Immunotherapies to Nano-Immunotherapies: Advances in Immune Targeting in Bladder Cancer

Bladder cancer is among most common malignancies worldwide, with significant morbidity and mortality. Conventional treatment strategies for bladder cancer include transurethral resection, radical cystectomy and chemotherapy. However, the complex immune landscape of bladder cancer involves innate and...

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Main Authors: Beatriz Ramos, Dakota Rogers
Format: Article
Language:English
Published: Asian Medical Press Ltd.(H.K.) 2025-02-01
Series:Annals of Urologic Oncology
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Online Access:http://auo.asmepress.com/articles/new-53-542.html
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author Beatriz Ramos
Dakota Rogers
author_facet Beatriz Ramos
Dakota Rogers
author_sort Beatriz Ramos
collection DOAJ
description Bladder cancer is among most common malignancies worldwide, with significant morbidity and mortality. Conventional treatment strategies for bladder cancer include transurethral resection, radical cystectomy and chemotherapy. However, the complex immune landscape of bladder cancer involves innate and adaptive immune components that either promote or suppress tumor progression. Upregulation of checkpoint molecules like PD-L1 and recruitment of immunosuppressive cells, contribute to immune evasion and treatment resistance. Immune checkpoint inhibitors such as nivolumab, pembrolizumab, avelumab, and atezolizumab have shown promising results in clinical trials and have been approved for metastatic and high-risk bladder cancer. Additionally, Bacillus Calmette-Guérin (BCG) immunotherapy has long been in use as bladder cancer treatment. Furthermore, natural killer cell-based therapies and novel immune targets like TIGIT and CD155 are under investigation to enhance anti-tumor immunity. However, challenges such as toxic side-effects, variable response rates and the need for predictive biomarkers persists. Nanotechnology offers promising solutions to improve immunotherapy outcomes. Recent advances include the use of gold nanoparticles, TLR agonist-loaded nanoparticles, and exosome-based delivery systems to boost immune responses. Additionally, nanovaccine strategies incorporating tumor-associated antigens and immune adjuvants show potential for personalized cancer immunotherapy. Here, we discuss the immune landscape of bladder cancer, explore the emerging immunotherapies being used as bladder cancer treatment, and discuss the advantages of using nanoparticles as carriers of immunotherapies against bladder cancer. By optimizing combination strategies, identifying novel immunotherapeutic targets, and leveraging nanotechnology for precision medicine, future holds great promise in improving the efficacy of immunotherapies and alleviating bladder cancer burden.
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spelling doaj-art-24c6c264ed3948c7bea06615bdab03c62025-02-05T07:58:44ZengAsian Medical Press Ltd.(H.K.)Annals of Urologic Oncology2617-77652617-77732025-02-018410.32948/auo.2025.02.01Immunotherapies to Nano-Immunotherapies: Advances in Immune Targeting in Bladder CancerBeatriz Ramos0 Dakota Rogers1Department of Medical Laboratory Science, University of Kentucky, Lexington 40506, Kentucky, USA.School of Pharmaceutical Sciences, University of Kentucky, Lexington 40506, Kentucky, USA.Bladder cancer is among most common malignancies worldwide, with significant morbidity and mortality. Conventional treatment strategies for bladder cancer include transurethral resection, radical cystectomy and chemotherapy. However, the complex immune landscape of bladder cancer involves innate and adaptive immune components that either promote or suppress tumor progression. Upregulation of checkpoint molecules like PD-L1 and recruitment of immunosuppressive cells, contribute to immune evasion and treatment resistance. Immune checkpoint inhibitors such as nivolumab, pembrolizumab, avelumab, and atezolizumab have shown promising results in clinical trials and have been approved for metastatic and high-risk bladder cancer. Additionally, Bacillus Calmette-Guérin (BCG) immunotherapy has long been in use as bladder cancer treatment. Furthermore, natural killer cell-based therapies and novel immune targets like TIGIT and CD155 are under investigation to enhance anti-tumor immunity. However, challenges such as toxic side-effects, variable response rates and the need for predictive biomarkers persists. Nanotechnology offers promising solutions to improve immunotherapy outcomes. Recent advances include the use of gold nanoparticles, TLR agonist-loaded nanoparticles, and exosome-based delivery systems to boost immune responses. Additionally, nanovaccine strategies incorporating tumor-associated antigens and immune adjuvants show potential for personalized cancer immunotherapy. Here, we discuss the immune landscape of bladder cancer, explore the emerging immunotherapies being used as bladder cancer treatment, and discuss the advantages of using nanoparticles as carriers of immunotherapies against bladder cancer. By optimizing combination strategies, identifying novel immunotherapeutic targets, and leveraging nanotechnology for precision medicine, future holds great promise in improving the efficacy of immunotherapies and alleviating bladder cancer burden.http://auo.asmepress.com/articles/new-53-542.htmlbladder cancernano-immunotherapiesbcg immunotherapynanovaccinescheckpoint molecules
spellingShingle Beatriz Ramos
Dakota Rogers
Immunotherapies to Nano-Immunotherapies: Advances in Immune Targeting in Bladder Cancer
Annals of Urologic Oncology
bladder cancer
nano-immunotherapies
bcg immunotherapy
nanovaccines
checkpoint molecules
title Immunotherapies to Nano-Immunotherapies: Advances in Immune Targeting in Bladder Cancer
title_full Immunotherapies to Nano-Immunotherapies: Advances in Immune Targeting in Bladder Cancer
title_fullStr Immunotherapies to Nano-Immunotherapies: Advances in Immune Targeting in Bladder Cancer
title_full_unstemmed Immunotherapies to Nano-Immunotherapies: Advances in Immune Targeting in Bladder Cancer
title_short Immunotherapies to Nano-Immunotherapies: Advances in Immune Targeting in Bladder Cancer
title_sort immunotherapies to nano immunotherapies advances in immune targeting in bladder cancer
topic bladder cancer
nano-immunotherapies
bcg immunotherapy
nanovaccines
checkpoint molecules
url http://auo.asmepress.com/articles/new-53-542.html
work_keys_str_mv AT beatrizramos immunotherapiestonanoimmunotherapiesadvancesinimmunetargetinginbladdercancer
AT dakotarogers immunotherapiestonanoimmunotherapiesadvancesinimmunetargetinginbladdercancer