Gene therapy and virotherapy of gastric cancer: preclinical results and clinical developments
Related Experiment Video
Updated: Aug 18, 2026

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
1Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands. dam.heideman@vumc.nl
Abstract:
Despite advances in current treatment modalities, the clinical outcome of gastric cancer remains dismal. New treatment modalities are urgently required to improve the prognosis of patients with gastric cancer. Cancer gene therapy and virotherapy comprise a potential category of new therapeutics and will be discussed in this review. To date, various gene therapy strategies have been developed, but first clinical trials reported only limited therapeutic efficacy as a result of limited gene transfer efficiency. Consequently, targeted viral vectors for enhanced delivery of transgenes to tumor cells and replicative viral systems designed to replicate selectively in malignant tissue were developed. Replication-selective oncolytic viral vectors have the advantage over non-replicative systems to cause pronounced bystander effect via self-perpetuating infection of adjacent cells after cytolysis of primary targeted cells. So far, clinical studies on virotherapy showed encouraging results; especially promising are combinations of virotherapy with current modes of treatment like chemo- and radiotherapy, or insertion of therapeutic genes in the viral genome such as combination with enzyme-prodrug therapy. Further research aiming to enhance anti-tumor efficacy and to improve selectivity of infection and replication, will eventually lead to full realization of the therapeutic potential of (replicating) viral vector systems for gastric cancer.
Insights
New cancer gene therapy and virotherapy approaches show promise for treating gastric cancer. Researchers are developing targeted viral vectors to improve gene transfer and oncolytic viruses that selectively replicate in tumors.
Area of Science:
- Oncology
- Gene Therapy
- Virotherapy
Background:
- Gastric cancer treatment outcomes remain poor despite current therapeutic advancements.
- Novel therapeutic strategies are essential for improving patient prognosis in gastric cancer.
- Gene therapy and virotherapy represent promising new avenues for gastric cancer treatment.
Purpose of the Study:
- To review the potential of gene therapy and virotherapy as novel treatment modalities for gastric cancer.
- To discuss the development and efficacy of targeted viral vectors and replication-selective oncolytic viruses.
- To explore the combination of virotherapy with existing treatments and gene-therapeutic approaches.
Main Methods:
- Review of existing literature on gene therapy and virotherapy strategies for gastric cancer.
- Discussion of targeted viral vectors for enhanced gene delivery to tumor cells.
- Analysis of replication-selective oncolytic viral systems and their mechanisms, including bystander effects.
Main Results:
- Early gene therapy clinical trials showed limited efficacy due to inefficient gene transfer.
- Development of targeted viral vectors and replication-selective oncolytic viruses aims to overcome these limitations.
- Virotherapy has demonstrated encouraging clinical results, particularly when combined with chemotherapy, radiotherapy, or enzyme-prodrug therapy.
Conclusions:
- Replication-selective oncolytic viruses offer advantages, including self-perpetuating infection and bystander effects.
- Combinatorial approaches involving virotherapy show significant therapeutic potential for gastric cancer.
- Further research to enhance anti-tumor efficacy and selectivity is crucial for realizing the full potential of viral vector systems in gastric cancer treatment.
Related Concept Videos
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Microorganisms in Medicine and Therapeutics
Cancer Vaccines
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Gene Therapy
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Gastritis II: Pathophysiology