Advances in nanocarrier-mediated cancer therapy: Progress in immunotherapy, chemotherapy, and radiotherapy

Abstract. Cancer represents a major worldwide disease burden marked by escalating incidence and mortality. While therapeutic advances persist, developing safer and precisely targeted modalities remains imperative. Nanomedicines emerges as a transformative paradigm leveraging distinctive physicochemi...

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Main Authors: Yue Peng, Min Yu, Bozhao Li, Siyu Zhang, Jin Cheng, Feifan Wu, Shuailun Du, Jinbai Miao, Bin Hu, Igor A Olkhovsky, Suping Li, Yuanyuan Ji
Format: Article
Language:English
Published: Wolters Kluwer 2025-08-01
Series:Chinese Medical Journal
Online Access:http://journals.lww.com/10.1097/CM9.0000000000003703
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author Yue Peng
Min Yu
Bozhao Li
Siyu Zhang
Jin Cheng
Feifan Wu
Shuailun Du
Jinbai Miao
Bin Hu
Igor A Olkhovsky
Suping Li
Yuanyuan Ji
author_facet Yue Peng
Min Yu
Bozhao Li
Siyu Zhang
Jin Cheng
Feifan Wu
Shuailun Du
Jinbai Miao
Bin Hu
Igor A Olkhovsky
Suping Li
Yuanyuan Ji
author_sort Yue Peng
collection DOAJ
description Abstract. Cancer represents a major worldwide disease burden marked by escalating incidence and mortality. While therapeutic advances persist, developing safer and precisely targeted modalities remains imperative. Nanomedicines emerges as a transformative paradigm leveraging distinctive physicochemical properties to achieve tumor-specific drug delivery, controlled release, and tumor microenvironment modulation. By synergizing passive enhanced permeation and retention effect-driven accumulation and active ligand-mediated targeting, nanoplatforms enhance pharmacokinetics, promote tumor microenvironment enrichment, and improve cellular internalization while mitigating systemic toxicity. Despite revolutionizing cancer therapy through enhanced treatment efficacy and reduced adverse effects, translational challenges persist in manufacturing scalability, longterm biosafety, and cost-efficiency. This review systematically analyzes cutting-edge nanoplatforms, including polymeric, lipidic, biomimetic, albumin-based, peptide engineered, DNA origami, and inorganic nanocarriers, while evaluating their strategic advantages and technical limitations across three therapeutic domains: immunotherapy, chemotherapy, and radiotherapy. By assessing structure-function correlations and clinical translation barriers, this work establishes mechanistic and translational references to advance oncological nanomedicine development.
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record_format Article
series Chinese Medical Journal
spelling doaj-art-5dfa166a04984bd98aa49a0a3dbb2ddf2025-08-21T03:04:13ZengWolters KluwerChinese Medical Journal0366-69992542-56412025-08-01138161927194410.1097/CM9.0000000000003703202508200-00005Advances in nanocarrier-mediated cancer therapy: Progress in immunotherapy, chemotherapy, and radiotherapyYue Peng0Min Yu1Bozhao Li2Siyu Zhang3Jin Cheng4Feifan Wu5Shuailun Du6Jinbai Miao7Bin Hu8Igor A Olkhovsky9Suping Li10Yuanyuan Ji1 Department of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China2 Department of Stomatology, Inner Mongolia Medical University, Hohhot, Inner Mongolia 010059, China3 CAS Key Laboratory for Biomedical Effects of Nanomaterials & Nanosafety, CAS Center for Excellence in Nanoscience, National Center for Nanoscience and Technology, Beijing 100190, China5 Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China3 CAS Key Laboratory for Biomedical Effects of Nanomaterials & Nanosafety, CAS Center for Excellence in Nanoscience, National Center for Nanoscience and Technology, Beijing 100190, China6 Faculty of Hepato-Biliary-Pancreatic Surgery, The First Medical Center of the Chinese People’s Liberation Army (PLA) General Hospital; Medical School of Chinese PLA, Beijing 100853, China3 CAS Key Laboratory for Biomedical Effects of Nanomaterials & Nanosafety, CAS Center for Excellence in Nanoscience, National Center for Nanoscience and Technology, Beijing 100190, China1 Department of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China1 Department of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China7 Department of Hematology, National Research Center for Hematology, Ministry of Health, Krasnoyarsk, 660036, Russian Federation3 CAS Key Laboratory for Biomedical Effects of Nanomaterials & Nanosafety, CAS Center for Excellence in Nanoscience, National Center for Nanoscience and Technology, Beijing 100190, ChinaAbstract. Cancer represents a major worldwide disease burden marked by escalating incidence and mortality. While therapeutic advances persist, developing safer and precisely targeted modalities remains imperative. Nanomedicines emerges as a transformative paradigm leveraging distinctive physicochemical properties to achieve tumor-specific drug delivery, controlled release, and tumor microenvironment modulation. By synergizing passive enhanced permeation and retention effect-driven accumulation and active ligand-mediated targeting, nanoplatforms enhance pharmacokinetics, promote tumor microenvironment enrichment, and improve cellular internalization while mitigating systemic toxicity. Despite revolutionizing cancer therapy through enhanced treatment efficacy and reduced adverse effects, translational challenges persist in manufacturing scalability, longterm biosafety, and cost-efficiency. This review systematically analyzes cutting-edge nanoplatforms, including polymeric, lipidic, biomimetic, albumin-based, peptide engineered, DNA origami, and inorganic nanocarriers, while evaluating their strategic advantages and technical limitations across three therapeutic domains: immunotherapy, chemotherapy, and radiotherapy. By assessing structure-function correlations and clinical translation barriers, this work establishes mechanistic and translational references to advance oncological nanomedicine development.http://journals.lww.com/10.1097/CM9.0000000000003703
spellingShingle Yue Peng
Min Yu
Bozhao Li
Siyu Zhang
Jin Cheng
Feifan Wu
Shuailun Du
Jinbai Miao
Bin Hu
Igor A Olkhovsky
Suping Li
Yuanyuan Ji
Advances in nanocarrier-mediated cancer therapy: Progress in immunotherapy, chemotherapy, and radiotherapy
Chinese Medical Journal
title Advances in nanocarrier-mediated cancer therapy: Progress in immunotherapy, chemotherapy, and radiotherapy
title_full Advances in nanocarrier-mediated cancer therapy: Progress in immunotherapy, chemotherapy, and radiotherapy
title_fullStr Advances in nanocarrier-mediated cancer therapy: Progress in immunotherapy, chemotherapy, and radiotherapy
title_full_unstemmed Advances in nanocarrier-mediated cancer therapy: Progress in immunotherapy, chemotherapy, and radiotherapy
title_short Advances in nanocarrier-mediated cancer therapy: Progress in immunotherapy, chemotherapy, and radiotherapy
title_sort advances in nanocarrier mediated cancer therapy progress in immunotherapy chemotherapy and radiotherapy
url http://journals.lww.com/10.1097/CM9.0000000000003703
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