Fan Shumin, Han Huize, Yan Zhicheng, Lu Yao, He Bing, Zhang Qiang
Beijing Key Laboratory of Molecular Pharmaceutics and New Drug Delivery Systems, State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University, Beijing, China.
Ningbo Institute of Marine Medicine, Peking University, Ningbo, Zhejiang Province, China.
Med Rev (2021). 2023 Aug 17;3(3):230-269. doi: 10.1515/mr-2023-0020. eCollection 2023 Jun.
As the fourth most important cancer management strategy except surgery, chemotherapy and radiotherapy, cancer immunotherapy has been confirmed to elicit durable antitumor effects in the clinic by leveraging the patient's own immune system to eradicate the cancer cells. However, the limited population of patients who benefit from the current immunotherapies and the immune related adverse events hinder its development. The immunosuppressive microenvironment is the main cause of the failure, which leads to cancer immune evasion and immunity cycle blockade. Encouragingly, nanotechnology has been engineered to enhance the efficacy and reduce off-target toxicity of their therapeutic cargos by spatiotemporally controlling the biodistribution and release kinetics. Among them, lipid-based nanoparticles are the first nanomedicines to make clinical translation, which are now established platforms for diverse areas. In this perspective, we discuss the available lipid-based nanoparticles in research and market here, then describe their application in cancer immunotherapy, with special emphasis on the T cells-activated and macrophages-targeted delivery system. Through perpetuating each step of cancer immunity cycle, lipid-based nanoparticles can reduce immunosuppression and promote drug delivery to trigger robust antitumor response.
作为除手术、化疗和放疗之外的第四大重要癌症治疗策略,癌症免疫疗法已被证实可通过利用患者自身免疫系统根除癌细胞,在临床上产生持久的抗肿瘤效果。然而,受益于当前免疫疗法的患者群体有限以及免疫相关不良事件阻碍了其发展。免疫抑制微环境是治疗失败的主要原因,它导致癌症免疫逃逸和免疫循环阻断。令人鼓舞的是,纳米技术已被设计用于通过时空控制生物分布和释放动力学来提高其治疗药物的疗效并降低脱靶毒性。其中,基于脂质的纳米颗粒是首批实现临床转化的纳米药物,目前是多个领域的成熟平台。从这个角度出发,我们在此讨论研究和市场上现有的基于脂质的纳米颗粒,然后描述它们在癌症免疫疗法中的应用,特别强调T细胞激活和巨噬细胞靶向递送系统。通过维持癌症免疫循环的每个步骤,基于脂质的纳米颗粒可以减少免疫抑制并促进药物递送以触发强大的抗肿瘤反应。