纳米放射增敏剂在放疗诱导免疫原性细胞死亡中的作用机制及研究进展
The mechanism and research progress of nanoradiosensitizers in the induction of immunogenic cell death by radiotherapy
投稿时间:2025-08-25  修订日期:2025-11-19
DOI:
中文关键词:  纳米放射增敏剂  免疫原性细胞死亡  放射治疗  免疫治疗
英文关键词:nanoradiosensitizers  immunogenic cell death  radiotherapy  immunotherap
基金项目:
作者单位邮编
马飞 浙江省肿瘤医院 310022
郑家平* 浙江省肿瘤医院 310022
武小侠 浙江省肿瘤医院 310022
张定虎 浙江省肿瘤医院 310022
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中文摘要:
      纳米放射增敏剂作为提升肿瘤放射治疗效能的前沿策略,能够增强电离辐射对肿瘤细胞的损伤作用,并弥补传统放疗在诱导免疫原性细胞死亡(Immunogenic Cell Death, ICD)方面的不足。近年来,相关研究表明纳米放射增敏剂不仅可显著提高肿瘤放射敏感性,还可通过促进ICD发生,推动放疗与机体抗肿瘤免疫应答的协同增强,为改善免疫治疗应答率提供新的可能性。本文综述了纳米放射增敏剂诱导ICD的机制,重点讨论了无机、无机有机结合以及有机放射增敏剂的研究进展。此外,本文还探讨了放射增敏剂与化疗、靶向治疗及免疫治疗等其他治疗手段的联合应用,为提高肿瘤治疗效果提供新的方向。最后,本文展望了纳米放射增敏剂与介入治疗相结合的潜在应用,旨在通过多模态治疗策略的应用,进一步提升肿瘤治疗的疗效,并推动肿瘤综合治疗的新进展。
英文摘要:
      Nanoradiosensitizers, as an emerging frontier strategy for augmenting the efficacy of tumor radiotherapy, can potentiate the cytotoxic effects of ionizing radiation on tumor cells and compensate for the limited capacity of conventional radiotherapy to induce immunogenic cell death (ICD). In recent years, accumulating evidence has demonstrated that nanoradiosensitizers not only substantially enhance tumor radiosensitivity but also promote the induction of ICD, thereby reinforcing the synergistic interplay between radiotherapy and antitumor immune responses and offering new opportunities to improve the clinical responsiveness to immunotherapy. This review summarizes the mechanisms through which nanoradiosensitizers elicit ICD and highlights recent advances in inorganic, inorganic–organic hybrid, and organic radiosensitizers. Furthermore, it discusses the combinatorial application of radiosensitizers with chemotherapy, targeted therapy, immunotherapy, and other therapeutic modalities,providing new directions for optimizing therapeutic outcomes. Finally, this review outlines the potential integration of nanoradiosensitizers with interventional therapeutic approaches, with the aim of further enhancing antitumor efficacy through multimodal strategies and advancing the development of comprehensive cancer treatment.
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