Department of Surgery, Emory University School of Medicine, Winship Cancer Institute, Clinic C, Room 4088, 1365 C Clifton Road, NE, Atlanta, GA 30322, USA.
Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA 30322, USA.
Nanoscale. 2024 Oct 3;16(38):17699-17722. doi: 10.1039/d4nr01780c.
Cancer immunotherapy represents a promising targeted treatment by leveraging the patient's immune system or adoptive transfer of active immune cells to selectively eliminate cancer cells. Despite notable clinical successes, conventional immunotherapies face significant challenges stemming from the poor infiltration of endogenous or adoptively transferred cytotoxic T cells in tumors, immunosuppressive tumor microenvironment and the immune evasion capability of cancer cells, leading to limited efficacy in many types of solid tumors. Overcoming these hurdles is essential to broaden the applicability of immunotherapies. Recent advances in nanotherapeutics have emerged as an innovative tool to overcome these challenges and enhance the therapeutic potential of tumor immunotherapy. The unique biochemical and biophysical properties of nanomaterials offer advantages in activation of immune cells for cell therapy, targeted delivery, and controlled release of immunomodulatory agents . Nanoparticles are excellent carriers for tumor associated antigens or neoantigen peptides for tumor vaccine, empowering activation of tumor specific T cell responses. By precisely delivering immunomodulatory agents to the tumor site, immunoactivating nanoparticles can promote tumor infiltration of endogenous T cells or adoptively transferred T cells into tumors, to overcoming delivery and biological barriers in the tumor microenvironment, augmenting the immune system's ability to recognize and eliminate cancer cells. This review provides an overview of the current advances in immunotherapeutic approaches utilizing nanotechnology. With a focus on discussions concerning strategies to enhance activity and efficacy of cytotoxic T cells and explore the intersection of engineering nanoparticles and immunomodulation aimed at bolstering T cell-mediated immune responses, we introduce various nanoparticle formulations designed to deliver therapeutic payloads, tumor antigens and immunomodulatory agents for T cell activation. Diverse mechanisms through which nanoparticle-based approaches influence T cell responses by improving antigen presentation, promoting immune cell trafficking, and reprogramming immunosuppressive tumor microenvironments to potentiate anti-tumor immunity are examined. Additionally, the synergistic potential of combining nanotherapeutics with existing immunotherapies, such as immune checkpoint inhibitors and adoptive T cell therapies is explored. In conclusion, this review highlights emerging research advances on activation of cytotoxic T cells using nanoparticle agents to support the promises and potential applications of nanoparticle-based immunomodulatory agents for cancer immunotherapy.
癌症免疫疗法代表了一种有前途的靶向治疗方法,它利用患者的免疫系统或过继转移活性免疫细胞来选择性地消除癌细胞。尽管取得了显著的临床成功,但传统的免疫疗法面临着重大挑战,这些挑战源于内源性或过继转移的细胞毒性 T 细胞在肿瘤中的浸润不良、免疫抑制性肿瘤微环境和癌细胞的免疫逃逸能力,导致许多类型的实体瘤疗效有限。克服这些障碍对于扩大免疫疗法的适用性至关重要。最近,纳米疗法的进展为克服这些挑战和增强肿瘤免疫治疗的治疗潜力提供了一种创新工具。纳米材料的独特生化和物理特性在细胞治疗中激活免疫细胞、靶向递药和控制免疫调节剂的释放方面具有优势。纳米颗粒是肿瘤相关抗原或肿瘤新抗原肽的理想载体,可激活肿瘤特异性 T 细胞反应。通过将免疫调节剂精确递送到肿瘤部位,免疫激活纳米颗粒可以促进内源性 T 细胞或过继转移的 T 细胞浸润肿瘤,克服肿瘤微环境中的递药和生物学障碍,增强免疫系统识别和消除癌细胞的能力。本综述概述了利用纳米技术的免疫治疗方法的最新进展。重点讨论了增强细胞毒性 T 细胞活性和疗效的策略,并探讨了工程纳米颗粒与免疫调节的交叉点,旨在增强 T 细胞介导的免疫反应,介绍了各种旨在递送电疗有效载荷、肿瘤抗原和免疫调节剂以激活 T 细胞的纳米颗粒制剂。通过改善抗原呈递、促进免疫细胞迁移以及重新编程免疫抑制性肿瘤微环境来增强抗肿瘤免疫,研究了纳米颗粒方法影响 T 细胞反应的多种机制。此外,还探讨了纳米疗法与免疫检查点抑制剂和过继 T 细胞疗法等现有免疫疗法联合的协同潜力。总之,本综述强调了利用纳米颗粒剂激活细胞毒性 T 细胞的新研究进展,以支持纳米颗粒免疫调节剂在癌症免疫治疗中的应用前景和潜力。