PMID- 33058931 OWN - NLM STAT- MEDLINE DCOM- 20210920 LR - 20231110 IS - 1872-8294 (Electronic) IS - 0169-409X (Print) IS - 0169-409X (Linking) VI - 160 DP - 2020 TI - Lymphatic immunomodulation using engineered drug delivery systems for cancer immunotherapy. PG - 19-35 LID - S0169-409X(20)30141-1 [pii] LID - 10.1016/j.addr.2020.10.004 [doi] AB - Though immunotherapy has revolutionized the treatment of cancer to improve disease outcomes, an array of challenges remain that limit wider clinical success, including low rate of response and immune-related adverse events. Targeting immunomodulatory drugs to therapeutically relevant tissues offers a way to overcome these challenges by potentially enabling enhanced therapeutic efficacy and decreased incidence of side effects. Research highlighting the importance of lymphatic tissues in the response to immunotherapy has increased interest in the application of engineered drug delivery systems (DDSs) to enable specific targeting of immunomodulators to lymphatic tissues and cells that they house. To this end, a variety of DDS platforms have been developed that enable more efficient uptake into lymphatic vessels and lymph nodes to provide targeted modulation of the immune response to cancer. This can occur either by delivery of immunotherapeutics to lymphatics tissues or by direct modulation of the lymphatic vasculature itself due to their direct involvement in tumor immune processes. This review will highlight DDS platforms that, by enabling the activities of cancer vaccines, chemotherapeutics, immune checkpoint blockade (ICB) antibodies, and anti- or pro-lymphangiogenic factors to lymphatic tissues through directed delivery and controlled release, augment cancer immunotherapy. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Manspeaker, Margaret P AU - Manspeaker MP AD - School of Chemical and Biomolecular Engineering, Georgia Institute of Technology, Atlanta, GA, United States of America; Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, United States of America. FAU - Thomas, Susan N AU - Thomas SN AD - Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, United States of America; George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, United States of America; Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, United States of America; Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA, United States of America. Electronic address: susan.thomas@gatech.edu. LA - eng GR - F31 CA150523/CA/NCI NIH HHS/United States GR - R01 CA207619/CA/NCI NIH HHS/United States GR - R01 CA247484/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Systematic Review DEP - 20201012 PL - Netherlands TA - Adv Drug Deliv Rev JT - Advanced drug delivery reviews JID - 8710523 RN - 0 (Adjuvants, Immunologic) RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antineoplastic Agents, Immunological) RN - 0 (Cancer Vaccines) RN - 0 (Delayed-Action Preparations) RN - 0 (Drug Implants) RN - 0 (Immune Checkpoint Inhibitors) RN - 0 (Lipids) RN - 0 (Proteins) SB - IM MH - Adjuvants, Immunologic MH - Angiogenesis Inhibitors/administration & dosage/pharmacology MH - Antineoplastic Agents, Immunological/*administration & dosage/*pharmacology/therapeutic use MH - Cancer Vaccines/administration & dosage MH - Delayed-Action Preparations MH - Drug Delivery Systems/*methods MH - Drug Implants/chemistry MH - Humans MH - Immune Checkpoint Inhibitors/administration & dosage/pharmacology MH - Immunomodulation/*physiology MH - Lipids/chemistry MH - Lymph Nodes/physiology MH - Lymphatic Vessels/physiology MH - Nanoparticles MH - Neoplasms/*drug therapy/prevention & control MH - Proteins/chemistry MH - Tissue Scaffolds/chemistry PMC - PMC7736326 MID - NIHMS1641331 OTO - NOTNLM OT - Controlled release OT - Drug delivery system OT - Immunoengineering OT - Lymph node OT - Lymphatics OT - Tumor immunotherapy COIS- Declaration of Competing Interest None. EDAT- 2020/10/16 06:00 MHDA- 2021/09/21 06:00 PMCR- 2021/10/12 CRDT- 2020/10/15 20:09 PHST- 2020/05/29 00:00 [received] PHST- 2020/10/01 00:00 [revised] PHST- 2020/10/07 00:00 [accepted] PHST- 2020/10/16 06:00 [pubmed] PHST- 2021/09/21 06:00 [medline] PHST- 2020/10/15 20:09 [entrez] PHST- 2021/10/12 00:00 [pmc-release] AID - S0169-409X(20)30141-1 [pii] AID - 10.1016/j.addr.2020.10.004 [doi] PST - ppublish SO - Adv Drug Deliv Rev. 2020;160:19-35. doi: 10.1016/j.addr.2020.10.004. Epub 2020 Oct 12.