Oncolytic adenovirus: preclinical and clinical studies in patients with human malignant gliomas

Hong Jiang1, Candelaria Gomez-Manzano, Frederick F Lang

  • 1Neuro-Oncology, The University of Texas M.D. Anderson Cancer Center, Texas, USA. hjiang@mdanderson.org

Current Gene Therapy
|October 29, 2009
PubMed

Insights

Oncolytic adenoviruses show promise for glioma treatment. This review details gene-based therapies targeting the RB pathway, including specific oncolytic viruses and their combination with chemotherapy.

Area of Science:

  • Oncology
  • Virology
  • Gene Therapy

Background:

  • Gliomas are aggressive brain tumors with limited treatment options.
  • Oncolytic adenoviruses represent a novel therapeutic strategy for glioma.
  • Targeting the Retinoblastoma (RB) pathway is a key focus in glioma gene therapy.

Purpose of the Study:

  • To review gene-based therapies for gliomas, focusing on RB pathway targeting.
  • To summarize experience with oncolytic adenoviruses, including Delta-24, Delta-24-RGD, and ICOVIR.
  • To discuss combinations, stem cell efficacy, and delivery methods for oncolytic adenoviruses.

Main Methods:

  • Development and characterization of RB-expressing adenoviral vectors.
  • Evaluation of oncolytic effects of replication-competent adenoviruses (Delta-24, Delta-24-RGD, ICOVIR).
  • Review of combination therapies, stem cell efficacy, and delivery systems.

Main Results:

  • Oncolytic adenoviruses demonstrate efficacy against gliomas.
  • Combination with chemotherapy enhances therapeutic effects.
  • Delta-24-RGD shows efficacy against brain tumor stem cells.
  • Adenovirus-induced autophagy and systemic delivery methods are explored.

Conclusions:

  • Oncolytic adenoviruses are a promising therapeutic approach for gliomas.
  • Gene-based therapies targeting the RB pathway offer significant potential.
  • Further research and clinical trials are warranted for optimizing oncolytic adenovirus therapy.