Cancer immunotherapy from biology to nanomedicine

J Control Release. 2021 Aug 10:336:410-432. doi: 10.1016/j.jconrel.2021.06.025. Epub 2021 Jun 24.

Abstract

With the significant drawbacks of conventional cancer chemotherapeutics, cancer immunotherapy has demonstrated the ability to eradicate cancer cells and circumvent multidrug resistance (MDR) with fewer side effects than traditional cytotoxic therapies. Various immunotherapeutic agents have been investigated for that purpose including checkpoint inhibitors, cytokines, monoclonal antibodies and cancer vaccines. All these agents aid immune cells to recognize and engage tumor cells by acting on tumor-specific pathways, antigens or cellular targets. However, immunotherapeutics are still associated with some concerns such as off-target side effects and poor pharmacokinetics. Nanomedicine may resolve some limitations of current immunotherapeutics such as localizing delivery, controlling release and enhancing the pharmacokinetic profile. Herein, we discuss recent advances of immunotherapeutic agents with respect to their development and biological mechanisms of action, along with the advantages that nanomedicine strategies lend to immunotherapeutics by possibly improving therapeutic outcomes and minimizing side effects.

Keywords: Checkpoint Inhibitors; Cytokines; Immunotherapy; Monoclonal Antibodies; Nanoparticles; Vaccines.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Biology
  • Cancer Vaccines*
  • Humans
  • Immunotherapy
  • Nanomedicine
  • Neoplasms* / therapy

Substances

  • Cancer Vaccines