Department of Hepato-Biliary-Pancreatic Surgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, 241000, People's Republic of China.
Department of Gastroenterology, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, 241000, People's Republic of China.
Int J Nanomedicine. 2024 Jul 2;19:6619-6641. doi: 10.2147/IJN.S466459. eCollection 2024.
The high malignant degree and poor prognosis of pancreatic cancer (PC) pose severe challenges to the basic research and clinical translation of next-generation therapies. The rise of immunotherapy has improved the treatment of a variety of solid tumors, while the application in PC is highly restricted by the challenge of immunosuppressive tumor microenvironment. The latest progress of nanotechnology as drug delivery platform and immune adjuvant has improved drug delivery in a variety of disease backgrounds and enhanced tumor therapy based on immunotherapy. Based on the immune loop of PC and the status quo of clinical immunotherapy of tumors, this article discussed and critically analyzed the key transformation difficulties of immunotherapy adaptation to the treatment of PC, and then proposed the rational design strategies of new nanocarriers for drug delivery and immune regulation, especially the design of combined immunotherapy. This review also put forward prospective views on future research directions, so as to provide information for the new means of clinical treatment of PC combined with the next generation of nanotechnology and immunotherapy.
胰腺癌(PC)恶性程度高、预后差,给下一代治疗方法的基础研究和临床转化带来了严峻挑战。免疫疗法的兴起改善了多种实体肿瘤的治疗效果,但由于免疫抑制性肿瘤微环境的挑战,其在 PC 中的应用受到极大限制。纳米技术作为药物递送平台和免疫佐剂的最新进展,改善了多种疾病背景下的药物递送,并增强了基于免疫疗法的肿瘤治疗效果。基于 PC 的免疫循环和肿瘤临床免疫治疗的现状,本文讨论并批判性分析了免疫疗法适应 PC 治疗的关键转化难点,然后提出了用于药物递送和免疫调节的新型纳米载体的合理设计策略,特别是联合免疫治疗的设计。本文还对未来的研究方向提出了前瞻性观点,以期为结合下一代纳米技术和免疫疗法的 PC 临床治疗新手段提供信息。