives of bioengineered nanomaterials for future cancer immunotherapy.
尽管肿瘤免疫疗法已成为肿瘤学中一种有前景的治疗方法,但它存在一些局限性,尤其是在低反应率和引发副作用的潜在脱靶方面。此外,肿瘤免疫原性是预测免疫疗法成功率的关键因素,可通过应用纳米技术来增强。在此,我们介绍了当前癌症免疫疗法的方法及其挑战,以及增强肿瘤免疫原性的一般方法。重要的是,本综述强调了基于抗癌化学/免疫的药物与多功能纳米药物的整合,这些纳米药物具有成像模式以确定肿瘤位置,并能对光、pH值、磁场或代谢变化等刺激作出反应,从而触发化疗、光疗、放疗或催化疗法以上调肿瘤免疫原性。这种促进作用唤起免疫记忆,如增强免疫原性细胞死亡、促进树突状细胞成熟以及激活针对癌症的肿瘤特异性T细胞。最后,我们阐述了生物工程纳米材料在未来癌症免疫疗法中的相关挑战和个人观点。