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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Advances in oncolytic virus therapy for glioma
Amy Haseley1, Christopher Alvarez-Breckenridge, Abhik Ray Chaudhury
1Dardinger Laboratory for Neuro-oncology and Neurosciences, Department of Neurological Surgery, College of Medicine, The Ohio State University Medical Center, Columbus, OH 43210, USA.
Abstract:
The World Health Organization grossly classifies the various types of astrocytomas using a grade system with grade IV gliomas having the worst prognosis. Oncolytic virus therapy is a novel treatment option for GBM patients. Several patents describe various oncolytic viruses used in preclinical and clinical trials to evaluate safety and efficacy. These viruses are natural or genetically engineered from different viruses such as HSV-1, Adenovirus, Reovirus, and New Castle Disease Virus. While several anecdotal studies have indicated therapeutic advantage, recent clinical trials have revealed the safety of their usage, but demonstration of significant efficacy remains to be established. Oncolytic viruses are being redesigned with an interest in combating the tumor microenvironment in addition to defeating the cancerous cells. Several patents describe the inclusion of tumor microenvironment modulating genes within the viral backbone and in particular those which attack the tumor angiotome. The very innovative approaches being used to improve therapeutic efficacy include: design of viruses which can express cytokines to activate a systemic antitumor immune response, inclusion of angiostatic genes to combat tumor vasculature, and also enzymes capable of digesting tumor extra cellular matrix (ECM) to enhance viral spread through solid tumors. As increasingly more novel viruses are being tested and patented, the future battle against glioma looks promising.
Insights
Oncolytic virus therapy shows promise for glioblastoma (GBM) treatment. While safe in trials, further research is needed to confirm significant efficacy and optimize viral strategies against the tumor microenvironment.
Area of Science:
- Neuro-oncology
- Virology
- Biotechnology
Background:
- Astrocytomas, particularly Grade IV gliomas (glioblastoma), have a poor prognosis.
- Oncolytic virus therapy represents a novel treatment strategy for glioblastoma multiforme (GBM).
- Current research focuses on enhancing the efficacy of oncolytic viruses through genetic engineering.
Purpose of the Study:
- To review the current landscape of oncolytic virus therapy for GBM.
- To explore innovative strategies for improving oncolytic virus efficacy.
- To assess the potential of oncolytic viruses in combating the tumor microenvironment.
Main Methods:
- Review of patents and clinical trial data on oncolytic viruses (e.g., HSV-1, Adenovirus, Reovirus, New Castle Disease Virus).
- Analysis of viral redesign strategies targeting tumor microenvironment.
- Evaluation of approaches including cytokine expression, angiostatic genes, and extracellular matrix-digesting enzymes.
Main Results:
- Clinical trials demonstrate the safety of oncolytic virus therapy for GBM patients.
- Significant therapeutic efficacy of oncolytic viruses remains to be definitively established.
- Patented innovations focus on enhancing viral activity against tumor vasculature and extracellular matrix.
Conclusions:
- Oncolytic virus therapy is a safe and evolving treatment for glioblastoma.
- Future directions involve engineering viruses to modulate the tumor microenvironment and enhance anti-tumor immunity.
- Continued development and patenting of novel oncolytic viruses offer a promising outlook for glioma treatment.
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