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Oncolytic virotherapy for renal cell carcinoma: a novel treatment paradigm?
1Translational Research Laboratory, Department of Oncology, University of Calgary, Calgary, Alberta, Canada.
Introduction:
Despite the development of novel targeted therapies, metastatic renal cell carcinoma (mRCC) remains an incurable disease. The known responsiveness of mRCC to immunotherapy and the molecular aberrations characteristic of this disease make it an attractive malignancy for treatment with oncolytic viruses (OVs), as these agents are capable of usurping common oncogenic signaling pathways and generating anti-tumor immune responses.
Areas Covered:
The current evidence to support the use of oncolytic virotherapy against mRCC is discussed with emphasis on the molecular and immunological features of this disease that may be exploited by these biologic agents. Furthermore, the mRCC tumor microenvironment will be detailed to highlight the many OV restrictive factors that exist, which will need to be overcome to realize the full potential of oncolytic virotherapy for this disease.
Expert Opinion:
Preclinical development of OVs for the treatment of mRCC should utilize syngeneic immunocompetent animal models to allow for the assessment of both the anti-viral and anti-tumor immune response generated by these agents in addition to human xenograft models. Furthermore, rationale combination therapies incorporating currently approved mRCC-targeted therapies should be explored as these approaches hold the greatest potential for translating OVs into the clinical arena for use against this disease.
Insights
Oncolytic viruses (OVs) show promise for treating metastatic renal cell carcinoma (mRCC) by leveraging its immune responsiveness. Further research in preclinical models and combination therapies is crucial for clinical translation.
Area of Science:
- Oncolytic virotherapy
- Renal cell carcinoma research
- Immunotherapy
Background:
- Metastatic renal cell carcinoma (mRCC) remains incurable despite targeted therapies.
- mRCC's responsiveness to immunotherapy and molecular characteristics make it a candidate for oncolytic virus (OV) treatment.
- OVs can exploit oncogenic pathways and stimulate anti-tumor immune responses.
Purpose of the Study:
- To review evidence supporting oncolytic virotherapy for mRCC.
- To highlight molecular and immunological features of mRCC exploitable by OVs.
- To detail the mRCC tumor microenvironment and OV-restrictive factors.
Main Methods:
- Discussion of current evidence for oncolytic virotherapy in mRCC.
- Analysis of mRCC's molecular and immunological landscape.
- Examination of the mRCC tumor microenvironment and its impact on OV efficacy.
Main Results:
- OVs offer a potential therapeutic strategy for mRCC by engaging anti-tumor immunity.
- Understanding the tumor microenvironment is key to overcoming OV resistance.
- Preclinical models are essential for evaluating OV efficacy and immune response.
Conclusions:
- Preclinical development should use immunocompetent models to assess anti-viral and anti-tumor immunity.
- Combination therapies with existing mRCC treatments should be explored.
- These strategies are vital for translating OVs into clinical applications for mRCC.
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