
国际肿瘤学杂志 ›› 2026, Vol. 53 ›› Issue (6): 361-365.doi: 10.3760/cma.j.cn371439-20251112-00058
收稿日期:2025-11-12
出版日期:2026-06-08
发布日期:2026-06-05
通讯作者:
东丽,Email:dongli2126@126.com
Che Gen1, Wu Rihan1, Li Chang2, Dong Li1,2(
)
Received:2025-11-12
Online:2026-06-08
Published:2026-06-05
Contact:
Dong Li,Email:dongli2126@126.com摘要:
环鸟苷酸-腺苷酸合成酶(cGAS)-干扰素基因刺激因子(STING)信号通路是肿瘤免疫治疗的关键靶点,但其激动剂因全身毒性及递送效率低而应用受阻。纳米递送系统可精准靶向肿瘤并响应性释药,有效解决了这一难题。然而,纳米载体的设计与针对个体患者的精准适配,需更高维度的智能决策。人工智能(AI)技术可利用机器学习优化纳米载体理化参数以提升肿瘤富集、基于多组学数据解析患者亚群以实现精准分层、融合动态治疗数据以实时优化给药策略。深入分析AI驱动下纳米递送系统与cGAS-STING靶向治疗的深度融合,构建一个从载体设计、患者筛选到动态治疗的智能化闭环,可推动该领域从普适性给药迈向个体化精准治疗的新范式。
澈根, 乌日汗, 李畅, 东丽. AI驱动纳米递送系统靶向cGAS-STING信号通路在肿瘤治疗中的研究进展[J]. 国际肿瘤学杂志, 2026, 53(6): 361-365.
Che Gen, Wu Rihan, Li Chang, Dong Li. Research progress in AI-driven nanodelivery systems targeting the cGAS-STING signal pathway for tumor therapy[J]. Journal of International Oncology, 2026, 53(6): 361-365.
| [1] | Zhao K, Huang J, Zhao Y, et al. Targeting STING in cancer: challenges and emerging opportunities[J]. Biochim Biophys Acta Rev Cancer, 2023, 1878(6): 188983. DOI: 10.1016/j.bbcan.2023.188983. |
| [2] | Endo R, Ueda T, Nagaoki T, et al. Impact of in vivo fate of STING agonist-loaded lipid nanoparticles on antitumor immunity[J]. J Control Release, 2024, 372: 609-618. DOI: 10.1016/j.jconrel.2024.06.064. |
| [3] | Peng S, Hou X, Liu J, et al. Advances in polymer nanomaterials targeting cGAS-STING pathway for enhanced cancer immunotherapy[J]. J Control Release, 2025, 381: 113560. DOI: 10.1016/j.jconrel.2025.02.056. |
| [4] | Fan D, Cao Y, Cao M, et al. Nanomedicine in cancer therapy[J]. Signal Transduct Target Ther, 2023, 8(1): 293. DOI: 10.1038/s41392-023-01536-y. |
| [5] | L'Imperio V, Wulczyn E, Plass M, et al. Pathologist validation of a machine learning-derived feature for colon cancer risk stratification[J]. JAMA Netw Open, 2023, 6(3): e2254891. DOI: 10.1001/jamanetworkopen.2022.54891. |
| [6] | Pan X, Zhang W, Guo H, et al. Strategies involving STING pathway activation for cancer immunotherapy: mechanism and agonists[J]. Biochem Pharmacol, 2023, 213: 115596. DOI: 10.1016/j.bcp.2023.115596. |
| [7] | Li L, Xiao M, Zhang L, et al. Excision repair cross complementation group 1 gene exon 3 skipping isoform presents selective cGAS-STING activation in platinum-sensitive lung adenocarcinoma[J]. Free Radic Biol Med, 2025, 235: 73-85. DOI: 10.1016/j.freeradbiomed.2025.04.027. |
| [8] | Yue B, Gao W, Lovell JF, et al. The cGAS-STING pathway in cancer immunity: dual roles, therapeutic strategies, and clinical challenges[J]. Essays Biochem, 2025, 69(2): EBC20253006. DOI: 10.1042/ebc20253006. |
| [9] |
Lanng KRB, Lauridsen EL, Jakobsen MR. The balance of STING signaling orchestrates immunity in cancer[J]. Nat Immunol, 2024, 25(7): 1144-1157. DOI: 10.1038/s41590-024-01872-3.
pmid: 38918609 |
| [10] |
Messaoud-Nacer Y, Culerier E, Rose S, et al. STING agonist diABZI induces PANoptosis and DNA mediated acute respiratory distress syndrome (ARDS)[J]. Cell Death Dis, 2022, 13(3): 269. DOI: 10.1038/s41419-022-04664-5.
pmid: 35338116 |
| [11] | Zhang X, Chen Y, Liu X, et al. STING in cancer immunoediting: modeling tumor-immune dynamics throughout cancer development[J]. Cancer Lett, 2025, 612: 217410. DOI: 10.1016/j.canlet.2024.217410. |
| [12] |
Shim A, Chen Y, Maciejowski J. Activation and regulation of cGAS-STING signaling in cancer cells[J]. Mol Cell, 2025, 85(20): 3807-3822. DOI: 10.1016/j.molcel.2025.08.030.
pmid: 41106370 |
| [13] | Ying-Rui M, Bu-Fan B, Deng L, et al. Targeting the stimulator of interferon genes (STING) in breast cancer[J]. Front Pharmacol, 2023, 14: 1199152. DOI: 10.3389/fphar.2023.1199152. |
| [14] | Cheng L, Zhang Y, Xu Q, et al. Hyaluronic acid/silk fibroin nanoparticles loaded with methotrexate for topical treatment of psoriasis[J]. Int J Pharm X, 2025, 9: 100312. DOI: 10.1016/j.ijpx.2024.100312. |
| [15] | Mi K, Chou WC, Chen Q, et al. Predicting tissue distribution and tumor delivery of nanoparticles in mice using machine learning models[J]. J Control Release, 2024, 374: 219-229. DOI: 10.1016/j.jconrel.2024.08.015. |
| [16] | Zhu T, Xiao Y, Chen Z, et al. Inhalable nanovesicles loaded with a STING agonist enhance CAR-T cell activity against solid tumors in the lung[J]. Nat Commun, 2025, 16(1): 262. DOI: 10.1038/s41467-024-55751-4. |
| [17] | Zhang F, Zhang Z, Yang W, et al. Engineering autologous cell-derived exosomes to boost melanoma-targeted radio-immunotherapy by cascade cGAS-STING pathway activation[J]. Small, 2025, 21(4): e2408769. DOI: 10.1002/smll.202408769. |
| [18] | Alotaibi BS, Buabeid M, Ibrahim NA, et al. Potential of nanocarrier-based drug delivery systems for brain targeting: a current review of literature[J]. Int J Nanomedicine, 2021, 16: 7517-7533. DOI: 10.2147/ijn.S333657. |
| [19] | Cheng W, Peng X, He L, et al. Bimetallic MnZnSX nanotheranostics for self-activatable chemo-immunotherapy of hepatocellular carcinoma via H₂S-triggered arsenic prodrug activation and binary cGAS-STING pathway modulation[J]. Adv Healthc Mater, 2025, 14(10): e2404238. DOI: 10.1002/adhm.202404238. |
| [20] | Hu C, Jiang Y, Chen Y, et al. Low-intensity focused ultrasound-responsive phase-transitional liposomes loaded with STING agonist enhances immune activation for breast cancer immunotherapy[J]. Cancers (Basel), 2024, 16(21): 3657. DOI: 10.3390/cancers16213657. |
| [21] | Ma X, Yang Q, Lin N, et al. Integrated anti-vascular and immune-chemotherapy for colorectal carcinoma using a pH-responsive polymeric delivery system[J]. J Control Release, 2024, 370: 230-238. DOI: 10.1016/j.jconrel.2024.04.028. |
| [22] | Meng F, Zhu H, Wu S, et al. Targeting STING-induced immune evasion with nanoparticulate binary pharmacology improves tumor control in mice[J]. J Clin Invest, 2025, 135(24): e192397. DOI: 10.1172/jci192397. |
| [23] | Xu Y, Xiong Y. Targeting STING signaling for the optimal cancer immunotherapy[J]. Front Immunol, 2024, 15: 1482738. DOI: 10.3389/fimmu.2024.1482738. |
| [24] | Elmetwalli A. Ferroptosis and the cGAS-STING pathway into precision nano-immuno-theranostics: a mechanistic paradigm for reversing drug resistance in hepatocellular carcinoma[J]. Drug Resist Updat, 2026, 84: 101326. DOI: 10.1016/j.drup.2025.101326. |
| [25] | Wang Y, Liu F, Du X, et al. Combination of anti-PD-1 and electroacupuncture induces a potent antitumor immune response in microsatellite-stable colorectal cancer[J]. Cancer Immunol Res, 2024, 12(1): 26-35. DOI: 10.1158/2326-6066.Cir-23-0309. |
| [26] | Zheng S, Guo Y, Han Q, et al. STING agonists and PI3Kγ inhibitor co-loaded ferric ion-punicalagin networks for comprehensive cancer therapy[J]. Int J Biol Macromol, 2024, 282(Pt 2): 136776. DOI: 10.1016/j.ijbiomac.2024.136776. |
| [27] |
Wu Q, Tan L, Ren X, et al. Metal-organic framework-based nano-activators facilitating microwave combined therapy via a divide-and-conquer tactic for triple-negative breast cancer[J]. ACS Nano, 2023, 17(24): 25575-25590. DOI: 10.1021/acsnano.3c09734.
pmid: 38095158 |
| [28] | Wang H, Liu Z, Fang Y, et al. Spatiotemporal release of non-nucleotide STING agonist and AKT inhibitor from implantable 3D-printed scaffold for amplified cancer immunotherapy[J]. Biomaterials, 2024, 311: 122645. DOI: 10.1016/j.biomaterials.2024.122645. |
| [29] | Wu Y, Liu Q. Nanocarrier-enabled STING agonist delivery for enhanced cancer immunotherapy[J]. J Mater Chem B, 2025, 13(39): 12382-12401. DOI: 10.1039/d5tb01643f. |
| [30] | Herbst RS, Prizant H, Ruderman D, et al. Digital versus manual PD-L1 scoring in advanced NSCLC from the IMpower110 and IMpower150 trials[J]. J Thorac Oncol, 2025, 20(12): 1778-1790. DOI: 10.1016/j.jtho.2025.07.131. |
| [31] | Lin Z, Chou WC, Cheng YH, et al. Predicting nanoparticle delivery to tumors using machine learning and artificial intelligence approaches[J]. Int J Nanomedicine, 2022, 17: 1365-1379. DOI: 10.2147/ijn.S344208. |
| [32] | Chou WC, Chen Q, Yuan L, et al. An artificial intelligence-assisted physiologically-based pharmacokinetic model to predict nanoparticle delivery to tumors in mice[J]. J Control Release, 2023, 361: 53-63. DOI: 10.1016/j.jconrel.2023.07.040. |
| [33] | Akhtar M, Nehal N, Gull A, et al. Explicating the transformative role of artificial intelligence in designing targeted nanomedicine[J]. Expert Opin Drug Deliv, 2025, 22(7): 971-991. DOI: 10.1080/17425247.2025.2502022. |
| [34] | Chou WC, Canchola A, Zhang F, et al. Machine learning and artificial intelligence in nanomedicine[J]. Wiley Interdiscip Rev Nanomed Nanobiotechnol, 2025, 17(4): e70027. DOI: 10.1002/wnan.70027. |
| [35] | Zhang Z, Xiang Y, Laforet J Jr, et al. TuNa-AI: a hybrid kernel machine to design tunable nanoparticles for drug delivery[J]. ACS Nano, 2025, 19(37): 33296. DOI: 10.1021/acsnano.5c09066. |
| [36] | Baxi V, Edwards R, Montalto M, et al. Digital pathology and artificial intelligence in translational medicine and clinical practice[J]. Modern Pathology, 2022, 35(1): 23-32. DOI: 10.1038/s41379-021-00919-2. |
| [37] |
Wang J, Zeng Z, Li Z, et al. The clinical application of artificial intelligence in cancer precision treatment[J]. J Transl Med, 2025, 23(1): 120. DOI: 10.1186/s12967-025-06139-5.
pmid: 39871340 |
| [38] | Zhang J, Wu Y, Shen Z. Integration of bulk RNA sequencing data and single-cell RNA sequencing analysis on the heterogeneity in patients with colorectal cancer[J]. Funct Integr Genomics, 2023, 23(3): 209. DOI: 10.1007/s10142-023-01102-3. |
| [39] |
Irfan M, Habiba U, Maryam A. Next-generation cancer therapeutics: unveiling the potential of liposome-based nanoparticles through bioinformatics[J]. Mikrochim Acta, 2025, 192(7): 428. DOI: 10.1007/s00604-025-07286-8.
pmid: 40523994 |
| [40] | Chang TG, Park S, Schäffer AA, et al. Hallmarks of artificial intelligence contributions to precision oncology[J]. Nat Cancer, 2025, 6(3): 417-431. DOI: 10.1038/s43018-025-00917-2. |
| [41] | Wang R, Liu Q, You W, et al. A transformer-based deep learning survival prediction model and an explainable XGBoost anti-PD-1/PD-L1 outcome prediction model based on the cGAS-STING-centered pathways in hepatocellular carcinoma[J]. Brief Bioinform, 2024, 26(1): bbae686. DOI: 10.1093/bib/bbae686. |
| [42] | Sun L, Liu H, Ye Y, et al. Smart nanoparticles for cancer therapy[J]. Signal Transduct Target Ther, 2023, 8(1): 418. DOI: 10.1038/s41392-023-01642-x. |
| [43] | Shirzad M, Salahvarzi A, Razzaq S, et al. Revolutionizing prostate cancer therapy: artificial intelligence-based nanocarriers for precision diagnosis and treatment[J]. Crit Rev Oncol Hematol, 2025, 208: 104653. DOI: 10.1016/j.critrevonc.2025.104653. |
| [44] | Zhang C, Geng H, Tan Y, et al. Multidimensional regulation of the microbe-TLR4 signaling Axis in colorectal cancer: from molecular mechanisms to microbe-targeted therapies[J]. Biochim Biophys Acta Rev Cancer, 2025, 1880(5): 189397. DOI: 10.1016/j.bbcan.2025.189397. |
| [45] |
Akbar A, Pillalamarri N, Jonnakuti S, et al. Artificial intelligence and guidance of medicine in the bubble[J]. Cell Biosci, 2021, 11(1): 108. DOI: 10.1186/s13578-021-00623-3.
pmid: 34108005 |
| [46] | Li Y, Li D, Chen J, et al. Nanodelivery of panobinostat induces cell cycle arrest and apoptosis to suppress hepatocellular carcinoma growth in mice[J]. Mater Today Bio, 2025, 35: 102418. DOI: 10.1016/j.mtbio.2025.102418. |
| [47] | He S, Gou X, Zhang S, et al. Nanodelivery systems as a novel strategy to overcome treatment failure of cancer[J]. Small Methods, 2024, 8(1): e2301127. DOI: 10.1002/smtd.202301127. |
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