Yang Lichang, Wu Wei, Yang Jing, Xu Manman
Xuzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Xuzhou, China.
Department of Geriatrics, Guang' anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Front Oncol. 2025 Apr 28;15:1567896. doi: 10.3389/fonc.2025.1567896. eCollection 2025.
Immunosenescence, the age-associated decline of the immune system, is pivotal in fostering drug resistance within the tumor microenvironment (TME). The accumulation of senescent immune cells and the release of pro-inflammatory senescence-associated secretory phenotype (SASP) factors create a milieu that supports tumor survival and undermines therapeutic efficacy. Traditional cancer treatments often fail to address this underlying issue, leading to suboptimal outcomes. This article proposes an innovative strategy to overcome immunosenescence-induced drug resistance through the nanoparticle-mediated delivery of herbal-derived natural products (HDNPs), which possess senolytic and immunomodulatory properties capable of clearing senescent cells and rejuvenating immune function. Nanoparticle delivery systems enhance these compounds' stability, bioavailability, and targeted delivery to the TME and senescent immune cells. By harnessing the synergistic effects of HDNPs and nanotechnology, this approach offers a novel and multifaceted solution to drug resistance in cancer therapy. It holds the potential to restore immune surveillance, reduce pro-survival signaling in cancer cells, and enhance the efficacy of conventional treatments. This paradigm shift emphasizes the importance of addressing immunosenescence as a therapeutic target and paves the way for more effective and personalized cancer interventions.
免疫衰老,即免疫系统随年龄增长而出现的衰退,在促进肿瘤微环境(TME)中的耐药性方面起着关键作用。衰老免疫细胞的积累以及促炎性衰老相关分泌表型(SASP)因子的释放营造了一种支持肿瘤存活并削弱治疗效果的环境。传统的癌症治疗方法往往无法解决这一根本问题,导致治疗效果欠佳。本文提出了一种创新策略,即通过纳米颗粒介导递送具有清除衰老细胞和恢复免疫功能能力的植物源天然产物(HDNP)来克服免疫衰老诱导的耐药性。纳米颗粒递送系统增强了这些化合物的稳定性、生物利用度以及对肿瘤微环境和衰老免疫细胞的靶向递送。通过利用植物源天然产物和纳米技术的协同效应,这种方法为癌症治疗中的耐药性提供了一种新颖且多方面的解决方案。它有可能恢复免疫监视,减少癌细胞中的促生存信号,并提高传统治疗的疗效。这种范式转变强调了将免疫衰老作为治疗靶点的重要性,并为更有效和个性化的癌症干预措施铺平了道路。
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