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精心编排癌症治疗:纳米平台的最新进展使免疫疗法与多方面治疗相协调。

Orchestrating cancer therapy: Recent advances in nanoplatforms harmonize immunotherapy with multifaceted treatments.

作者信息

Xu Rongwei, Lin Pei, Zheng Jiarong, Lin Yunfan, Mai Zizhao, Lu Ye, Chen Xu, Zhou Zihao, Cui Li, Zhao Xinyuan

机构信息

Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, 510280, Guangdong, China.

Department of Dentistry, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, China.

出版信息

Mater Today Bio. 2024 Dec 9;30:101386. doi: 10.1016/j.mtbio.2024.101386. eCollection 2025 Feb.

Abstract

Advancements in cancer therapy have increasingly focused on leveraging the synergistic effects of combining immunotherapy with other treatment modalities, facilitated by the use of innovative nanoplatforms. These strategies aim to augment the efficacy of standalone treatments while addressing their inherent limitations. Nanoplatforms enable precise delivery and controlled release of therapeutic agents, which enhances treatment specificity and reduces systemic toxicity. This review highlights the critical role of nanomaterials in enhancing immunotherapy when combined with chemotherapy, radiotherapy, photodynamic therapy, photothermal therapy, and sonodynamic therapy. Additionally, it addresses current challenges, including limited in vivo studies, difficulties in standardizing and scaling production, complexities of combination therapies, lack of comparative analyses, and the need for personalized treatments. Future directions involve refining nanoplatform engineering for improved targeting and minimizing adverse effects, alongside large animal studies to establish the long-term efficacy and safety of these combined therapeutic strategies. These efforts aim to translate laboratory successes into clinically viable treatments, significantly improving therapeutic outcomes and advancing the field of oncology.

摘要

癌症治疗的进展越来越多地集中在利用免疫疗法与其他治疗方式相结合的协同效应上,这得益于创新纳米平台的应用。这些策略旨在提高单一治疗的疗效,同时解决其固有的局限性。纳米平台能够实现治疗剂的精确递送和控释,从而提高治疗特异性并降低全身毒性。本综述强调了纳米材料在与化疗、放疗、光动力疗法、光热疗法和超声动力疗法联合使用时增强免疫疗法方面的关键作用。此外,它还讨论了当前面临的挑战,包括体内研究有限、生产标准化和扩大规模困难、联合疗法的复杂性、缺乏比较分析以及个性化治疗的需求。未来的方向包括改进纳米平台工程以提高靶向性并将不良反应降至最低,同时进行大型动物研究以确定这些联合治疗策略的长期疗效和安全性。这些努力旨在将实验室的成功转化为临床上可行的治疗方法,显著改善治疗效果并推动肿瘤学领域的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f2c/11683241/da04b61759c6/ga1.jpg

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