Transformable vesicles for cancer immunotherapy

Adv Drug Deliv Rev. 2021 Dec:179:113905. doi: 10.1016/j.addr.2021.113905. Epub 2021 Jul 29.

Abstract

Immunotherapy that utilizes the human immune system to fight cancer represents a revolutionary method for cancer treatment. Immunotherapeutic agents that trigger the immune response should be carefully delivered to the desired site to maximize immunotherapy effectiveness and minimize side effects. Vesicles offer the possibility of encapsulating both hydrophilic and hydrophobic drugs and thus serve as a promising delivery tool. As multiple irreconcilable requirements exist at different transport stages, developing vesicles transformable in response to given stimuli is of great significance. In this review, we first introduced various vesicle types used for immunotherapy. Furthermore, the typical stimuli that trigger vesicle transformation and the usually generated transformation styles were described. Focusing on three aspects of antigen-presenting cell (APC)/T cell activation, tumor microenvironment (TME) amelioration, and immunogenic cell death (ICD)-induced immunotherapy, we reviewed recently reported transformable vesicles for tumor treatment. Finally, we put forward possible directions for future research and clinical translation.

Keywords: Cancer immunotherapy; Immune activation; Immunogenic cell death; Stimuli-sensitive; Transformation; Tumor microenvironment; Vesicles.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antigen-Presenting Cells / drug effects
  • Antineoplastic Agents, Immunological / administration & dosage*
  • Antineoplastic Agents, Immunological / pharmacology*
  • Chemistry, Pharmaceutical
  • Drug Delivery Systems / methods*
  • Humans
  • Immunogenic Cell Death / drug effects*
  • T-Lymphocytes / drug effects
  • Tumor Microenvironment / drug effects*

Substances

  • Antineoplastic Agents, Immunological