School of Medicine, Southeast University, Nanjing, Jiangsu Province 210009, China.
School of Acupuncture-Moxibustion and Tuina, School of Health Preservation and Rehabilitation, Nanjing University of Chinese Medicine, Nanjing 210023, China.
J Mater Chem B. 2024 Nov 27;12(46):11867-11886. doi: 10.1039/d4tb01928h.
Complex pathogenesis and diverse clinical features pose many challenges in selecting appropriate cancer treatment strategies. Recent studies have shown that tumor-associated macrophages (TAMs) play dual roles in both promoting and inhibiting tumor growth. TAMs not only contribute to tumor survival and metastasis but also impact the response to therapy. Nanomaterial-based photothermal therapy (PTT) strategies have been widely used as ablative therapies for various cancers. Many studies have demonstrated that nanomaterial-mediated PTT effectively shifts TAMs towards an anticancer phenotype, thus inducing tumor apoptosis. Therefore, a comprehensive understanding of the tumor immune microenvironment will undoubtedly accelerate advancements in tumor therapy. This paper summarizes the application of nanomaterial-mediated PTT for cancer treatment by modulating TAMs. It highlights the types of nanomaterials and near-infrared laser modes used in the treatment process, analyzes the physicochemical factors that influence the distribution of different isoforms in TAMs, and finally explores the specific therapeutic parameters and mechanisms of nanomaterial-mediated PTT to guide future research in related fields.
复杂的发病机制和多样化的临床特征给选择合适的癌症治疗策略带来了诸多挑战。最近的研究表明,肿瘤相关巨噬细胞(TAMs)在促进和抑制肿瘤生长方面发挥双重作用。TAMs 不仅有助于肿瘤的存活和转移,还影响治疗的反应。基于纳米材料的光热治疗(PTT)策略已被广泛用作各种癌症的消融疗法。许多研究表明,纳米材料介导的 PTT 可有效将 TAMs 向抗肿瘤表型转变,从而诱导肿瘤细胞凋亡。因此,全面了解肿瘤免疫微环境无疑将加速肿瘤治疗的进展。本文总结了通过调节 TAMs 来实现纳米材料介导的 PTT 在癌症治疗中的应用。它重点介绍了在治疗过程中使用的纳米材料类型和近红外激光模式,分析了影响 TAMs 中不同亚型分布的物理化学因素,最后探讨了纳米材料介导的 PTT 的具体治疗参数和机制,以指导相关领域的未来研究。