Non-viral gene delivery for cancer immunotherapy

J Gene Med. 2019 Jul;21(7):e3092. doi: 10.1002/jgm.3092. Epub 2019 May 28.

Abstract

Recent decades have witnessed the revolutionary development of cancer immunotherapies, which boost cancer-specific immune responses for long-term tumor regression. However, immunotherapy still has limitations, including off-target side effects, long processing times and limited patient responses. These disadvantages of current immunotherapy are being addressed by improving our understanding of the immune system, as well as by establishing combinational approaches. Advanced biomaterials and gene delivery systems overcome some of these delivery issues, harnessing adverse effects and amplifying immunomodulatory effects, and are superior to standard formulations with respect to eliciting antitumor immunity. Nucleic acid-based nanostructures have diverse functions, ranging from gene expression and gene regulation to pro-inflammatory effects, as well as the ability to specifically bind different molecules. A brief overview is provided of the recent advances in the non-viral gene delivery methods that are being used to activate cancer-specific immune responses. Furthermore, the tumor microenvironment-responsive synergistic strategies that modulate the immune response by targeting various signaling pathways are discussed. Nanoparticle-based non-viral gene delivery strategies have great potential to be implemented in the clinic for cancer immunotherapy.

Keywords: cancer immunotherapy; gene delivery; nanoparticles; stimuli-responsive; tumor microenvironment.

Publication types

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

MeSH terms

  • Dendritic Cells / drug effects
  • Dendritic Cells / immunology
  • Dendritic Cells / metabolism*
  • Gene Transfer Techniques* / adverse effects
  • Gene Transfer Techniques* / trends
  • Genetic Therapy / methods*
  • Humans
  • Immunotherapy* / adverse effects
  • Immunotherapy* / trends
  • Immunotherapy, Adoptive
  • Nanoparticles / chemistry
  • Neoplasms / genetics
  • Neoplasms / immunology
  • Neoplasms / therapy*
  • RNA Interference / immunology
  • Tumor Microenvironment / drug effects
  • Tumor Microenvironment / genetics
  • Tumor Microenvironment / immunology