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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
[Oncolytic virus therapy for malignant brain tumors]
1Department of Neurosurgery and Translational Research Center, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyoku, Tokyo 113 8655, Japan.
Abstract:
Oncolytic viruses are genetically engineered, recombinant viruses or naturally occurring, attenuated viruses that infect, replicate selectively within, and destroy tumor cells. These viruses are nontoxic to normal tissues, and progeny viruses released from destroyed tumor cells can spread and infect surrounding tumor cells. In addition, most oncolytic viruses can elicit specific antitumor immunity in the course of tumor cell destruction. Currently, the main route of virus administration is direct intratumoral injection that enables maximum virus delivery to tumor cells and minimum systemic adverse events. Several types of oncolytic viruses have been tested in clinical trials for recurrent malignant glioma, among which genetically engineered herpes simplex viruses type 1 seems to be the most promising because of its high tumor selectivity (indicating safety) and potency (indicating efficacy). Oncolytic virus therapy has been developed for various types of cancers other than glioma, including malignant melanoma and prostate, breast, head & neck and colon cancers. Thus far, oncolytic viruses that are inoculated intratumorally, are shown to be safe; adverse events typically observed are usually transient and include local inflammation and flu-like symptoms. Oncolytic viruses can be used in combination with chemotherapy or other conventional therapies, which, in some cases, can lead to synergistic effects. This review summarizes the recent advances in clinical and preclinical research on oncolytic virus therapy for malignant brain tumors.
Insights
Oncolytic virus therapy uses engineered viruses to selectively destroy tumor cells, offering a promising treatment for malignant brain tumors and other cancers with minimal side effects.
Area of Science:
- Oncolytic virotherapy leverages genetically engineered or naturally attenuated viruses for targeted cancer treatment.
- Focuses on selective tumor cell lysis, replication within cancer cells, and induction of antitumor immunity.
Context:
- Malignant brain tumors, including recurrent malignant glioma, are a significant challenge in oncology.
- Current treatment limitations necessitate novel therapeutic strategies.
Purpose:
- To review recent clinical and preclinical advancements in oncolytic virus therapy for malignant brain tumors.
- To highlight the safety, efficacy, and potential of oncolytic viruses in cancer treatment.
Summary:
- Oncolytic viruses selectively infect and destroy tumor cells, sparing normal tissues.
- Genetically engineered herpes simplex virus type 1 shows promise for malignant glioma due to high tumor selectivity and potency.
- Intratumoral administration is the primary route, minimizing systemic adverse events, which are typically transient and flu-like.
Impact:
- Oncolytic virus therapy presents a safe and potentially synergistic approach when combined with conventional cancer treatments.
- Expands therapeutic options for various cancers beyond brain tumors, including melanoma, prostate, breast, head & neck, and colon cancers.
- Advances in oncolytic virotherapy offer new hope for patients with difficult-to-treat malignancies.
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