He Wei, Zhang Meng, Zhong Yuexia, Gao Yuan, Fan Dong, Lu Xiyan
State Key Laboratory of Cancer Biology, Biotechnology Center, School of Pharmacy, The Fourth Military Medical University, Xi'an 710032, China.
Department of Pharmacology, School of Pharmacy, Air Force Medical University, Xi'an 710032, China.
BMB Rep. 2025 Mar;58(3):124-132. doi: 10.5483/BMBRep.2024-0165.
Limited efficacy and severe side effects often result in suboptimal outcomes to solid tumor therapies. In contrast, the reduced side effects and potential long-term benefits of tumor immunotherapy offer promise, notwithstanding the challenges of variable patient responses and immune-related adverse events hindering its widespread application. Recent advances in mRNA technology have revolutionized cancer immunotherapy. The versatility of mRNA as a vaccine and therapeutic agent is evident in it overcoming the limitations of traditional approaches by reducing in vivo toxicity and enhancing immune response activation. The synergy between mRNA technology and immunotherapy is increasingly being utilized to improve cancer treatment efficacy. One critical aspect of maximizing the therapeutic impact of mRNA-based treatments is the selection of an effective delivery system. Due to their size properties and material characteristics, nanoparticles offer a transformative solution, enabling the targeted and efficient delivery of mRNA to tumor tissues or immune cells. This precision delivery mechanism significantly enhances the effectiveness of immunotherapy, and represents a significant advance in cancer treatment. This review aims to explore how mRNA delivery via nanoparticles enhances tumor immunotherapy. Examination of its applications and challenges provides insights and strategic perspectives to advance this innovative therapeutic approach. [BMB Reports 2025; 58(3): 124-132].
实体瘤治疗的疗效有限且副作用严重,往往导致治疗效果欠佳。相比之下,尽管肿瘤免疫疗法存在患者反应不一和免疫相关不良事件等问题阻碍其广泛应用,但副作用减少以及潜在的长期益处使其具有前景。信使核糖核酸(mRNA)技术的最新进展彻底改变了癌症免疫疗法。mRNA作为疫苗和治疗剂的多功能性体现在它通过降低体内毒性和增强免疫反应激活克服了传统方法的局限性。mRNA技术与免疫疗法之间的协同作用越来越多地被用于提高癌症治疗效果。最大化基于mRNA治疗的治疗效果的一个关键方面是选择有效的递送系统。由于其尺寸特性和材料特性,纳米颗粒提供了一种变革性解决方案,能够将mRNA靶向并高效递送至肿瘤组织或免疫细胞。这种精准递送机制显著提高了免疫疗法的有效性,代表了癌症治疗的重大进展。本综述旨在探讨通过纳米颗粒递送mRNA如何增强肿瘤免疫疗法。对其应用和挑战的研究为推进这种创新治疗方法提供了见解和战略视角。[《BMB报告》2025年;58(3): 124 - 132]