ACS Biomaterials Science & Engineering, Год журнала: 2025, Номер unknown
Опубликована: Апрель 14, 2025
Cancer is one of the leading causes mortality worldwide. Nanomedicines have significantly improved life expectancy and survival rates for cancer patients in current standard care. However, recurrence due to metastasis remains a significant challenge. Vaccines can provide long-term protection are ideal preventing bacterial viral infections. vaccines, however, shown limited therapeutic efficacy raised safety concerns despite extensive research. vaccines target stimulate responses against tumor-specific antigens demonstrated great potential treatment preclinical studies. tumor-associated immunosuppression immune tolerance driven by immunoediting pose challenges vaccine design. In situ vaccination represents an alternative approach traditional vaccines. This strategy involves intratumoral administration immunostimulants modulate growth differentiation innate cells, such as dendritic macrophages, neutrophils, restore T-cell activity. Currently approved T-VEC, clinical promise, while ongoing trials continue explore novel strategies broader efficacy. Despite these advancements, failures research highlight need address suppression escape mechanisms. combine adaptive stimulation, leveraging activate cells cross-prime CD8+ T cells. Various modalities, nucleotide-based (e.g., RNA DNA vaccines), peptide-based cell-based (including dendritic, T-cell, B-cell approaches), show potential. Plant-based approaches, including cowpea mosaic virus Newcastle disease virus, further expand toolkit vaccination. Therapeutic modalities chemotherapy, radiation, photodynamic therapy, photothermal Checkpoint blockade inhibitors contribute enhanced antigen presentation activation. Adjuvants like CpG-ODN PRR agonists enhance modulation The advantages include patient specificity, personalization, minimized escape, reduced logistical costs. barriers tumor heterogeneity, evasion, remain. review explores developing potent examines trials, evaluates stimulation methods, discusses prospects advancing
Язык: Английский