Immunological effects of nano-enabled hyperthermia for solid tumors: opportunity and challenge

Immunological effects of nano-enabled hyperthermia for solid tumors: opportunity and challenge
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纳米热疗对实体瘤的免疫效应:机遇与挑战

DOI:
10.1007/s11705-021-2059-5
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发表时间:
2021-06
影响因子:
4.5
通讯作者:
Meng Huan
Meng Huan
中科院分区:
工程技术2区
文献类型:
--
作者:
Liu Xiangsheng;Sun Hui;Wang Xueqing;Meng Huan

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与传统的热疗,是有限的低选择性和严重的副作用相比,纳米热疗产生巨大的潜力,以解决这些局限性的癌症治疗。另一个主要进展是观察到与纳米热疗相关的免疫反应,这引入了一种新的途径,允许从急性有效和以细胞毒性为中心的反应到下一阶段发现的潜在范式转变,即,持久和/或全身抗肿瘤免疫。该观点首先讨论了接受纳米热疗的实体瘤中的温度梯度和空间结构化免疫景观。这包括对潜在机制的讨论,如免疫原性细胞死亡,这引发了深刻的免疫连锁反应。为了传播免疫激活作为一种可行的治疗原则,我们进一步讨论了免疫肿瘤微环境中肿瘤类型特异性的复杂性,包括纳米联合治疗的创造性设计,以与纳米热疗协同作用。
Compared to conventional hyperthermia that is limited by low selectivity and severe side effects, nanoenabled hyperthermia yields great potentials to tackle these limitations for cancer treatment. Another major advance is the observation of immunological responses associated with nano-enabled hyperthermia, which introduces a new avenue, allowing a potential paradigm shift from the acutely effective and cytotoxicity-centric response to the next-phase discovery, i.e., long-lasting and/or systemic anti-tumor immunity. This perspective first discusses the temperature-gradient and the spatially-structured immunological landscape in solid tumors receiving nano-enabled hyperthermia. This includes the discussion about underlying mechanism such as immunogenic cell death, which initiates a profound immunological chain reaction. In order to propagate the immune activation as a viable therapeutic principle, we further discussed the tumor type-specific complexity in the immunological tumor microenvironment, including the creative design of nano-enabled combination therapy to synergize with nano-enabled hyperthermia.
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