Gomari Mohammad Mahmoudi, Ghantabpour Taha, Pourgholam Nima, Rostami Neda, Hatfield Stephen M, Namazifar Farzaneh, Abkhiz Shadi, Eslami Seyed Sadegh, Ramezanpour Mahsa, Darestanifarahani Mahsa, Astsaturov Igor, Bencherif Sidi A
Department of Medical Biotechnology, Faculty of Allied Medicine, Iran University of Medical Sciences, Tehran, Iran.
Department of Anatomy, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran.
Cancer Commun (Lond). 2025 May;45(5):529-571. doi: 10.1002/cac2.70002. Epub 2025 Feb 3.
Despite significant advancements in cancer treatment, current therapies often fail to completely eradicate malignant cells. This shortfall underscores the urgent need to explore alternative approaches such as cancer vaccines. Leveraging the immune system's natural ability to target and kill cancer cells holds great therapeutic potential. However, the development of cancer vaccines is hindered by several challenges, including low stability, inadequate immune response activation, and the immunosuppressive tumor microenvironment, which limit their efficacy. Recent progress in various fields, such as click chemistry, nanotechnology, exosome engineering, and neoantigen design, offer innovative solutions to these challenges. These achievements have led to the emergence of smart vaccine platforms (SVPs), which integrate protective carriers for messenger ribonucleic acid (mRNA) with functionalization strategies to optimize targeted delivery. Click chemistry further enhances SVP performance by improving the encapsulation of mRNA antigens and facilitating their precise delivery to target cells. This review highlights the latest developments in SVP technologies for cancer therapy, exploring both their opportunities and challenges in advancing these transformative approaches.
尽管癌症治疗取得了重大进展,但目前的疗法往往无法完全根除恶性细胞。这一不足凸显了探索诸如癌症疫苗等替代方法的迫切需求。利用免疫系统靶向和杀死癌细胞的天然能力具有巨大的治疗潜力。然而,癌症疫苗的开发受到几个挑战的阻碍,包括稳定性低、免疫反应激活不足以及免疫抑制性肿瘤微环境,这些都限制了它们的疗效。点击化学、纳米技术、外泌体工程和新抗原设计等各个领域的最新进展为这些挑战提供了创新解决方案。这些成就导致了智能疫苗平台(SVP)的出现,该平台将信使核糖核酸(mRNA)的保护性载体与功能化策略相结合,以优化靶向递送。点击化学通过改善mRNA抗原的封装并促进其精确递送至靶细胞,进一步提高了SVP的性能。本综述重点介绍了用于癌症治疗的SVP技术的最新进展,探讨了推进这些变革性方法的机遇和挑战。
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