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Published on: January 7, 2019
Oncolytic virotherapy for multiple myeloma
Amaalia E Stief1, J Andrea McCart
1Experimental Therapeutics, Toronto General Research Institute, 67 College Street, Room 4-408, Toronto, ON, M5G 2M1, Canada.
Background:
Current therapies for multiple myeloma (MM) are not curative, thus novel targeted therapeutics are being developed. One such targeted therapy is oncolytic virotherapy, wherein viruses specifically infect and kill the malignant plasma cells, leaving normal cells intact.
Objective:
This review provides an overview of the mechanisms and results of the oncolytic viruses being used to date and discusses the recent advances in the field of virotherapy for MM.
Methods:
All papers using viruses to treat MM were identified and screened. Only papers describing replicating, oncolytic viruses were reviewed.
Results/Conclusions:
Several viruses are currently being developed preclinically and clinically to treat MM, including measles virus, vesicular stomatitis virus, coxsackievirus A21 and vaccinia virus. Other viruses are being used preclinically to purge myeloma cells from autologous bone marrow transplants. Efforts to improve myeloma-specific targeting, avoid the antiviral immune response and evaluate combination therapies for MM are ongoing.
Insights
Oncolytic virotherapy offers a novel approach to treating multiple myeloma (MM) by using viruses to target and destroy cancer cells. Research is ongoing to enhance virus effectiveness and patient outcomes in MM treatment.
Area of Science:
- Oncology
- Virology
- Immunology
Background:
- Current multiple myeloma (MM) therapies are not curative, necessitating the development of novel targeted therapeutics.
- Oncolytic virotherapy utilizes viruses to selectively infect and eliminate malignant plasma cells while sparing healthy cells.
Purpose of the Study:
- To review the mechanisms and outcomes of oncolytic viruses currently employed for MM treatment.
- To discuss recent advancements in the field of virotherapy for multiple myeloma.
Main Methods:
- Identification and screening of all studies involving the use of viruses for MM treatment.
- Focus on reviewing replicating, oncolytic viruses exclusively.
Main Results:
- Several viruses, including measles virus, vesicular stomatitis virus, coxsackievirus A21, and vaccinia virus, are in preclinical and clinical development for MM.
- Other viruses are being investigated for purging myeloma cells from autologous bone marrow transplants.
Conclusions:
- Ongoing efforts aim to improve myeloma-specific targeting and evade antiviral immune responses.
- Combination therapies for MM are under evaluation to enhance treatment efficacy.
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