Modulating barriers of tumor microenvironment through nanocarrier systems for improved cancer immunotherapy: a review of current status and future perspective

Drug Deliv. 2020 Dec;27(1):1248-1262. doi: 10.1080/10717544.2020.1809559.

Abstract

Cancer immunotherapy suppresses and destroys tumors by re-activating and sustaining the tumor-immune process, and thus improving the immune response of the body to the tumor. Immunotherapeutic strategies are showing promising results in pre-clinical and clinical trials, however, tumor microenvironment (TME) is extremely immunosuppressive. Thus, their translation from labs to clinics still faces issues. Recently, nanomaterial-based strategies have been developed to modulate the TME for robust immunotherapeutic responses. The combination of nanotechnology with immunotherapy potentiates the effectiveness of immunotherapy by increasing delivery and retention, and by reducing immunomodulation toxicity. This review aims to highlight the barriers offered by TME for hindering the efficiency of immunotherapy for cancer treatment. Next, we highlight various nano-carriers based strategies for modulating those barriers for achieving better therapeutic efficacy of cancer immunotherapy with higher safety. This review will add to the body of scientific knowledge and will be a good reference material for academia and industries.

Keywords: Tumor microenvironment; immunotherapy; nanotechnology.

Publication types

  • Review

MeSH terms

  • Animals
  • Drug Carriers / administration & dosage
  • Forecasting
  • Humans
  • Immunotherapy / methods*
  • Immunotherapy / trends
  • Inflammation Mediators / antagonists & inhibitors
  • Inflammation Mediators / immunology
  • Nanoparticles / administration & dosage*
  • Nanotechnology / methods*
  • Nanotechnology / trends
  • Neoplasms / immunology*
  • Neoplasms / therapy*
  • Tumor Microenvironment / drug effects
  • Tumor Microenvironment / immunology*
  • Xenograft Model Antitumor Assays / methods

Substances

  • Drug Carriers
  • Inflammation Mediators

Grants and funding

This work was supported by Zhejiang Provincial Science and Technology Projects [grants no. GF20H020041 to HS, LGD19H160001 to JKT], Shaoxing Municipal Science and Technology Projects [grant no. 2018C30016 to FXL], and National Natural Science Foundation of China [Grants No. 81772537 to JKT; 81374014 to JKT].