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增强癌症免疫疗法:探索靶向 PD-1/PD-L1 轴的策略,并分析相关专利、监管和临床试验格局。

Enhancing cancer immunotherapy: Exploring strategies to target the PD-1/PD-L1 axis and analyzing the associated patent, regulatory, and clinical trial landscape.

机构信息

Department of Regulatory Affairs, National Institute of Pharmaceutical Education and Research, Hyderabad, Telangana 500037, India.

Department of Natural Products, National Institute of Pharmaceutical Education and Research, Hyderabad, Telangana 500037, India.

出版信息

Eur J Pharm Biopharm. 2024 Jul;200:114323. doi: 10.1016/j.ejpb.2024.114323. Epub 2024 May 15.


DOI:10.1016/j.ejpb.2024.114323
PMID:38754524
Abstract

Cancer treatment modalities and their progression is guided by the specifics of cancer, including its type and site of localization. Surgery, radiation, and chemotherapy are the most often used conventional treatments. Conversely, emerging treatment techniques include immunotherapy, hormone therapy, anti-angiogenic therapy, dendritic cell-based immunotherapy, and stem cell therapy. Immune checkpoint inhibitors' anticancer properties have drawn considerable attention in recent studies in the cancer research domain. Programmed Cell Death Protein-1 (PD-1) and its ligand (PD-L1) checkpoint pathway are key regulators of the interactions between activated T-cells and cancer cells, protecting the latter from immune destruction. When the ligand PD-L1 attaches to the receptor PD-1, T-cells are prevented from destroying cells that contain PD-L1, including cancer cells. The PD-1/PD-L1 checkpoint inhibitors block them, boosting the immune response and strengthening the body's defenses against tumors. Recent years have seen incredible progress and tremendous advancement in developing anticancer therapies using PD-1/PD-L1 targeting antibodies. While immune-related adverse effects and low response rates significantly limit these therapies, there is a need for research on methods that raise their efficacy and lower their toxicity. This review discusses various recent innovative nanomedicine strategies such as PLGA nanoparticles, carbon nanotubes and drug loaded liposomes to treat cancer targeting PD-1/PD-L1 axis. The biological implications of PD-1/PD-L1 in cancer treatment and the fundamentals of nanotechnology, focusing on the novel strategies used in nanomedicine, are widely discussed along with the corresponding guidelines, clinical trial status, and the patent landscape of such formulations.

摘要

癌症的治疗方式及其进展取决于癌症的具体情况,包括癌症的类型和定位。手术、放疗和化疗是最常用的常规治疗方法。相反,新兴的治疗技术包括免疫疗法、激素疗法、抗血管生成疗法、基于树突状细胞的免疫疗法和干细胞疗法。在癌症研究领域的最近研究中,免疫检查点抑制剂的抗癌特性引起了相当大的关注。程序性细胞死亡蛋白-1(PD-1)及其配体(PD-L1)检查点途径是激活的 T 细胞与癌细胞之间相互作用的关键调节剂,保护后者免受免疫破坏。当配体 PD-L1 附着在受体 PD-1 上时,T 细胞被阻止破坏含有 PD-L1 的细胞,包括癌细胞。PD-1/PD-L1 检查点抑制剂阻止它们,增强免疫反应并增强身体对肿瘤的防御能力。近年来,在开发针对 PD-1/PD-L1 的抗癌疗法方面取得了令人难以置信的进展和巨大进步。虽然免疫相关不良反应和低反应率显著限制了这些疗法,但需要研究提高其疗效和降低其毒性的方法。本综述讨论了各种最近的创新纳米医学策略,如 PLGA 纳米粒子、碳纳米管和载药脂质体,以针对 PD-1/PD-L1 轴治疗癌症。广泛讨论了 PD-1/PD-L1 在癌症治疗中的生物学意义和纳米技术的基础,重点介绍了纳米医学中使用的新策略,以及这些制剂的相应指南、临床试验状况和专利格局。

相似文献

[1]
Enhancing cancer immunotherapy: Exploring strategies to target the PD-1/PD-L1 axis and analyzing the associated patent, regulatory, and clinical trial landscape.

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[2]
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Oncologist. 2019-2

[3]
Novel Small Molecule Inhibitors of Programmed Cell Death (PD)-1, and its Ligand, PD-L1 in Cancer Immunotherapy: A Review Update of Patent Literature.

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[4]
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[5]
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[6]
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[7]
Clinical and Recent Patents Applications of PD-1/PD-L1 Targeting Immunotherapy in Cancer Treatment-Current Progress, Strategy, and Future Perspective.

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[8]
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[9]
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[10]
Synergistic Immunoregulation: harnessing CircRNAs and PiRNAs to Amplify PD-1/PD-L1 Inhibition Therapy.

Int J Nanomedicine. 2024

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