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Updated: May 21, 2026

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
[Oncolytic poxviruses]
Abstract:
The latest data on selection and construction of poxviruses capable of specifically lysing tumor cells of different genesis, inducing antitumor immunity and apoptosis of malignant cells are discussed. The review concerns several directions: virus attenuation, insertion of immunomodulatory protein genes, and anti-tumor protein genes. Thymidine kinase and viral growth factor genes make the greatest contribution to the virus attenuation as their inactivation results in the virus inability to replicate in non-dividing cells, thereby contributing to increased selectivity with respect to tumor cells. Among the immunomodulatory proteins, interleukins 2, 12, and granulocyte-macrophage colony-stimulating factor proved to be most promising for oncolytic virotherapy. An attempt to use p53 protein gene expressed by vaccinia virus for addressed apoptosis of tumor cells was reported. The use of the double and triple viral recombinants carrying genes of multidirectional action seems to be most promising. Encouraging results were obtained using vaccinia virus in the oncotherapy with prodrugs and angiogenesis inhibitors. At present, two poxviral strains are undergoing Phase III clinical trials as anti-tumor preparations in the USA.
Insights
This review explores engineered poxviruses for cancer therapy, focusing on tumor cell lysis, immune response induction, and apoptosis. Modified poxviruses show promise in clinical trials for treating various cancers.
Area of Science:
- Oncology
- Virology
- Immunology
Context:
- Poxviruses are being engineered as oncolytic agents for cancer treatment.
- Key modifications include virus attenuation and gene insertions to enhance tumor specificity and therapeutic effects.
Purpose:
- To review current advancements in the selection and construction of poxviruses for cancer therapy.
- To discuss strategies for enhancing oncolytic virotherapy efficacy, including virus attenuation and genetic engineering.
Summary:
- Poxvirus attenuation via thymidine kinase and viral growth factor gene inactivation increases tumor selectivity.
- Incorporation of immunomodulatory genes (interleukins, GM-CSF) and tumor-apoptotic genes (p53) enhances therapeutic potential.
- Combination therapies with prodrugs and angiogenesis inhibitors show encouraging results, with two poxviral strains in Phase III trials.
Impact:
- Engineered poxviruses offer a novel approach to cancer treatment, inducing antitumor immunity and apoptosis.
- Genetic modifications improve virus specificity for tumor cells, minimizing off-target effects.
- Ongoing clinical trials indicate significant potential for poxviruses in oncotherapy.
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