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. 2024 Jan 4;56(1):19–31. doi: 10.1038/s12276-023-01132-8

Table 2.

Application of modified adaptive IEXs for enhancing cancer treatment.

Source Type of modification Molecule involved in modification Target cancer Function Reference
B cells Heat shock - CT-26 - Induction of DC maturation, Th1 activity, and antigen-specific CTL response 92
Freeze-thaw and incubation ZnO NCs (freeze-thaw) and anti-CD20 antibody (incubation) Daudi

- Increase in tumor-targeting ability

- Reduction in viability of cancer cells

94
CD4+ T cells Incubation IL-2 B16F10 and SK-MEL-28 - Increase in CD8+ T cell proliferation and activity 25
MTFP IL-2 B16F10 and SK-MEL-28

- Increase in CD8+ T cell activity and proliferation

- Downregulation of PD-L1 expressed on both cancer cells and their exosomes

33
CD8+ T cells MTFP IL-2 and anti-EGFR antibody A549

- Enhancement of tumor-targeting ability

- Reduction in exosome secretion in cancer cells

- Augmentation of cancer cell cytotoxicity

34
Lentiviral infection PD-1 B16F10

- Neutralization of PD-L1

- Reinvigoration of CD8+ T cell activation and proliferation capacity

- Induction of apoptosis in cancer cells

103
Incubation IL-12 - - Activation of naive bystander CD8+ T cells 26
Lentiviral infection Mesothelin-targeted CAR BT-549 and MDA-MB-231

- Augmentation of tumor-targeting ability

- Elimination of cancer cells without side effects

105
Lentiviral infection EGFR-targeted CAR and HER2-targeted CAR MCF-7, MDA-MB-231, MDA-MB-435, HCC827, and SK-BR-3

- Increase in tumor-targeting ability

- Induction of cancer cell death without side effects

106

Th1 T helper 1, ZnO NCs zinc oxide nanocrystals, MTFP membrane-tethering technology for proteins, PD-L1 programmed death-ligand 1, CAR chimeric antigen receptor, HER2 human epidermal growth factor receptor 2.