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Published on: April 15, 2016
Virotherapy clinical trials for regional disease: in situ immune modulation using recombinant poxvirus vectors
Michael J Mastrangelo1, Edmund C Lattime
1Department of Medicine, Division of Medical Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Abstract:
The ability of viruses to readily infect tumor cells both in vitro and in vivo has resulted in their study as antitumor agents through a variety of strategies. Replicating and conditionally replicating viruses and recombinant viruses encoding genes for toxins and/or prodrugs have been studied for their direct antitumor activity with promising results. However, to date, the lack of a targettable construct able to localize to all tumors following systemic administration has proven to be a major limitation in their use for metastatic disease. The ability of a variety of well-characterized viruses to serve as vectors for expression of tumor antigens and/or cytokines has also resulted in their study as immunotherapeutic agents. In this review, we discuss preclinical and clinical data that support the use of recombinant poxviruses as vectors for in situ tumor transfection with immune-enhancing cytokines and immune costimulatory antigens. We hypothesize that such an approach will ultimately lead to enhanced immune recognition of tumor and the development of an effective systemic antitumor immune response capable of eradicating primary and metastatic tumor foci.
Insights
Recombinant poxviruses show promise as cancer immunotherapies. By delivering immune-stimulating genes directly to tumors, they aim to enhance the body's natural defenses against cancer.
Area of Science:
- Oncolytic virology
- Cancer immunotherapy
- Viral vector technology
Background:
- Viruses are being investigated as antitumor agents using various strategies.
- Recombinant viruses encoding toxins or prodrugs show direct antitumor activity.
- A key limitation for systemic viral therapy is the lack of tumor-targeting constructs for metastatic disease.
Purpose of the Study:
- To review preclinical and clinical data on recombinant poxviruses as vectors for cancer treatment.
- To explore the use of poxviruses for in situ tumor transfection with immune-enhancing agents.
- To hypothesize the potential of this approach in generating a systemic antitumor immune response.
Main Methods:
- Review of preclinical and clinical studies involving recombinant poxviruses.
- Analysis of poxvirus vector strategies for delivering immune-modulating genes.
- Evaluation of data supporting in situ tumor transfection for immune enhancement.
Main Results:
- Poxviruses can be engineered as vectors for expressing tumor antigens and cytokines.
- Recombinant poxviruses demonstrate potential for in situ tumor transfection.
- This strategy aims to enhance immune recognition and response against tumors.
Conclusions:
- Recombinant poxviruses offer a promising strategy for cancer immunotherapy.
- In situ tumor transfection with immune-enhancing agents can stimulate a systemic antitumor response.
- This approach may lead to the eradication of primary and metastatic tumors.
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