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Local Drug Delivery Techniques for Triggering Immunogenic Cell Death
En Ren1, Yanfang Wang1, Tingxizi Liang1
1Key Laboratory of Advanced Drug Delivery Systems of Zhejiang Province, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, 310058, P. R. China.
Abstract:
Immunogenic cell death (ICD), a dying state of the cells, encompasses the changes in the conformations of cell surface and the release of damage-associated molecular patterns, which could initiate an adaptive immune response by stimulating the dendritic cells to present antigens to T cells. Advancements in biomaterials, nanomedicine, and micro- and nano-technologies have facilitated the development of effective ICD inducers, but the potential toxicity of these vesicles encountered in drug delivery via intravenous administration hampers their further application. As alternatives, the local drug delivery systems have gained emerging attention due to their ability to prolong the retention of high payloads at the lesions, sequester drugs from harsh environments, overcome biological barriers to exert optimal efficacy, and minimize potential side effects to guarantee bio-safety. Herein, a brief overview of the local drug delivery techniques used for ICD inducers is provided, explaining how these techniques broaden, alter, and enhance the therapeutic capability while circumventing systemic toxicity at the same time. The historical context and prominent examples of the local administration of ICD inducers are introduced. The complexities, potential pitfalls, and opportunities for local drug delivery techniques in cancer immunotherapy are also discussed.
Insights
Local drug delivery systems offer a safer alternative for cancer immunotherapy by enhancing immunogenic cell death (ICD) inducers. These systems improve drug retention and efficacy while minimizing systemic toxicity.
Area of Science:
- Oncology
- Immunology
- Biomaterials Science
Background:
- Immunogenic cell death (ICD) is a cellular process that triggers adaptive immune responses crucial for cancer immunotherapy.
- Current ICD inducers, often delivered intravenously, face limitations due to potential systemic toxicity.
- Local drug delivery systems present a promising alternative to overcome these limitations.
Purpose of the Study:
- To provide an overview of local drug delivery techniques for immunogenic cell death (ICD) inducers.
- To explain how local delivery enhances therapeutic capabilities and circumvents systemic toxicity.
- To discuss the complexities, pitfalls, and opportunities of local drug delivery in cancer immunotherapy.
Main Methods:
- Review of existing literature on local drug delivery systems for ICD inducers.
- Analysis of historical context and prominent examples of local administration of ICD inducers.
- Discussion of the advantages and challenges associated with local drug delivery strategies.
Main Results:
- Local drug delivery systems can prolong drug retention at tumor sites.
- These systems effectively sequester drugs, overcome biological barriers, and optimize therapeutic efficacy.
- Local administration minimizes systemic side effects, enhancing patient safety and bio-safety.
Conclusions:
- Local drug delivery represents a significant advancement in cancer immunotherapy by improving ICD inducer efficacy and safety.
- These techniques offer a viable strategy to enhance anti-tumor immune responses while mitigating off-target toxicities.
- Further research into local drug delivery holds substantial promise for optimizing cancer treatment outcomes.
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