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用于诱导非凋亡性细胞死亡调控的纳米配方设计:癌症免疫疗法的强大助推器。

Nanoformula Design for Inducing Non-Apoptotic Cell Death Regulation: A Powerful Booster for Cancer Immunotherapy.

作者信息

Hu Yi, Yu Qing, Li Xia, Wang Juan, Guo Lanping, Huang Luqi, Gao Wenyuan

机构信息

School of Pharmaceutical Science and Technology, Faculty of Medicine, Tianjin University, Tianjin, P.R. China.

National Resource Center for Chinese Materia Medica, Chinese Academy of Chinese Medical Sciences, Beijing, China.

出版信息

Adv Healthc Mater. 2025 Jan;14(2):e2403493. doi: 10.1002/adhm.202403493. Epub 2024 Dec 4.

Abstract

Cancer treatment has witnessed revolutionary advancements marked by the emergence of immunotherapy, specifically immune checkpoint blockade (ICB). However, the inherent low immunogenicity of tumor cells and the intricate immunosuppressive network within the tumor microenvironment (TME) pose significant challenges to the further development of immunotherapy. Nanotechnology has ushered in unprecedented opportunities and vast prospects for tumor immunotherapy. Nevertheless, traditional nano-formulations often rely on inducing apoptosis to kill cancer cells, which encounters the issue of immune silencing, hindering effective tumor immune activation. The non-apoptotic modes of regulated cell death (RCD), including pyroptosis, ferroptosis, autophagy, necroptosis, and cuproptosis, have gradually garnered attention. These non-apoptotic cell death pathways can induce effective immunogenic cell death (ICD), enhancing cancer immunotherapy. This review comprehensively explores advanced nano-formulation design strategies and their applications in enhancing cancer immunotherapy by promoting non-apoptotic RCD in recent years. It also discusses the potential advantages of these strategies in inducing tumor-specific non-apoptotic RCD. By deeply understanding the significance of non-apoptotic RCD in synergistic cancer immunotherapy, this article provides valuable insights for developing more advanced nano-delivery systems that can robustly induce highly immunogenic non-apoptotic modes, offering novel research and development avenues to address the clinical challenges encountered by immunotherapy represented by ICB.

摘要

癌症治疗经历了以免疫疗法的出现为标志的革命性进展,特别是免疫检查点阻断(ICB)。然而,肿瘤细胞固有的低免疫原性以及肿瘤微环境(TME)中复杂的免疫抑制网络对免疫疗法的进一步发展构成了重大挑战。纳米技术为肿瘤免疫疗法带来了前所未有的机遇和广阔前景。然而,传统的纳米制剂通常依赖诱导细胞凋亡来杀死癌细胞,这会遇到免疫沉默的问题,阻碍有效的肿瘤免疫激活。包括焦亡、铁死亡、自噬、坏死性凋亡和铜死亡在内的程序性细胞死亡(RCD)的非凋亡模式逐渐受到关注。这些非凋亡性细胞死亡途径可诱导有效的免疫原性细胞死亡(ICD),增强癌症免疫疗法。本文综述全面探讨了近年来先进的纳米制剂设计策略及其通过促进非凋亡性RCD增强癌症免疫疗法的应用。还讨论了这些策略在诱导肿瘤特异性非凋亡性RCD方面的潜在优势。通过深入理解非凋亡性RCD在协同癌症免疫疗法中的意义,本文为开发能够有力诱导高免疫原性非凋亡模式的更先进纳米递送系统提供了有价值的见解,为解决以ICB为代表的免疫疗法所面临的临床挑战提供了新的研发途径。

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