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Nucleic acid delivery as a therapeutic approach for cancer immunotherapy. 核酸递送作为癌症免疫治疗的一种治疗方法。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1016/bs.ai.2024.10.009
Kashish Wilson, Garima, Meenakshi Dhanawat

The number of immuno-oncology medication approvals in current years has increased, indicating the immense potential of cancer immunotherapy. Nucleic acid therapy has advanced significantly in the interim. The diverse capabilities of nucleic acid therapies, gene-editing guide RNA (gRNA), immunomodulatory DNA/RNA, messenger RNA (mRNA), microRNA and siRNA, plasmids, and antisense oligonucleotides (ASO), for modification of immune responses and change the target endogenous or synthetic gene's expression, make them appealing. These skills can be extremely important in the creation of innovative immunotherapy approaches. To be effective, these treatments must, however, overcome a number of delivery challenges, such as quick in vivo disintegration, inadequate absorption inside target cells, necessary nuclear entrance, along with possible in-vivo toxic potential in tissues and cells that are healthy. Several of these obstacles have been addressed by the development of nanoparticle delivery methods, which allow nucleic acid therapies to be safely and successfully delivered to immune cells. The nucleic acid applications for medicines employed for immunotherapy against cancer are covered in this chapter, along with the development of nanoparticle platforms that carry genome editing, mRNA, and DNA systems for improving the efficacy and safety profile in various therapies.

近年来,免疫肿瘤药物批准的数量有所增加,表明癌症免疫治疗的巨大潜力。在此期间,核酸治疗取得了显著进展。核酸疗法、基因编辑指导RNA (gRNA)、免疫调节DNA/RNA、信使RNA (mRNA)、microRNA和siRNA、质粒和反义寡核苷酸(ASO)等多种修饰免疫反应和改变目标内源性或合成基因表达的能力,使它们具有吸引力。这些技能在创新免疫治疗方法的创造中非常重要。然而,为了有效,这些治疗必须克服一些递送挑战,如体内快速分解、靶细胞内吸收不足、必要的核进入,以及在健康组织和细胞中可能存在的体内毒性。纳米颗粒递送方法的发展已经解决了其中的一些障碍,这使得核酸疗法能够安全成功地递送到免疫细胞中。本章涵盖了用于免疫治疗癌症的药物的核酸应用,以及携带基因组编辑、mRNA和DNA系统的纳米粒子平台的发展,以提高各种疗法的有效性和安全性。
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引用次数: 0
Lipid nanoparticle mediated mRNA delivery in cancer immunotherapy. 脂质纳米颗粒介导的mRNA传递在癌症免疫治疗中的应用。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-03-05 DOI: 10.1016/bs.ai.2025.02.001
Gyati Shilakari Asthana, Saptarshee Bhattacharjee, Jitendra Kumar, Soyal Sayyed, Amulya Jindal, Pankaj Kumar, Abhijeet Chinchane, Atreyee Bhattacharyya, Roshani Jaiswal, Sagar Kulkarni, Shubham Gajdhane, Jitender Madan, Abhay Asthana

Lipid nanoparticles (LNPs) to deliver messenger RNA (mRNA) have emerged as a transformative strategy in cancer immunotherapy. This chapter explores the pivotal role of LNPs in enabling the efficient and targeted delivery of mRNA for cancer treatment, offering an innovative alternative to traditional therapies. LNPs protect mRNA from degradation, ensure its safe passage into the cytoplasm of target cells, and promote the expression of tumor-specific antigens that can activate the immune system against cancer cells. This chapter covers the fundamental properties of lipid nanoparticles, including their composition, structure, and functional modifications, as well as their mechanism of action in mRNA delivery. It also delves into optimizing LNPs to enhance targeting specificity, reduce toxicity, and improve therapeutic efficacy in cancer immunotherapy. Advances in the design of these nanoparticles, including innovations in surface functionalization and their role in overcoming tumor microenvironment barriers, are discussed. The chapter further examines preclinical and clinical applications of LNP-mediated mRNA cancer vaccines and therapies, highlighting recent successes and case studies. In addition, challenges such as ensuring efficient delivery, managing off-target effects, and addressing potential immune reactions are explored. Finally, future perspectives on developing more advanced LNPs and mRNA therapies, including their potential for personalized cancer treatments, are discussed. By providing an in-depth understanding of the current state and future potential of LNP-mediated mRNA delivery, this chapter aims to offer valuable insights into how this technology is shaping the future of cancer immunotherapy.

脂质纳米颗粒(LNPs)递送信使RNA (mRNA)已成为癌症免疫治疗的一种变革性策略。本章探讨LNPs在癌症治疗中有效和有针对性地传递mRNA方面的关键作用,为传统疗法提供了一种创新的替代方案。LNPs保护mRNA免受降解,确保其安全进入靶细胞的细胞质,并促进肿瘤特异性抗原的表达,从而激活针对癌细胞的免疫系统。本章涵盖了脂质纳米颗粒的基本特性,包括它们的组成、结构和功能修饰,以及它们在mRNA传递中的作用机制。并对LNPs进行优化,以增强肿瘤免疫治疗的靶向特异性,降低毒性,提高疗效。讨论了这些纳米颗粒的设计进展,包括表面功能化的创新及其在克服肿瘤微环境障碍中的作用。本章进一步探讨了lnp介导的mRNA癌症疫苗和疗法的临床前和临床应用,重点介绍了最近的成功和案例研究。此外,还探讨了诸如确保有效递送、管理脱靶效应和解决潜在免疫反应等挑战。最后,讨论了未来发展更先进的LNPs和mRNA疗法的前景,包括它们在个性化癌症治疗方面的潜力。通过深入了解lnp介导的mRNA传递的现状和未来潜力,本章旨在为这项技术如何塑造癌症免疫治疗的未来提供有价值的见解。
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引用次数: 0
Personalized precision: Revolutionizing cancer treatment with mRNA-based vaccines in melanoma therapy. 个性化精确:在黑色素瘤治疗中使用基于mrna的疫苗革新癌症治疗。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-03-24 DOI: 10.1016/bs.ai.2024.10.011
Krishnendu Adhikary, Abhik Paul, Ayush Madan, Anas Islam, Sumel Ashique, Mohhammad Ramzan

Biological and societal issues are involved when we refer to a condition as cancer, which connotes loss, complexity, and uncertainty. In recent decades, the number of melanomas has climbed. Cancer treatment vaccines have induced immune responses against tumor-associated but not tumor-specific antigens. Cancer therapy may use mRNA vaccines after COVID-19 pandemic regulation advancements. Therapy mRNA cancer vaccines as advanced immunotherapies gain prominence. Using messenger RNA, the mRNA-4157/V940 cancer vaccine encodes 34 patient-specific tumor euroantigens. mRNA-4157/V940, like the COVID-19 vaccination, instructs the immune system to distinguish healthy and malignant cells using messenger RNA. T cell responses are tailored to a patient's tumor mutational pattern using this unique immunization. The drug suppresses PD-1, PD-L1, and PD-L2. T lymphocytes activated by pembrolizumab may affect cancer and non-cancerous cells. Early clinical trials suggest pembrolizumab and mRNA-4157/V940 may boost T cell-mediated cancer killing. Knowing the status and problems of melanoma therapeutic mRNA cancer vaccines in clinical trials is critical. In this chapter, we have focused on preclinical and clinical advances that have revealed mRNA melanoma vaccine manufacturing issues and solutions.

当我们把一种疾病称为癌症时,涉及到生物和社会问题,这意味着损失、复杂性和不确定性。近几十年来,黑色素瘤的数量不断攀升。癌症治疗疫苗诱导了针对肿瘤相关而非肿瘤特异性抗原的免疫反应。在COVID-19大流行调控进展后,癌症治疗可能使用mRNA疫苗。治疗mRNA癌症疫苗作为先进的免疫疗法得到重视。利用信使RNA, mRNA-4157/V940癌症疫苗编码34种患者特异性肿瘤神经抗原。mRNA-4157/V940与COVID-19疫苗一样,通过信使RNA指示免疫系统区分健康细胞和恶性细胞。使用这种独特的免疫系统,T细胞反应是针对患者的肿瘤突变模式量身定制的。该药抑制PD-1、PD-L1和PD-L2。由派姆单抗激活的T淋巴细胞可能影响癌细胞和非癌细胞。早期临床试验表明,派姆单抗和mRNA-4157/V940可能促进T细胞介导的癌症杀伤。了解黑色素瘤治疗性mRNA癌症疫苗在临床试验中的现状和问题至关重要。在本章中,我们重点介绍了揭示mRNA黑色素瘤疫苗制造问题和解决方案的临床前和临床进展。
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引用次数: 0
Plasmid DNA and mRNA delivery: Approaches and challenges. 质粒DNA和mRNA传递:方法和挑战。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-04-13 DOI: 10.1016/bs.ai.2024.12.001
Arun Kumar Singh, Karan Goel, Meenakshi Dhanawat

for delivery of plasmid DNA and mRNA transform biology and medicine, offering powerful tools for gene therapy, vaccine development, cancer immunotherapy, and regenerative medicine. Plasmid DNA provides a relatively stable and sustained expression of the genes which also provides the basic groundwork for long-lasting therapeutic. At the same time, mRNA has also demonstrated more appropriateness for dynamic and time-sensitive applications due to its short-lived and accurate translation capabilities, such as during the development of mRNA-based COVID-19 vaccines. Despite their unique advantages, however, the efficient delivery of these biomolecules poses challenges including immune system activation, enzymatic degradation, and limited cellular uptake. The structural and functional features of plasmid DNA and mRNA highlighted the positive functions that underpin their complementary roles in next-generation biomedical applications. In addition, it highlights the novel delivery routes across lipid nanoparticles, polymeric systems, biomimetic carriers, and hybrid applied sciences which can resolve long-standing challenges to efficient distribution. Emerging technologies such as CRISPR gene editing, self-amplifying RNA, and multiplexed nanoparticles are also increasing the utility of these systems. Significant advances in the delivery of plasmid DNA and mRNA molecules have revolutionized vaccine development, opened new avenues in personalized medicine, and have also inspired a future with engineerable tissues. As these innovations develop, they are predicted to go beyond current limitations and bring around a fresh era of accurate medication taking on one of the global healthcare's most complex challenges. Our revolutionary delivery methods provide stability and simplicity, transforming medical advances.

质粒DNA和mRNA的传递改变了生物学和医学,为基因治疗、疫苗开发、癌症免疫治疗和再生医学提供了强大的工具。质粒DNA提供了相对稳定和持续的基因表达,也为长期治疗提供了基础。与此同时,由于mRNA具有短暂而准确的翻译能力,例如在基于mRNA的COVID-19疫苗的开发过程中,mRNA也被证明更适合于动态和时间敏感的应用。然而,尽管具有独特的优势,这些生物分子的有效递送面临着包括免疫系统激活、酶降解和有限的细胞摄取在内的挑战。质粒DNA和mRNA的结构和功能特征突出了它们在下一代生物医学应用中互补作用的积极功能。此外,它还强调了跨越脂质纳米颗粒、聚合物系统、仿生载体和混合应用科学的新型递送途径,这些途径可以解决长期存在的高效配送挑战。诸如CRISPR基因编辑、自我扩增RNA和多路复用纳米颗粒等新兴技术也增加了这些系统的效用。质粒DNA和mRNA分子递送方面的重大进展彻底改变了疫苗开发,开辟了个性化医疗的新途径,也激发了可工程组织的未来。随着这些创新的发展,预计它们将超越当前的限制,带来一个精准用药的新时代,应对全球医疗保健领域最复杂的挑战之一。我们革命性的交付方法提供了稳定性和简单性,改变了医学进步。
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引用次数: 0
Therapeutic mRNAs for cancer immunotherapy: From structure to delivery. 癌症免疫治疗的治疗性mrna:从结构到递送。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI: 10.1016/bs.ai.2024.10.013
Monika Vishwakarma, Wasim Akram, Tanweer Haider

mRNA carries genetic information and is used for the synthesis of proteins, fragments of proteins, and peptides in the scope of biotechnology and medicine. Once introduced into cells, this mRNA gets translated into a corresponding protein with cellular machinery. All kinds of mRNA encoding any protein, peptide, and fragment of proteins have been designed to be used for various therapeutic goals, including cancerous diseases, immunotherapy, vaccine preparation, tissue engineering, and genetic disorders, among others. These vaccines encode tumor-specific antigens that stimulate the immune system to recognize and attack cancer cells. Additionally, mRNA can be designed to produce proteins that modulate immune checkpoints, thereby enhancing the immune system's ability to target cancer cells. Synthetic mRNA can also engineer immune cells, such as T cells, to improve their cancer-fighting capabilities. For instance, mRNA can be engineered to generate CAR T cells targeting specific antigens that are expressed in the cancer. Designed mRNA can encode functional proteins in patients suffering from genetic disorders characterized by an absence or defect in a particular protein. However, mRNA is intrinsically unstable and may require special mechanisms to protect it from degradation. mRNA delivery to target cells remains a challenge. Engineered nanocarriers containing mRNA can improve the efficiency and enable the delivery to specific sites, that can provide a stimulant or substance for therapeutic purposes. This combination may improve their stability and efficacy in multiple applications of therapies. The following chapter throws light on basic advances in mRNA-based cancer therapy and provides insights into the nanotherapeutics using mRNA in key preclinical developments and the evolving clinical landscape.

mRNA携带遗传信息,在生物技术和医学领域用于蛋白质、蛋白质片段和肽的合成。一旦被引入细胞,这种mRNA就会通过细胞机制被翻译成相应的蛋白质。编码任何蛋白质、肽和蛋白质片段的各种mRNA已被设计用于各种治疗目的,包括癌症疾病、免疫治疗、疫苗制备、组织工程和遗传疾病等。这些疫苗编码肿瘤特异性抗原,刺激免疫系统识别和攻击癌细胞。此外,mRNA可以被设计成产生调节免疫检查点的蛋白质,从而增强免疫系统靶向癌细胞的能力。合成mRNA还可以改造免疫细胞,如T细胞,以提高它们的抗癌能力。例如,mRNA可以被改造成产生CAR - T细胞,靶向在癌症中表达的特定抗原。设计的mRNA可以在患有以特定蛋白质缺失或缺陷为特征的遗传疾病的患者中编码功能蛋白。然而,mRNA本质上是不稳定的,可能需要特殊的机制来保护它免受降解。mRNA递送到靶细胞仍然是一个挑战。含有mRNA的工程化纳米载体可以提高效率并使其能够递送到特定的位点,从而可以提供用于治疗目的的兴奋剂或物质。这种组合可以提高它们在多种治疗应用中的稳定性和疗效。下一章介绍了基于mRNA的癌症治疗的基本进展,并提供了在关键的临床前发展和不断发展的临床前景中使用mRNA的纳米治疗的见解。
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引用次数: 0
Ontogeny and function of microglia and nerve-associated macrophages. 小胶质细胞和神经相关巨噬细胞的个体发生和功能。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-06-27 DOI: 10.1016/bs.ai.2025.04.002
Marina Mayer, Eliana Franco Taveras, Elvira Mass

Macrophages are essential immune cells that arise early during embryogenesis and persist as tissue-resident cells into adulthood. This chapter explores macrophage development, focusing on their roles in the nervous system. We describe their distinct origins from early hematopoietic waves and their differentiation into specialized populations such as microglia and border-associated macrophages (BAMs) in the central nervous system (CNS) as well as nerve-associated macrophages in the peripheral (PNS) and enteric nervous system (ENS). These macrophage populations are crucial for tissue development, maintenance, and repair mediating their effects through intricate cellular communication networks with neighboring cells. Furthermore, we discuss how disruptions in macrophage development - driven by factors such as maternal obesity, stress, or environmental pollutants - can have profound and lasting impacts on neurodevelopmental and neurodegenerative outcomes. Gaining a deeper understanding of these developmental processes offers valuable insights into nervous system integrity and reveals potential therapeutic avenues for mitigating disease-related consequences.

巨噬细胞是一种重要的免疫细胞,在胚胎发生早期出现,并作为组织驻留细胞持续存在到成年期。本章探讨巨噬细胞的发育,重点关注它们在神经系统中的作用。我们描述了它们从早期造血波的不同起源,以及它们分化为专门的群体,如中枢神经系统(CNS)的小胶质细胞和边界相关巨噬细胞(BAMs),以及外周神经系统(PNS)和肠神经系统(ENS)的神经相关巨噬细胞。这些巨噬细胞群对组织发育、维持和修复至关重要,通过与邻近细胞复杂的细胞通讯网络介导其作用。此外,我们讨论了巨噬细胞发育的中断-由母亲肥胖,压力或环境污染物等因素驱动-如何对神经发育和神经退行性结局产生深远而持久的影响。对这些发育过程的深入了解为神经系统完整性提供了有价值的见解,并揭示了减轻疾病相关后果的潜在治疗途径。
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引用次数: 0
Harnessing the immune system: Insights into cancer vaccines. 利用免疫系统:对癌症疫苗的洞察。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-03-24 DOI: 10.1016/bs.ai.2024.10.006
Sushree Subhadra Acharya, Subhasmita Bhal, Biswajit Das, Chanakya Nath Kundu

Cancer vaccines have become a promising approach in the fight against cancer, harnessing the remarkable capability of the human immune system to recognize and eliminate cancer cells. These vaccines are specifically engineered to activate the immune response against malignant cells, marking a significant advancement in contemporary research. By capitalizing on the unique ability of the immune system to detect and eliminate cancer cells, these vaccines present promising prospects for both prevention and therapeutic intervention. Recent advancements have provided profound insights into how these vaccines can be tailored to target specific cancer types, enhancing their efficacy and minimizing side effects. This innovative strategy holds the potential to transform cancer care, offering new avenues for durable and effective treatments. This chapter delves into the historical context of cancer vaccine research, discussing various types of cancer vaccines, their mechanisms of action, and the role of adjuvants and delivery systems in enhancing vaccine efficacy. It also covers tumor immunogenicity, how tumor cells evade the immune system, and the combined use of cancer vaccines with other treatment approaches. The chapter aims to elucidate the potential of cancer vaccines to revolutionize cancer treatment and improve patient outcomes.

癌症疫苗已经成为对抗癌症的一种很有前途的方法,利用人类免疫系统的非凡能力来识别和消灭癌细胞。这些疫苗经过专门设计,可激活针对恶性细胞的免疫反应,标志着当代研究的重大进展。通过利用免疫系统检测和消除癌细胞的独特能力,这些疫苗在预防和治疗干预方面都有很好的前景。最近的进展为如何针对特定的癌症类型定制这些疫苗,提高其功效并最大限度地减少副作用提供了深刻的见解。这一创新战略具有改变癌症治疗的潜力,为持久有效的治疗提供了新的途径。本章深入探讨了癌症疫苗研究的历史背景,讨论了各种类型的癌症疫苗,它们的作用机制,以及佐剂和递送系统在提高疫苗效力方面的作用。它还涵盖了肿瘤免疫原性,肿瘤细胞如何逃避免疫系统,以及癌症疫苗与其他治疗方法的联合使用。本章旨在阐明癌症疫苗的潜力,以彻底改变癌症治疗和改善患者的结果。
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引用次数: 0
B-cell editing: An emerging alternative of precision oncotherapy. b细胞编辑:一种新兴的精确肿瘤治疗方法。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-30 DOI: 10.1016/bs.ai.2024.10.002
Pritha Roy Choudhury, Mohona Chakravarti, Saptak Banerjee, Rathindranath Baral, Anamika Bose

Lately, the urgency of precision medicine in cancer care through immunotherapy has reformed the arena of oncology. Although immunomodulatory therapeutics in cancer have been preliminarily concentrated on T-cells, emerging evidences have suggested that intra-tumoral B-cells and plasma cells have significant contributions in cancer prognosis primarily through the production of antibodies. B-cell oriented cancer vaccines have been used in early clinical trials of breast and other cancers after multiple preclinical studies. Passive immunotherapy via administration of monoclonal antibodies (mAbs) and emergence of anti-idiotypic antibodies have led to considerable advancement in oncotherapy. Endogenous production of mAbs would be of significant benefit in recurrent or residual malignancies and permanent infusion would help in the overcoming of issues related to pharmacodynamic variations observed in case of intravenous inoculations of bi or tri specific mAbs. This has directed towards the development of genome reprogrammed B-cells with the capability of yielding therapeutic mAbs independently. Genetic alteration through clustered regularly interspaced short palindromic repeats (CRISPR)/CRISPR-associated protein 9 (Cas9) nucleases have enabled the introduction of transgenes into B-cell genome thereby stimulating the plasma cells to produce exogenous remedial antibodies. It also facilitates ex vivo B-cell editing to elevate specificities of antigen receptors and generate target specific antibody responses which cannot normally be evoked in patient's immune system. Hence, genome-altered B-cells possess the potential of engineered therapeutics against certain malignancies. Co-operation of B-cells in T-cell based vaccines are ultimate need for vaccine success. In this chapter, the mechanisms, challenges and potential advantages of B-cell editing in cancer immune therapy shall be explored. The prospects of B-cell editing in onco-therapy will be clearly elucidated with all its strength and weaknesses.

最近,通过免疫疗法治疗癌症的精准医学的紧迫性已经改变了肿瘤学领域。虽然癌症的免疫调节疗法初步集中在t细胞上,但新出现的证据表明,肿瘤内的b细胞和浆细胞主要通过产生抗体对癌症预后有重要贡献。经过多次临床前研究,b细胞导向的癌症疫苗已用于乳腺癌和其他癌症的早期临床试验。通过单克隆抗体(mab)的被动免疫治疗和抗独特型抗体的出现导致了肿瘤治疗的长足进步。内源性单克隆抗体的产生将对复发或残留的恶性肿瘤有显著的好处,永久输注将有助于克服静脉注射双或三特异性单克隆抗体时观察到的药效学变化问题。这直接导致了基因组重编程b细胞的发展,具有独立产生治疗性单克隆抗体的能力。通过聚集规律间隔短回文重复序列(CRISPR)/CRISPR相关蛋白9 (Cas9)核酸酶的遗传改变,可以将转基因引入b细胞基因组,从而刺激浆细胞产生外源性补救抗体。它还有助于体外b细胞编辑,以提高抗原受体的特异性,并产生在患者免疫系统中通常无法引起的靶向特异性抗体反应。因此,基因组改变的b细胞具有针对某些恶性肿瘤的工程治疗的潜力。b细胞在t细胞疫苗中的协同作用是疫苗成功的最终需要。本章将探讨b细胞编辑在癌症免疫治疗中的机制、挑战和潜在优势。b细胞编辑在肿瘤联合治疗中的前景将清楚地阐明其所有优势和劣势。
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引用次数: 0
Modulation of humoral immunity by γδ T cells: A potential adjuvant strategy for vaccination. γδ T细胞调节体液免疫:一种潜在的疫苗佐剂策略。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-05-23 DOI: 10.1016/bs.ai.2025.05.001
Kirsty Emery, Matthias Eberl

Vaccination is arguably the most effective intervention in reducing the impact of infectious diseases. However, many vaccines provide only partial or transient protection, prompting the need for more effective solutions based on our growing understanding of the pivotal role of CD4+ T follicular helper (Tfh) cells in humoral immunity and how they interact with B cells. Here we review how γδ T cells can boost antibody responses via crosstalk with both Tfh and B cells, which could lead to new adjuvant strategies to improve vaccination efficacy, achieve long-lasting protective immunity and prevent major infectious diseases of global importance.

疫苗接种可以说是减少传染病影响的最有效干预措施。然而,许多疫苗只能提供部分或短暂的保护,这促使我们基于对CD4+ T滤泡辅助细胞(Tfh)在体液免疫中的关键作用以及它们如何与B细胞相互作用的日益了解,需要更有效的解决方案。本文综述了γδ T细胞如何通过与Tfh和B细胞的串扰增强抗体反应,这可能导致新的佐剂策略,以提高疫苗接种效果,实现持久的保护性免疫,并预防全球重要的重大传染病。
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引用次数: 0
Progress in modifying and delivering mRNA therapies for cancer immunotherapy. 修饰和递送mRNA疗法用于癌症免疫治疗的进展。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1016/bs.ai.2024.10.004
Karan Goel, Isha Chawla, Garima, Meenakshi Dhanawat, Pramila Chaubey

Advancements in mRNA-based therapeutics have greatly enhanced cancer immunotherapy by using the immune system to specifically target and eradicate cancer cells. There has been notable advancement in tailoring and administering mRNA to treat cancer. Codon optimization, chemical alterations, and sequence manipulation are complex design methodologies employed in the production of mRNA vaccines and treatments. The goal is to improve the ability of the chemicals to stimulate an immune response, increase their ability to be translated into practical applications, and boost their stability. Lipid nanoparticles (LNPs) are currently the most efficient means of delivering mRNA because they can withstand degradation, enhance cellular uptake, and facilitate endosomal escape. Scientists are currently investigating the possibility of using alternate methods of delivering substances, including as exosomes, lipoplexes, and polymeric nanoparticles, to enhance the ability to target specific tissues and minimize unwanted negative consequences. In addition, recent clinical trials and preclinical investigations have demonstrated encouraging findings in terms of the advancement of strong anti-tumor immune responses, long-lasting tumor shrinkage, and enhanced patient outcomes. The remaining challenges involve optimizing the equilibrium between tolerance and immunological activation, addressing systemic toxicity, and expanding manufacturing techniques. The upcoming study seeks to improve the design and dissemination of mRNA, include it in combination drugs, and investigate its therapeutic uses outside cancer. The advancement in cancer treatment represents a change in the current approach, highlighting the significant impact of mRNA technology in revolutionizing immunotherapy and enabling tailored cancer treatments.

基于mrna的治疗方法的进步通过利用免疫系统特异性靶向和根除癌细胞,极大地增强了癌症免疫治疗。在剪裁和管理mRNA治疗癌症方面取得了显著进展。密码子优化、化学改变和序列操作是用于mRNA疫苗生产和治疗的复杂设计方法。目标是提高化学物质刺激免疫反应的能力,增加它们转化为实际应用的能力,并提高它们的稳定性。脂质纳米颗粒(LNPs)是目前最有效的传递mRNA的手段,因为它们可以承受降解,增强细胞摄取,并促进内体逃逸。科学家们目前正在研究使用替代方法递送物质的可能性,包括外泌体、脂质体和聚合纳米颗粒,以增强靶向特定组织的能力,并最大限度地减少不必要的负面后果。此外,最近的临床试验和临床前研究在促进强抗肿瘤免疫反应、持久肿瘤缩小和增强患者预后方面显示了令人鼓舞的发现。剩下的挑战包括优化耐受性和免疫激活之间的平衡,解决全身毒性和扩大制造技术。这项即将进行的研究旨在改善mRNA的设计和传播,将其纳入联合药物,并研究其在癌症以外的治疗用途。癌症治疗的进展代表了当前方法的变化,突出了mRNA技术在彻底改变免疫治疗和实现量身定制癌症治疗方面的重大影响。
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引用次数: 0
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