Department of Thoracic Surgery, Tangdu Hospital, Air Force Medical University, 569 Xinsi Road, Xi'an, 710038, China.
Department of Rehabilitation Medicine, Chongqing Public Health Medical Center, Chongqing, China.
J Hematol Oncol. 2024 Apr 2;17(1):16. doi: 10.1186/s13045-024-01535-8.
Cancer immunotherapy and vaccine development have significantly improved the fight against cancers. Despite these advancements, challenges remain, particularly in the clinical delivery of immunomodulatory compounds. The tumor microenvironment (TME), comprising macrophages, fibroblasts, and immune cells, plays a crucial role in immune response modulation. Nanoparticles, engineered to reshape the TME, have shown promising results in enhancing immunotherapy by facilitating targeted delivery and immune modulation. These nanoparticles can suppress fibroblast activation, promote M1 macrophage polarization, aid dendritic cell maturation, and encourage T cell infiltration. Biomimetic nanoparticles further enhance immunotherapy by increasing the internalization of immunomodulatory agents in immune cells such as dendritic cells. Moreover, exosomes, whether naturally secreted by cells in the body or bioengineered, have been explored to regulate the TME and immune-related cells to affect cancer immunotherapy. Stimuli-responsive nanocarriers, activated by pH, redox, and light conditions, exhibit the potential to accelerate immunotherapy. The co-application of nanoparticles with immune checkpoint inhibitors is an emerging strategy to boost anti-tumor immunity. With their ability to induce long-term immunity, nanoarchitectures are promising structures in vaccine development. This review underscores the critical role of nanoparticles in overcoming current challenges and driving the advancement of cancer immunotherapy and TME modification.
癌症免疫疗法和疫苗的发展显著提高了对抗癌症的能力。尽管取得了这些进展,但仍然存在挑战,特别是在免疫调节化合物的临床应用方面。肿瘤微环境(TME)由巨噬细胞、成纤维细胞和免疫细胞组成,在免疫反应调节中起着关键作用。纳米颗粒经过设计可以重塑 TME,通过促进靶向递送和免疫调节,在增强免疫疗法方面显示出了有希望的结果。这些纳米颗粒可以抑制成纤维细胞的激活,促进 M1 巨噬细胞极化,辅助树突状细胞成熟,并鼓励 T 细胞浸润。仿生纳米颗粒通过增加免疫细胞(如树突状细胞)对免疫调节药物的内化,进一步增强了免疫疗法。此外,内体小泡(无论是体内细胞自然分泌的还是生物工程化的)已被探索用于调节 TME 和免疫相关细胞,以影响癌症免疫疗法。刺激响应型纳米载体在 pH、氧化还原和光照条件下被激活,具有加速免疫疗法的潜力。纳米颗粒与免疫检查点抑制剂的联合应用是增强抗肿瘤免疫的新兴策略。纳米结构具有诱导长期免疫的能力,是疫苗开发中很有前途的结构。这篇综述强调了纳米颗粒在克服当前挑战和推动癌症免疫疗法和 TME 修饰进展方面的关键作用。
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