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High-Efficiency Transduction of Liver Cancer Cells by Recombinant Adeno-Associated Virus Serotype 3 Vectors
Published on: March 22, 2011
Cancer selective adenoviruses
1Virus Therapy Group, Translational Research Laboratory, Institut Català d'Oncologia, Barcelona, Spain. ralemany@iconocologia.net
Abstract:
Ten years ago Frank McCormick proposed dl1520 as an oncolytic adenovirus. Although great as an inspiration for better oncolytic viruses it was far from a good product. As Onyx-015, it underwent a wish-fulfilling clinical development program seizing the opportunity left by its p53-targeted non-replicative counterpart Ad-p53. Now, facing a skeptical environment, more selective and potent oncolytic adenoviruses await their clinical opportunity. However, advance in key issues remains elusive, such as, selectivity or retargeting at the level of cell receptors to improve pharmacokinetics. Preclinical models and a few clinical data on biodistribution show that only a minimal proportion of the injected dose reaches the tumors after systemic administration. Once in the tumor, the virus must overcome barriers to efficient spread imposed by stroma and immune responses. Arming the oncolytic virus with transgenes is a natural combination of virotherapy and gene therapy strategies. Transgenes that increase virus production or cellular spread may help to overcome these barriers. Cytotoxic transgenes can help to eliminate tumor cells but need to be compatible with efficient virus replication. These challenges require a careful approach to clinical development and a great deal of collaboration to launch clinical tests with a virus backbone that contains intellectual property from multiple sources.
Insights
Oncolytic adenoviruses show promise but require improved tumor selectivity and delivery. Future strategies involve arming viruses with transgenes to enhance efficacy and overcome biological barriers for better cancer treatment.
Area of Science:
- Oncolytic virotherapy
- Adenovirus research
- Cancer gene therapy
Background:
- The initial oncolytic adenovirus, dl1520 (Onyx-015), inspired further development but had limitations.
- Despite early promise, challenges in selectivity and tumor targeting persist for oncolytic adenoviruses.
Purpose of the Study:
- To review the progress and persistent challenges in the clinical development of oncolytic adenoviruses.
- To explore strategies for enhancing the efficacy of oncolytic adenoviruses through improved targeting and transgene applications.
Main Methods:
- Review of preclinical models and clinical biodistribution data for oncolytic adenoviruses.
- Analysis of strategies for overcoming tumor microenvironment barriers and enhancing viral spread.
Main Results:
- Limited tumor accumulation of systemically administered oncolytic adenoviruses is a significant hurdle.
- Tumor stroma and immune responses impede efficient viral spread within the tumor.
- Transgene incorporation offers a dual approach to boost virus replication and directly eliminate tumor cells.
Conclusions:
- Further advancements in selectivity, retargeting, and pharmacokinetic profiling are crucial for oncolytic adenoviruses.
- Arming oncolytic viruses with transgenes presents a viable strategy to enhance tumor cell killing and viral propagation.
- Careful clinical development, incorporating collaborative efforts and intellectual property, is essential for successful translation of next-generation oncolytic adenoviruses.
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