Xu Jian, Liu Wenqi, Fan Fengjuan, Zhang Bo, Sun Chunyan, Hu Yu
Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, 430022, China.
Department of Hematology, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310000, China.
Exp Hematol Oncol. 2024 May 25;13(1):57. doi: 10.1186/s40164-024-00525-3.
Hematological malignancies (HMs) encompass a diverse group of blood neoplasms with significant morbidity and mortality. Immunotherapy has emerged as a validated and crucial treatment modality for patients with HMs. Despite notable advancements having been made in understanding and implementing immunotherapy for HMs over the past decade, several challenges persist. These challenges include immune-related adverse effects, the precise biodistribution and elimination of therapeutic antigens in vivo, immune tolerance of tumors, and immune evasion by tumor cells within the tumor microenvironment (TME). Nanotechnology, with its capacity to manipulate material properties at the nanometer scale, has the potential to tackle these obstacles and revolutionize treatment outcomes by improving various aspects such as drug targeting and stability. The convergence of nanotechnology and immunotherapy has given rise to nano-immunotherapy, a specialized branch of anti-tumor therapy. Nanotechnology has found applications in chimeric antigen receptor T cell (CAR-T) therapy, cancer vaccines, immune checkpoint inhibitors, and other immunotherapeutic strategies for HMs. In this review, we delineate recent developments and discuss current challenges in the field of nano-immunotherapy for HMs, offering novel insights into the potential of nanotechnology-based therapeutic approaches for these diseases.
血液系统恶性肿瘤(HMs)涵盖了一组具有显著发病率和死亡率的血液肿瘤。免疫疗法已成为HMs患者一种经过验证的关键治疗方式。尽管在过去十年中,我们对HMs免疫疗法的理解和应用取得了显著进展,但仍存在一些挑战。这些挑战包括免疫相关不良反应、治疗性抗原在体内的精确生物分布和清除、肿瘤的免疫耐受以及肿瘤微环境(TME)中肿瘤细胞的免疫逃逸。纳米技术能够在纳米尺度上操控材料特性,有潜力克服这些障碍,并通过改善药物靶向性和稳定性等多个方面来彻底改变治疗效果。纳米技术与免疫疗法的融合催生了纳米免疫疗法,这是抗肿瘤治疗的一个专门分支。纳米技术已应用于嵌合抗原受体T细胞(CAR-T)疗法、癌症疫苗、免疫检查点抑制剂以及其他针对HMs的免疫治疗策略。在本综述中,我们阐述了纳米免疫疗法领域的最新进展,并讨论了当前面临的挑战,为基于纳米技术的治疗方法对这些疾病的潜力提供了新的见解。