候博, 王当歌, 高晶, 王晖, 李亚平, 于海军. 微环境激活型纳米递药系统用于肿瘤免疫治疗的研究进展J. 药学学报, 2019,54(10): 1802-1809. doi: 10.16438/j.0513-4870.2019-0560
引用本文: 候博, 王当歌, 高晶, 王晖, 李亚平, 于海军. 微环境激活型纳米递药系统用于肿瘤免疫治疗的研究进展J. 药学学报, 2019,54(10): 1802-1809. doi: 10.16438/j.0513-4870.2019-0560
HOU Bo, WANG Dang-ge, GAO Jing, WANG Hui, LI Ya-ping, YU Hai-jun. Advances of microenvironment-activated nanosized drug delivery system for cancer immunotherapyJ. Acta Pharmaceutica Sinica, 2019,54(10): 1802-1809. doi: 10.16438/j.0513-4870.2019-0560
Citation: HOU Bo, WANG Dang-ge, GAO Jing, WANG Hui, LI Ya-ping, YU Hai-jun. Advances of microenvironment-activated nanosized drug delivery system for cancer immunotherapyJ. Acta Pharmaceutica Sinica, 2019,54(10): 1802-1809. doi: 10.16438/j.0513-4870.2019-0560

微环境激活型纳米递药系统用于肿瘤免疫治疗的研究进展

Advances of microenvironment-activated nanosized drug delivery system for cancer immunotherapy

  • 摘要: 免疫治疗已成为继手术治疗、化疗、放疗和靶向治疗之后的重要肿瘤治疗手段。但是,肿瘤免疫治疗药物的体内递送仍面临挑战,如非特异性释放、较差的肿瘤渗透性和较低的肿瘤细胞摄取率等,在某种程度上影响了肿瘤治疗的效果。与正常组织不同,肿瘤组织具有特异性微环境,如肿瘤细胞外的微酸、乏氧和过表达酶以及胞内的酸、还原和自由基等。近年来,科研人员根据肿瘤组织和肿瘤细胞的微环境特征设计了多种微环境激活型纳米递送系统,可对肿瘤胞外或胞内微环境的刺激信号做出特异性响应,增强递药系统在肿瘤部位的滞留、蓄积、渗透及肿瘤细胞摄取,并实现药物在肿瘤胞外基质或肿瘤细胞内可控释放,提高抗肿瘤药物的递送效率,改善肿瘤治疗效果,降低毒副作用。本文简要回顾了本课题组利用微环境激活型纳米递药系统实现免疫治疗药物高效递送方面的研究进展,并对该领域的主要挑战和可能发展方向进行了展望。

     

    Abstract: Immunotherapy has emerged as one of the major modalities for clinical cancer therapy, along with surgery, chemotherapy, radiotherapy and targeted therapy. However, tumor-targeted delivery of immune therapeutics is challenged by a series of barriers including non-specific release, poor tumor penetration capacity, and insufficient cellular uptake of the therapeutic regimens, which seriously restricted the efficiency and efficacy of immunotherapy. To address above challenges, nanosized drug delivery systems (NDDS) have been extensively exploited to achieve tumor-targeted delivery of immunotherapy drugs. It has been well investigated that solid tumors are of unique characteristics including acidic, hypoxic and enzymatic extracellular microenvironment. Meanwhile, the tumor cells are of acidic, reductant and reactive oxygen species intracellular microenvironment. In recent years, a large variety of tumor microenvironment-activatable NDDS have been exploited to respond specifically to the stimulus of extracellular or intracellular tumor microenvironment for enhancing the accumulation, retention and penetration in the tumor tissue. These NDDS were also employed to promote intracellular uptake and tunable drug release inside the tumor cells. In this review article, we summarized the recent progress of our laboratory using the tumor microenvironment-activatable NDDS for immune efficient therapeutics delivery, and improved cancer immunotherapy. We also briefly discussed the challenges and provided perspective of NDDS-based cancer immunotherapy.

     

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