Fallatah Mohannad M, Alradwan Ibrahim, Alfayez Nojoud, Aodah Alhassan H, Alkhrayef Mohammad, Majrashi Majed, Jamous Yahya F
Advanced Diagnostics and Therapeutics Institute, Health Sector, King Abdulaziz City for Science and Technology (KACST), Riyadh 11442, Saudi Arabia.
Disability Research Institute, Health Sector, King Abdulaziz City for Science and Technology (KACST), Riyadh 11442, Saudi Arabia.
Pharmaceuticals (Basel). 2025 Jul 22;18(8):1086. doi: 10.3390/ph18081086.
Cancer treatment has undergone a paradigm shift following the introduction of novel cancer treatment approaches that involve the host's immune system in fighting established tumors. This new concept aids the immune system in identifying, attacking, and killing the tumor cells. However, although some encouraging results were observed clinically, this approach has its own limitations. For example, the benefits of certain anticancer drugs were only observed in some patients, off-target effects, immune evasion, and poor pharmacokinetics. Recently, several advancements have been made with the understanding and development of tumor-targeted drug delivery systems, which combine both effectiveness and patients' safety during cancer treatment. In this review, we will focus on the latest progress in targeted drug delivery, particularly applying nanoparticles, liposomes, exosomes, and Wharton's jelly-derived macrovesicles as immune cell enhancers, as well as overcoming therapeutic resistance. We also characterize major current problems, such as the biocompatibility and scalability of the delivered engineering systems, as well as the required regulations. Lastly, we will show some examples of effective approaches to resolve these issues for more efficient cancer therapy. The importance of this article lies in bridging two sides in a single framework perspective: the novel implementation of unique delivery systems and the latest advances in the field of cancer immunotherapy. Thus, this provides better insights for the future of cancer treatment.
随着新型癌症治疗方法的引入,癌症治疗发生了范式转变,这些方法借助宿主免疫系统对抗已形成的肿瘤。这一新概念有助于免疫系统识别、攻击和杀死肿瘤细胞。然而,尽管临床上观察到了一些令人鼓舞的结果,但这种方法也有其自身的局限性。例如,某些抗癌药物的益处仅在部分患者中观察到,存在脱靶效应、免疫逃逸和药代动力学不佳等问题。最近,随着对肿瘤靶向给药系统的理解和开发取得了一些进展,该系统在癌症治疗过程中兼顾了有效性和患者安全性。在本综述中,我们将重点关注靶向给药的最新进展,特别是应用纳米颗粒、脂质体、外泌体和源自脐带华通氏胶的大囊泡作为免疫细胞增强剂,以及克服治疗耐药性。我们还将阐述当前的主要问题,如所递送的工程系统的生物相容性和可扩展性,以及所需的监管要求。最后,我们将展示一些有效方法的实例,以解决这些问题从而实现更高效的癌症治疗。本文的重要性在于从单一框架视角连接两个方面:独特给药系统的新颖应用以及癌症免疫治疗领域的最新进展。因此,这为癌症治疗的未来提供了更好的见解。
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