College of Pharmacy, Keimyung University, Daegu 42601, Republic of Korea.
Department of Immunology, School of Medicine, Keimyung University, Daegu 42601, Republic of Korea.
J Control Release. 2024 Jan;365:773-800. doi: 10.1016/j.jconrel.2023.12.007. Epub 2023 Dec 14.
Cancer immunotherapy is a groundbreaking strategy that has revolutionized the field of oncology compared to other therapeutic strategies, such as surgery, chemotherapy, or radiotherapy. However, cancer complexity, tumor heterogeneity, and immune escape have become the main hurdles to the clinical application of immunotherapy. Moreover, conventional immunotherapies cause many harmful side effects owing to hyperreactivity in patients, long treatment durations and expensive cost. Nanotechnology is considered a transformative approach that enhances the potency of immunotherapy by capitalizing on the superior physicochemical properties of nanocarriers, creating highly targeted tissue delivery systems. These advantageous features include a substantial specific surface area, which enhances the interaction with the immune system. In addition, the capability to finely modify surface chemistry enables the achievement of controlled and sustained release properties. These advances have significantly increased the potential of immunotherapy, making it more powerful than ever before. In this review, we introduce recent nanocarriers for application in cancer immunotherapy based on strategies that target different main immune cells, including T cells, dendritic cells, natural killer cells, and tumor-associated macrophages. We also provide an overview of the role and significance of nanotechnology in cancer immunotherapy.
癌症免疫疗法是一种开创性的策略,与手术、化疗或放疗等其他治疗策略相比,它彻底改变了肿瘤学领域。然而,癌症的复杂性、肿瘤异质性和免疫逃逸已成为免疫疗法临床应用的主要障碍。此外,由于患者的过度反应、治疗时间长和昂贵的成本,传统的免疫疗法会引起许多有害的副作用。纳米技术被认为是一种变革性的方法,它利用纳米载体的优越物理化学性质,创造出高度靶向的组织递药系统,从而增强免疫疗法的效力。这些有利的特性包括较大的比表面积,这增强了与免疫系统的相互作用。此外,精细修饰表面化学的能力使得实现控制和持续释放特性成为可能。这些进展极大地增加了免疫疗法的潜力,使其比以往任何时候都更加强大。在这篇综述中,我们根据针对不同主要免疫细胞(包括 T 细胞、树突状细胞、自然杀伤细胞和肿瘤相关巨噬细胞)的策略,介绍了最近用于癌症免疫疗法的纳米载体。我们还概述了纳米技术在癌症免疫疗法中的作用和意义。
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