Leveraging mesoporous silica nanomaterial for optimal immunotherapeutics against cancer

K. C. Ashitha, Gopinath M, Sasirekha N.R, Balakumar S, Rajashree P
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Abstract

Cancer represents a significant cause of morbidity and mortality. Definitive chemotherapy, surgery and radiotherapy treatment have not improved the “5-year survival period” and have shown recurrence. Currently, cancer immunotherapy is reported to be a promising therapeutic modality that aims to potentiate immune response against cancer by employing immune checkpoint inhibitors, cancer vaccines and immunomodulators. Inhibition of immune checkpoints such as PD-1/PDL1, CTLA and TIM molecules using monoclonal antibodies, ligands or both are proven to be the most successful anticancer immunotherapy. But the application of immunotherapy involves critical challenges such as non-responsiveness and systemic toxicity due to the administration of high dose. To mitigate the above challenges, nanomaterial-based delivery and therapy have been adopted to inhibit the immune checkpoints and induce an anticancer immune response. Specifically, mesoporous silica-based materials for cancer therapy are shown to be versatile materials for the above purpose. Mesoporous silica nanoparticle (MSN) based cancer immunotherapy overcomes numerous challenges and offers novel strategies for improving conventional immunotherapies. MSN has a high surface area, porosity and biocompatibility; it also has natural immune-adjuvant properties, which have been reported to be the best candidate material for immunotherapeutic delivery. This review will focus on the use of MSN as carriers for delivering immune checkpoint inhibitors and their efficacy in cancer combination therapy.
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利用介孔二氧化硅纳米材料的最佳免疫治疗癌症
癌症是发病率和死亡率的重要原因。明确的化疗、手术和放疗均未改善“5年生存期”,并出现复发。目前,据报道,癌症免疫治疗是一种很有前途的治疗方式,旨在通过使用免疫检查点抑制剂、癌症疫苗和免疫调节剂来增强对癌症的免疫反应。利用单克隆抗体、配体或两者同时抑制PD-1/PDL1、CTLA和TIM分子等免疫检查点被证明是最成功的抗癌免疫疗法。但是,免疫疗法的应用面临着重大的挑战,如由于给药剂量大而导致的无反应性和全身毒性。为了缓解上述挑战,采用纳米材料为基础的递送和治疗来抑制免疫检查点并诱导抗癌免疫反应。具体来说,用于癌症治疗的介孔硅基材料被证明是用于上述目的的通用材料。基于介孔二氧化硅纳米颗粒(MSN)的癌症免疫治疗克服了许多挑战,并为改进传统免疫治疗提供了新的策略。MSN具有较高的比表面积、孔隙度和生物相容性;它还具有天然的免疫佐剂特性,据报道,这是免疫治疗递送的最佳候选材料。本文将重点介绍MSN作为递送免疫检查点抑制剂的载体及其在癌症联合治疗中的疗效。
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