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免疫诱导生物材料用于消融后癌症的研究进展

Progress of Immune-Inducible Biomaterials for Post-Ablation Cancers.

作者信息

Zhao Shuangshuang, Zhang Zheng, Wu Xincai, Chen Yanwei, Li Wenjun, Bao Jiayan, Zhang Xin, Chen Baoding

机构信息

Department of Ultrasound Affiliated Hospital of Jiangsu University, Zhenjiang, 212000, P. R. China.

出版信息

Adv Healthc Mater. 2025 Aug;14(21):e2500785. doi: 10.1002/adhm.202500785. Epub 2025 Jun 9.

Abstract

Locoregional ablation therapies have considerable potential in eradicating cancers by killing tumor cells directly with different mechanisms, inducing immunogenic cell death, and subsequently forming the "in situ vaccine". Nevertheless, a short period of immune time post-ablation and rapidly reversed to an immunosuppressed state, may lead to a higher chance of tumor recurrence and metastasis. Therefore, boosting the efficacy of immunity and/or prolonging the duration of organismal immunity seem to be the key to suppressing tumor progression after minimally invasive ablation therapies. Currently, a number of nanoplatforms for post-ablation immunotherapy are developed to address this challenge, including amplifying antitumor immunostimulatory signals, modulating immunosuppressive microenvironment, and improving antitumor immune responses. These approaches portend great promise for applications to improve local control and prevent tumor recurrence and distant metastasis. This review provides a concise overview of recent advances in immune-inducible biomaterials for enhancing post-ablation antitumor immunity, as well as strategies for their application in targeted drug delivery and sustained release to potentiate immune responses. Furthermore, main obstacles and potential breakthroughs for future development are discussed and prospected, providing insights to drive further innovation in immune-inducible biomaterials for post-ablation cancers.

摘要

局部区域消融疗法在通过不同机制直接杀死肿瘤细胞、诱导免疫原性细胞死亡并随后形成“原位疫苗”来根除癌症方面具有巨大潜力。然而,消融后免疫时间短且迅速逆转至免疫抑制状态,可能导致肿瘤复发和转移的几率更高。因此,提高免疫功效和/或延长机体免疫持续时间似乎是微创消融治疗后抑制肿瘤进展的关键。目前,为应对这一挑战开发了多种用于消融后免疫治疗的纳米平台,包括放大抗肿瘤免疫刺激信号、调节免疫抑制微环境以及改善抗肿瘤免疫反应。这些方法在改善局部控制以及预防肿瘤复发和远处转移的应用方面预示着巨大的前景。本综述简要概述了用于增强消融后抗肿瘤免疫的免疫诱导生物材料的最新进展,以及它们在靶向药物递送和持续释放以增强免疫反应方面的应用策略。此外,还讨论并展望了未来发展的主要障碍和潜在突破,为推动消融后癌症免疫诱导生物材料的进一步创新提供见解。

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