颜雯璐, 郎天群, 尹琦, 李亚平. 主动靶向肿瘤的纳米递药系统改善肿瘤免疫治疗研究进展J. 药学学报, 2022,57(1): 46-63. doi: 10.16438/j.0513-4870.2021-1172
引用本文: 颜雯璐, 郎天群, 尹琦, 李亚平. 主动靶向肿瘤的纳米递药系统改善肿瘤免疫治疗研究进展J. 药学学报, 2022,57(1): 46-63. doi: 10.16438/j.0513-4870.2021-1172
YAN Wen-lu, LANG Tian-qun, YIN Qi, LI Ya-ping. Progress on active tumor-targeting nano drug delivery systems for improving tumor immunotherapyJ. Acta Pharmaceutica Sinica, 2022,57(1): 46-63. doi: 10.16438/j.0513-4870.2021-1172
Citation: YAN Wen-lu, LANG Tian-qun, YIN Qi, LI Ya-ping. Progress on active tumor-targeting nano drug delivery systems for improving tumor immunotherapyJ. Acta Pharmaceutica Sinica, 2022,57(1): 46-63. doi: 10.16438/j.0513-4870.2021-1172

主动靶向肿瘤的纳米递药系统改善肿瘤免疫治疗研究进展

Progress on active tumor-targeting nano drug delivery systems for improving tumor immunotherapy

  • 摘要: 近年来,免疫疗法在肿瘤临床治疗方面已取得巨大进展,但在免疫治疗药物体内递送过程中仍存在肿瘤特异性差、肿瘤深部渗透率低和细胞摄取率低等问题,导致其疗效和安全性较差,严重限制了免疫疗法的临床效果。通过表面偶联的抗体或配体与靶细胞膜受体间的相互作用,设计构建主动靶向肿瘤的纳米递药系统(aNDDS)可提高药物在靶细胞内的浓度,为实现特异高效的药物递送提供了可行的策略。此外,一些特定类型的细胞膜因具有天然的靶向能力被用于仿生纳米载体的构建,进而提高药物的递送效率。基于主动靶向肿瘤纳米载体的诸多优势,科研人员也设计了一系列用于促进抗肿瘤免疫应答的aNDDS,并证明其可以提高免疫治疗的有效性和安全性。本文回顾了近年来aNDDS改善肿瘤免疫治疗的研究进展,并对该领域的主要挑战和未来的发展进行了展望。

     

    Abstract: In recent years, immunotherapy has made great progress in clinical cancer therapy. However, the poor tumor specificity, low intra-tumoral penetration, and low cellular uptake in the systemic delivery of immunotherapeutic drugs lead to low efficacy and poor safety, limiting the development of immunotherapy. Active tumor-targeting nano drug delivery systems (aNDDS) can enhance the concentration of drugs in target cells through the interaction between surface-conjugated antibodies or ligands and the receptors on target cell membranes, providing a viable strategy for specific and efficient drug delivery. In addition, some specific types of cell membranes with the natural targeting ability have been exploited for the construction of biomimetic nanocarriers to improve the drug delivery efficiency. In view of the many advantages of active tumor-targeting nanocarriers, researchers also have designed a series of aNDDS for promoting antitumor immune responses and proved that they improved the efficacy and safety of immunotherapy. In this review, we summarize the recent progress on aNDDS for improving the tumor immunotherapy and look forward to the main challenges and future directions in this field.

     

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