4.7 Review

Nanoparticle-based approaches to target the lymphatic system for antitumor treatment

Journal

CELLULAR AND MOLECULAR LIFE SCIENCES
Volume 78, Issue 12, Pages 5139-5161

Publisher

SPRINGER BASEL AG
DOI: 10.1007/s00018-021-03842-6

Keywords

Lymphatic targeting; Nanoplatform; Tumor metastasis; Image-guided therapy; Lymphoscintigraphy; DC vaccine; Combinational immunotherapy

Funding

  1. Hainan University Scientific Research Foundation [KYQD(ZR)20078, KYQD(ZR)19107]
  2. Innovation Fund of WNLO

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Immunotherapies are safe and effective for tumor treatments, with the lymphatic system playing a crucial role in modulating the immune response. Targeting the lymphatic system using nanoparticle technology shows promise in improving the efficacy of cancer treatments.
Immunotherapies have been established as safe and efficient modalities for numerous tumor treatments. The lymphatic system, which is an important system, can modulate the immune system via a complex network, which includes lymph nodes, vessels, and lymphocytes. With the deepening understanding of tumor immunology, a plethora of immunotherapies, which include vaccines, photothermal therapy, and photodynamic therapy, have been established for antitumor treatments. However, the deleterious off-target effects and nonspecific targeting of therapeutic agents result in low efficacy of immunotherapy. Fortunately, nanoparticle-based approaches for targeting the lymphatic system afford a unique opportunity to manufacture drugs that can simultaneously tackle both aspects, thereby improving tumor treatments. Over the past decades, great strides have been made in the development of DC vaccines and nanomedicine as antitumor treatments in the field of lymphatic therapeutics and diagnosis. In this review, we summarize the current strategies through which nanoparticle technology has been designed to target the lymphatic system and describe applications of lymphatic imaging for the diagnosis and image-guided surgery of tumor metastasis. Moreover, improvements in the tumor specificity of nanovaccines and medicines, which have been realized through targeting or stimulating the lymphatic system, can provide amplified antitumor immune responses and reduce side effects, thereby promoting the paradigm of antitumor treatment into the clinic to benefit patients.

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