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ROS-Responsive Nanoplatforms for Targeted Tumor Immunomodulation: A Paradigm Shift in Precision Cancer Immunotherapy
Yuan-Yuan Fan1,2,3,4, Hong Wu2,3,4, Chuan Xu1,2,3,4
1Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China.
Abstract:
Despite remarkable advancements in cancer immunotherapy, its clinical efficacy remains constrained in solid tumors due to the immunosuppressive tumor microenvironment (TME). Reactive oxygen species (ROS), which exhibit dual regulatory roles in the TME by regulating immunogenic cell death (ICD) and reprogramming immune cell functionality, have emerged as a pivotal therapeutic target. Nano-enabled drug delivery systems present distinct advantages for TME modulation due to their structural versatility, tumor-specific targeting precision, and spatiotemporally controlled drug release. In particular, ROS-responsive nanoplatforms demonstrate multifaceted immunomodulatory potential by synergistically restoring ICD and remodeling immunosuppressive immune cell phenotypes within the TME. These platforms further amplify the therapeutic outcomes of conventional modalities including chemotherapy, radiotherapy, and photodynamic therapy (PDT) through ROS-mediated sensitization mechanisms. This review comprehensively examines recent breakthroughs in ROS-responsive nanosystems for antitumor immunotherapy, emphasizing their mechanistic interplay with TME components and clinical translation potential. Herein, we provide a framework for developing integrated therapeutic strategies to overcome the current limitations in cancer immunotherapy.
Insights
Reactive oxygen species (ROS) are key targets for cancer immunotherapy in solid tumors. ROS-responsive nanoplatforms can overcome the immunosuppressive tumor microenvironment (TME) to enhance treatment efficacy.
Area of Science:
- Biomedical Engineering
- Immunology
- Oncology
Background:
- The immunosuppressive tumor microenvironment (TME) limits cancer immunotherapy efficacy in solid tumors.
- Reactive oxygen species (ROS) play a dual role in the TME, influencing immunogenic cell death (ICD) and immune cell function.
- Nano-enabled drug delivery systems offer advantages for TME modulation, including targeted delivery and controlled release.
Purpose of the Study:
- To review recent advancements in ROS-responsive nanosystems for antitumor immunotherapy.
- To explore the mechanistic interplay between these nanosystems and TME components.
- To assess the clinical translation potential of ROS-responsive nanoplatforms.
Main Methods:
- Comprehensive literature review of ROS-responsive nanosystems in cancer immunotherapy.
- Analysis of studies focusing on TME modulation and immune cell reprogramming.
- Examination of synergistic effects with conventional therapies like chemotherapy, radiotherapy, and photodynamic therapy (PDT).
Main Results:
- ROS-responsive nanoplatforms can restore ICD and remodel immunosuppressive immune cells within the TME.
- These nanoplatforms enhance conventional cancer therapies through ROS-mediated sensitization.
- Integrated therapeutic strategies utilizing ROS-responsive nanosystems show promise for overcoming immunotherapy limitations.
Conclusions:
- ROS-responsive nanoplatforms represent a promising strategy for enhancing cancer immunotherapy by targeting the TME.
- Further research into their mechanistic interplay and clinical translation is warranted.
- Developing integrated therapeutic approaches is crucial for improving outcomes in solid tumor treatment.
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