Zhang Hao, Yang Li, Wang Tingting, Li Zhen
Center for Molecular Imaging and Nuclear Medicine, State Key Laboratory of Radiation Medicine and Protection, School for Radiological and Interdisciplinary Sciences (RAD-X), Suzhou Medical College of Soochow University, Collaborative Innovation Center of Radiation Medicine of Jiangsu Higher Education Institutions, Suzhou, 215123, China.
Bioact Mater. 2023 Aug 9;31:63-86. doi: 10.1016/j.bioactmat.2023.08.001. eCollection 2024 Jan.
Natural killer (NK) cells display a unique inherent ability to identify and eliminate virus-infected cells and tumor cells. They are particularly powerful for elimination of hematological cancers, and have attracted considerable interests for therapy of solid tumors. However, the treatment of solid tumors with NK cells are less effective, which can be attributed to the very complicated immunosuppressive microenvironment that may lead to the inactivation, insufficient expansion, short life, and the poor tumor infiltration of NK cells. Fortunately, the development of advanced nanotechnology has provided potential solutions to these issues, and could improve the immunotherapy efficacy of NK cells. In this review, we summarize the activation and inhibition mechanisms of NK cells in solid tumors, and the recent advances in NK cell-based tumor immunotherapy boosted by diverse nanomaterials. We also propose the challenges and opportunities for the clinical application of NK cell-based tumor immunotherapy.
自然杀伤(NK)细胞具有识别和消除病毒感染细胞及肿瘤细胞的独特内在能力。它们在消除血液系统癌症方面特别强大,并已引起了对实体瘤治疗的广泛关注。然而,用NK细胞治疗实体瘤的效果较差,这可能归因于非常复杂的免疫抑制微环境,该环境可能导致NK细胞失活、扩增不足、寿命缩短以及肿瘤浸润性差。幸运的是,先进纳米技术的发展为这些问题提供了潜在的解决方案,并可提高NK细胞的免疫治疗效果。在本综述中,我们总结了实体瘤中NK细胞的激活和抑制机制,以及由多种纳米材料推动的基于NK细胞的肿瘤免疫治疗的最新进展。我们还提出了基于NK细胞的肿瘤免疫治疗临床应用所面临的挑战和机遇。