PMID- 30769136 OWN - NLM STAT- MEDLINE DCOM- 20200415 LR - 20200415 IS - 1878-7568 (Electronic) IS - 1742-7061 (Linking) VI - 88 DP - 2019 Apr 1 TI - Augmenting the synergies of chemotherapy and immunotherapy through drug delivery. PG - 1-14 LID - S1742-7061(19)30116-3 [pii] LID - 10.1016/j.actbio.2019.02.012 [doi] AB - Despite the recent approvals of multiple cancer immunotherapies, low tumor immunogenicity and immunosuppressive tumor microenvironments prevent a large portion of patients from responding to these treatment modalities. Given the immunomodulatory and adjuvant effects of conventional chemotherapy as well as its widespread clinical use, the use of chemotherapy in combination with immunotherapy (so-called chemoimmunotherapy) is an attractive approach to potentiate the effects of immunotherapy in more patient populations. However, due to the limited extent of tumor accumulation, poorly controlled interactions with the immune system, and effects on systemic healthy tissues by chemotherapeutic drugs, the incorporation of anti-cancer agents into biomaterial-based structures, such as nanocarriers, is highly attractive to improve the safety and efficacy of chemoimmunotherapy. Herein, we review the recent progress in drug delivery systems (DDSs) for potentiating the immunomodulatory effects of chemotherapeutics in chemoimmunotherapy, which represent among the most promising next generation strategies for cancer treatment in the immunotherapy era. STATEMENT OF SIGNIFICANCE: Given the benefits of cancer immunotherapy in inducing durable, albeit low rates, of patient response, interest in the immunomodulatory and adjuvant effects of conventional chemotherapy has been re-invigorated. This review article discusses the recent progress towards understanding the synergies between these two treatment types, how they can be used in combination (so-called chemoimmunotherapy), and the potential for drug delivery systems to optimize their effects in translational settings. CI - Copyright (c) 2019. Published by Elsevier Ltd. FAU - Kim, Jihoon AU - Kim J AD - Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, 315 Ferst Dr NW, Atlanta, GA 30332, United States; George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, 315 Ferst Dr NW, Atlanta, GA 30332, United States. FAU - Manspeaker, Margaret P AU - Manspeaker MP AD - Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, 315 Ferst Dr NW, Atlanta, GA 30332, United States; School of Chemical and Biomolecular Engineering, Georgia Institute of Technology, Atlanta, GA 30332, United States. FAU - Thomas, Susan N AU - Thomas SN AD - Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, 315 Ferst Dr NW, Atlanta, GA 30332, United States; George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, 315 Ferst Dr NW, Atlanta, GA 30332, United States; Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, 313 Ferst Dr NW, Atlanta, GA 30332, United States; Emory University, 201 Dowman Drive, Atlanta, GA 30322, United States; Emory University School of Medicine, 1365-C Clifton Road NE, Winship Cancer Institute, Atlanta, GA 30322, United States. Electronic address: susan.thomas@gatech.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20190212 PL - England TA - Acta Biomater JT - Acta biomaterialia JID - 101233144 RN - 0 (Antineoplastic Agents) SB - IM MH - Antineoplastic Agents/*therapeutic use MH - *Drug Delivery Systems MH - Humans MH - *Immunotherapy MH - Neoplasms/immunology/pathology/*therapy MH - Tumor Microenvironment/*immunology OTO - NOTNLM OT - Cancer OT - Chemoimmunotherapy OT - Chemotherapy OT - Drug delivery systems EDAT- 2019/02/16 06:00 MHDA- 2020/04/16 06:00 CRDT- 2019/02/16 06:00 PHST- 2018/11/15 00:00 [received] PHST- 2019/01/25 00:00 [revised] PHST- 2019/02/11 00:00 [accepted] PHST- 2019/02/16 06:00 [pubmed] PHST- 2020/04/16 06:00 [medline] PHST- 2019/02/16 06:00 [entrez] AID - S1742-7061(19)30116-3 [pii] AID - 10.1016/j.actbio.2019.02.012 [doi] PST - ppublish SO - Acta Biomater. 2019 Apr 1;88:1-14. doi: 10.1016/j.actbio.2019.02.012. Epub 2019 Feb 12.