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通过免疫原性细胞死亡增强“吃我信号”以增强癌症免疫治疗。

Amplifying "eat me signal" by immunogenic cell death for potentiating cancer immunotherapy.

机构信息

Department of Thoracic Surgery, Ningbo Medical Center Lihuili Hospital, Ningbo University, Ningbo, China.

Department of Thoracic Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China.

出版信息

Immunol Rev. 2024 Jan;321(1):94-114. doi: 10.1111/imr.13251. Epub 2023 Aug 7.


DOI:10.1111/imr.13251
PMID:37550950
Abstract

Immunogenic cell death (ICD) is a unique mode of cell death, which can release immunogenic damage-associated molecular patterns (DAMPs) and tumor-associated antigens to trigger long-term protective antitumor immune responses. Thus, amplifying "eat me signal" during tumor ICD cascade is critical for cancer immunotherapy. Some therapies (radiotherapy, photodynamic therapy (PDT), photothermal therapy (PTT), etc.) and inducers (chemotherapeutic agents, etc.) have enabled to initiate and/or facilitate ICD and activate antitumor immune responses. Recently, nanostructure-based drug delivery systems have been synthesized for inducing ICD through combining treatment of chemotherapeutic agents, photosensitizers for PDT, photothermal transformation agents for PTT, radiosensitizers for radiotherapy, etc., which can release loaded agents at an appropriate dosage in the designated place at the appropriate time, contributing to higher efficiency and lower toxicity. Also, immunotherapeutic agents in combination with nanostructure-based drug delivery systems can produce synergetic antitumor effects, thus potentiating immunotherapy. Overall, our review outlines the emerging ICD inducers, and nanostructure drug delivery systems loading diverse agents to evoke ICD through chemoradiotherapy, PDT, and PTT or combining immunotherapeutic agents. Moreover, we discuss the prospects and challenges of harnessing ICD induction-based immunotherapy, and highlight the significance of multidisciplinary and interprofessional collaboration to promote the optimal translation of this treatment strategy.

摘要

免疫原性细胞死亡(ICD)是一种独特的细胞死亡方式,它可以释放免疫原性损伤相关分子模式(DAMPs)和肿瘤相关抗原,触发长期的保护性抗肿瘤免疫反应。因此,在肿瘤 ICD 级联反应中放大“吃我信号”对于癌症免疫治疗至关重要。一些治疗方法(放疗、光动力疗法(PDT)、光热疗法(PTT)等)和诱导剂(化疗药物等)已被用于启动和/或促进 ICD 并激活抗肿瘤免疫反应。最近,基于纳米结构的药物递送系统已被合成,用于通过结合化疗药物、PDT 的光敏剂、PTT 的光热转换剂、放疗的增敏剂等的治疗来诱导 ICD,从而可以在适当的时间以适当的剂量在指定的部位释放负载的药物,有助于提高效率和降低毒性。此外,免疫治疗剂与基于纳米结构的药物递送系统联合使用可以产生协同的抗肿瘤作用,从而增强免疫治疗。总体而言,我们的综述概述了新兴的 ICD 诱导剂,以及负载各种药物的纳米结构药物递送系统,通过化学放疗、PDT 和 PTT 或联合免疫治疗剂来诱导 ICD。此外,我们讨论了利用 ICD 诱导免疫治疗的前景和挑战,并强调了多学科和跨专业合作的重要性,以促进这种治疗策略的最佳转化。

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