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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Oncolytic polio virotherapy of cancer
Michael C Brown1, Elena Y Dobrikova, Mikhail I Dobrikov
1Department of Surgery, Duke Cancer Institute, Duke University Medical Center, Durham, North Carolina; Division of Neurosurgery Duke Cancer Institute, Duke University Medical Center, Durham, North Carolina; Department of Molecular Genetics and Microbiology, Duke Cancer Institute, Duke University Medical Center, Durham, North Carolina.
Abstract:
Recently, the century-old idea of targeting cancer with viruses (oncolytic viruses) has come of age, and promise has been documented in early stage and several late-stage clinical trials in a variety of cancers. Although originally prized for their direct tumor cytotoxicity (oncolytic virotherapy), recently, the proinflammatory and immunogenic effects of viral tumor infection (oncolytic immunotherapy) have come into focus. Indeed, a capacity for eliciting broad, sustained antineoplastic effects stemming from combined direct viral cytotoxicity, innate antiviral activation, stromal proinflammatory stimulation, and recruitment of adaptive immune effector responses is the greatest asset of oncolytic viruses. However, it also is the source for enormous mechanistic complexity that must be considered for successful clinical translation. Because of fundamentally different relationships with their hosts (malignant or not), diverse replication strategies, and distinct modes of tumor cytotoxicity/killing, oncolytic viruses should not be referred to collectively. These agents must be evaluated based on their individual merits. In this review, the authors highlight key mechanistic principles of cancer treatment with the polio:rhinovirus chimera PVSRIPO and their implications for oncolytic immunotherapy in the clinic.
Insights
Oncolytic viruses, like PVSRIPO, show promise in cancer treatment by directly killing tumors and stimulating the immune system. Understanding their complex mechanisms is key for successful clinical use.
Area of Science:
- Oncology
- Virology
- Immunology
Background:
- Oncolytic viruses are gaining traction in cancer therapy, demonstrating potential in clinical trials.
- Initially valued for direct tumor cell killing (oncolytic virotherapy), their immunogenic effects (oncolytic immunotherapy) are now a major focus.
- The combination of direct cytotoxicity and immune stimulation offers broad, sustained anti-cancer effects, but adds mechanistic complexity.
Purpose of the Study:
- To review the mechanistic principles of PVSRIPO (polio:rhinovirus chimera) in cancer treatment.
- To explore the implications of PVSRIPO's mechanisms for oncolytic immunotherapy in clinical settings.
Main Methods:
- Review of existing literature on oncolytic viruses, focusing on mechanistic principles.
- Analysis of PVSRIPO's specific characteristics and its role in oncolytic immunotherapy.
Main Results:
- Oncolytic viruses possess a complex interplay of direct tumor cytotoxicity and immune activation.
- PVSRIPO leverages both direct killing and immune stimulation for anti-cancer effects.
- Individual oncolytic viruses have distinct mechanisms and must be evaluated separately.
Conclusions:
- Oncolytic virus therapy is a rapidly advancing field with significant clinical promise.
- PVSRIPO exemplifies the potential of engineered oncolytic viruses for cancer immunotherapy.
- Further research into the specific mechanisms of each oncolytic virus is crucial for optimizing clinical translation.
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