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癌症纳米免疫疗法的现状与未来:机遇、障碍与挑战

Present and future of cancer nano-immunotherapy: opportunities, obstacles and challenges.

作者信息

Wang Man, Yu Fei, Zhang Yuan

机构信息

Institute for Translational Medicine, The Affiliated Hospital of Qingdao University, College of Medicine, Qingdao University, 38 Dengzhou Road, Qingdao, 266021, China.

出版信息

Mol Cancer. 2025 Jan 18;24(1):26. doi: 10.1186/s12943-024-02214-5.


DOI:10.1186/s12943-024-02214-5
PMID:39827147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11748575/
Abstract

Clinically, multimodal therapies are adopted worldwide for the management of cancer, which continues to be a leading cause of death. In recent years, immunotherapy has firmly established itself as a new paradigm in cancer care that activates the body's immune defense to cope with cancer. Immunotherapy has resulted in significant breakthroughs in the treatment of stubborn tumors, dramatically improving the clinical outcome of cancer patients. Multiple forms of cancer immunotherapy, including immune checkpoint inhibitors (ICIs), adoptive cell therapy and cancer vaccines, have become widely available. However, the effectiveness of these immunotherapies is not much satisfying. Many cancer patients do not respond to immunotherapy, and disease recurrence appears to be unavoidable because of the rapidly evolving resistance. Moreover, immunotherapies can give rise to severe off-target immune-related adverse events. Strategies to remove these hindrances mainly focus on the development of combinatorial therapies or the exploitation of novel immunotherapeutic mediations. Nanomaterials carrying anticancer agents to the target site are considered as practical approaches for cancer treatment. Nanomedicine combined with immunotherapies offers the possibility to potentiate systemic antitumor immunity and to facilitate selective cytotoxicity against cancer cells in an effective and safe manner. A myriad of nano-enabled cancer immunotherapies are currently under clinical investigation. Owing to gaps between preclinical and clinical studies, nano-immunotherapy faces multiple challenges, including the biosafety of nanomaterials and clinical trial design. In this review, we provide an overview of cancer immunotherapy and summarize the evidence indicating how nanomedicine-based approaches increase the efficacy of immunotherapies. We also discuss the key challenges that have emerged in the era of nanotechnology-based cancer immunotherapy. Taken together, combination nano-immunotherapy is drawing increasing attention, and it is anticipated that the combined treatment will achieve the desired success in clinical cancer therapy.

摘要

在临床上,多模式疗法在全球范围内被用于癌症治疗,而癌症仍是主要的死亡原因。近年来,免疫疗法已牢固确立其作为癌症治疗新范式的地位,该疗法激活人体免疫防御以对抗癌症。免疫疗法在顽固性肿瘤治疗方面取得了重大突破,显著改善了癌症患者的临床结局。多种形式的癌症免疫疗法,包括免疫检查点抑制剂(ICI)、过继性细胞疗法和癌症疫苗,已广泛应用。然而,这些免疫疗法的效果并不尽如人意。许多癌症患者对免疫疗法无反应,而且由于耐药性迅速演变,疾病复发似乎难以避免。此外,免疫疗法可引发严重的脱靶免疫相关不良事件。消除这些障碍的策略主要集中在联合疗法的开发或新型免疫治疗介质的利用上。将抗癌药物输送到靶位点的纳米材料被认为是癌症治疗的实用方法。纳米医学与免疫疗法相结合,为增强全身抗肿瘤免疫力以及以有效且安全的方式促进对癌细胞的选择性细胞毒性提供了可能性。目前,众多基于纳米技术的癌症免疫疗法正在进行临床研究。由于临床前研究与临床研究之间存在差距,纳米免疫疗法面临多重挑战,包括纳米材料的生物安全性和临床试验设计。在本综述中,我们概述了癌症免疫疗法,并总结了表明基于纳米医学的方法如何提高免疫疗法疗效的证据。我们还讨论了基于纳米技术的癌症免疫疗法时代出现的关键挑战。综上所述,纳米免疫联合疗法正受到越来越多的关注,预计这种联合治疗将在临床癌症治疗中取得预期成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/11748575/313ce70e507c/12943_2024_2214_Fig7_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/11748575/433f806a1061/12943_2024_2214_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/11748575/c92f483c81bf/12943_2024_2214_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/11748575/313ce70e507c/12943_2024_2214_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/11748575/4159f5d946fe/12943_2024_2214_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/11748575/359ff91a49fd/12943_2024_2214_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/11748575/acf808f7ff1f/12943_2024_2214_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/11748575/e84cba1d5576/12943_2024_2214_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/11748575/433f806a1061/12943_2024_2214_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/11748575/c92f483c81bf/12943_2024_2214_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82f3/11748575/313ce70e507c/12943_2024_2214_Fig7_HTML.jpg

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本文引用的文献

[1]
Development of mRNA Lipid Nanoparticles: Targeting and Therapeutic Aspects.

Int J Mol Sci. 2024-9-22

[2]
Personalized Cancer Vaccines Directed against Tumor Mutations: Building Evidence from Mice to Humans.

Cancer Res. 2024-4-1

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