Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Department of Biotherapy, Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
J Hematol Oncol. 2024 Nov 28;17(1):115. doi: 10.1186/s13045-024-01628-4.
Cancer vaccines have garnered attention as a potential treatment for cancer metastases. Nevertheless, the clinical response rate to vaccines remains < 30%. Nanoparticles stabilize vaccines and improve antigen recognition and presentation, resulting in high tumor penetration or accumulation, effective co-distribution of drugs to the secondary lymphatic system, and adaptable antigen or adjuvant administration. Such vaccine-like nanomedicines have the ability to eradicate the primary tumors as well as to prevent or eliminate metastases. This review examines state-of-the-art nanocarriers developed to deliver tumor vaccines to metastases, including synthetic, semi-biogenic, and biogenic nanosystems. Moreover, it highlights the physical and pharmacological properties that enhance their anti-metastasis efficiency. This review also addresses the combination of nanovaccines with cancer immunotherapy to target various steps in the metastatic cascade, drawing insights from preclinical and clinical studies. The review concludes with a critical analysis of the challenges and frameworks linked to the clinical translation of cancer nanovaccines.
癌症疫苗作为癌症转移的潜在治疗方法引起了关注。然而,疫苗的临床反应率仍<30%。纳米颗粒稳定疫苗并改善抗原识别和呈递,导致高肿瘤穿透或积累、药物有效共递送至次级淋巴系统,以及抗原或佐剂的适应性给药。这种类似疫苗的纳米药物具有根除原发肿瘤以及预防或消除转移的能力。本文综述了为将肿瘤疫苗递送至转移部位而开发的最新纳米载体,包括合成、半生物源和生物源纳米系统。此外,本文还强调了增强其抗转移效率的物理和药理学特性。本文还讨论了将纳米疫苗与癌症免疫疗法相结合,以针对转移级联中的各种步骤,从临床前和临床研究中汲取见解。本文最后对癌症纳米疫苗临床转化相关的挑战和框架进行了批判性分析。
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