通过针对肿瘤微环境的免疫偶联物拓展癌症治疗的新视野。

Expanding horizons in cancer therapy by immunoconjugates targeting tumor microenvironments.

机构信息

Department of Pharmaceutical Nanotechnology, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran.

Center for Nanotechnology in Drug Delivery School of Pharmacy, Shiraz University of Medical Sciences, Iran.

出版信息

Crit Rev Oncol Hematol. 2024 Sep;201:104437. doi: 10.1016/j.critrevonc.2024.104437. Epub 2024 Jul 6.

Abstract

Immunoconjugates are promising molecules combining antibodies with different agents, such as toxins, drugs, radionuclides, or cytokines that primarily aim to target tumor cells. However, tumor microenvironment (TME), which comprises a complex network of various cells and molecular cues guiding tumor growth and progression, remains a major challenge for effective cancer therapy. Our review underscores the pivotal role of TME in cancer therapy with immunoconjugates, examining the intricate interactions with TME and recent advancements in TME-targeted immunoconjugates. We explore strategies for targeting TME components, utilizing diverse antibodies such as neutralizing, immunomodulatory, immune checkpoint inhibitors, immunostimulatory, and bispecific antibodies. Additionally, we discuss different immunoconjugates, elucidating their mechanisms of action, advantages, limitations, and applications in cancer immunotherapy. Furthermore, we highlight emerging technologies enhancing the safety and efficacy of immunoconjugates, such as antibody engineering, combination therapies, and nanotechnology. Finally, we summarize current advancements, perspectives, and future developments of TME-targeted immunoconjugates.

摘要

免疫偶联物是一种将抗体与不同的药物(如毒素、药物、放射性核素或细胞因子)结合的有前途的分子,主要目的是靶向肿瘤细胞。然而,肿瘤微环境(TME)是一个由各种细胞和分子线索组成的复杂网络,指导着肿瘤的生长和进展,仍然是有效癌症治疗的主要挑战。我们的综述强调了 TME 在免疫偶联物癌症治疗中的关键作用,研究了与 TME 的复杂相互作用以及 TME 靶向免疫偶联物的最新进展。我们探讨了针对 TME 成分的策略,利用了各种不同的抗体,如中和抗体、免疫调节抗体、免疫检查点抑制剂、免疫刺激抗体和双特异性抗体。此外,我们还讨论了不同的免疫偶联物,阐明了它们的作用机制、优势、局限性和在癌症免疫治疗中的应用。此外,我们还强调了一些新兴技术,这些技术可以提高免疫偶联物的安全性和疗效,如抗体工程、联合疗法和纳米技术。最后,我们总结了 TME 靶向免疫偶联物的当前进展、观点和未来发展。

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