用于免疫疗法的纳米/基因工程细胞

BMEMat Pub Date : 2024-07-17 DOI:10.1002/bmm2.12112
Jingrui Shen, Yang Zhou, Lichen Yin
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摘要

近来,免疫疗法已成为治疗癌症、炎症、自身免疫性疾病和传染病等多种疾病的一种前景广阔的治疗方式。尽管免疫疗法潜力巨大,但它也面临着与免疫治疗药物的给药效率和脱靶毒性有关的挑战。纳米给药系统可改善药物的生物分布和释放动力学,但仍存在免疫原性高、穿透生物屏障能力差和组织渗透性不足等缺点。利用活细胞靶向给药已成为一种新兴策略,它可以利用细胞的固有特性来解决纳米给药系统的给药缺陷。此外,还可以通过基因工程将细胞本身转化为细胞药物,以增强免疫疗法。本综述深入探讨了细胞衍生药物载体,详细介绍了它们的生物特性、功能和常用的药物负载策略。此外,还介绍了转基因细胞在免疫疗法中的作用及其与药物输送的协同治疗效果。通过总结该领域的主要进展和局限性,本综述深入探讨了基于细胞的给药系统在应对现有免疫疗法挑战方面的潜力。对最新进展的介绍和对正在进行的研究的评估将为优化和广泛采用纳米/基因工程细胞进行免疫治疗铺平道路。
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Nano/genetically engineered cells for immunotherapy
Immunotherapy has recently emerged as a promising therapeutic modality for the treatment of various diseases such as cancer, inflammation, autoimmune diseases, and infectious diseases. Despite its potential, immunotherapy faces challenges related to delivery efficiency and off‐target toxicity of immunotherapeutic drugs. Nano drug delivery systems offer improvements in drug biodistribution and release kinetics but still suffer from shortcomings such as high immunogenicity, poor penetration across biological barriers, and insufficient tissue permeability. Targeted delivery of drugs using living cells has become an emerging strategy that can take advantage of the inherent characteristics of cells to deal with the delivery defects of nano delivery systems. Furthermore, cells themselves can be genetically engineered into cellular drugs for enhanced immunotherapy. This review provides an in‐depth exploration of cell‐derived drug carriers, detailing their biological properties, functions, and commonly used drug loading strategies. In addition, the role of genetically modified cells in immunotherapy and their synergistic therapeutic effects with drug delivery are also introduced. By summarizing the main advancements and limitations in the field, this review offers insights into the potential of cell‐based drug delivery systems to address the existing challenges in immunotherapy. The introduction to recent developments and evaluation of ongoing research will pave the way for the optimization and widespread adoption of nano/genetically engineered cells for immunotherapy.
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