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Published on: July 14, 2023
Viral gene therapy for breast cancer: progress and challenges
Antonela S Asad1,2, Mariela A Moreno Ayala1,2, M Florencia Gottardo1,2
1a Departamento de Biología Celular e Histología, Facultad de Medicina , Universidad de Buenos Aires , Buenos Aires , Argentina.
Introduction:
Breast cancer is the most common cancer in women all over the world. Furthermore, up to one third of breast tumors develop metastases that are resistant to standard therapies. Gene therapeutic strategies have been developed in order to specifically target cancer cells either directly or through the stimulation of antitumor immunity. Areas covered: This review describes the therapeutic strategies that are currently under development to treat this disease using engineered viral vectors including: adenovirus, adeno-associated virus, lentivirus, poxvirus, reovirus, baculovirus, herpesvirus and oncolytic viruses. Advantages and disadvantages of these multiple gene therapy platforms are discussed in detail. Expert opinion: Metastatic breast cancer is a perfect candidate for gene therapy approaches due to the presence of several tumor antigens and the aberrant expression of many molecular pathways. Oncolytic vectors are able to attack tumor cells while sparing normal cells and their activity is often enhanced by the administration of chemotherapy. However, more efforts are needed in order to reduce toxicity and to achieve better transduction efficiency. Improved preclinical models and a more critical patient selection for clinical trials, along with advances in gene therapy regulations, will surely facilitate the evolution of gene therapy for the treatment of metastatic breast cancer.
Insights
Gene therapy using engineered viral vectors shows promise for treating metastatic breast cancer, which often resists standard treatments. Oncolytic viruses offer targeted tumor cell destruction, but further research is needed to improve safety and effectiveness.
Area of Science:
- Oncology
- Gene Therapy
- Virology
Background:
- Breast cancer is the most prevalent cancer globally in women.
- Metastatic breast cancer frequently exhibits resistance to conventional therapies.
- Gene therapy offers novel strategies to target cancer cells and stimulate anti-tumor immunity.
Purpose of the Study:
- To review current gene therapeutic strategies for metastatic breast cancer treatment.
- To discuss engineered viral vectors, including oncolytic viruses, under development.
- To analyze the advantages and disadvantages of various gene therapy platforms.
Main Methods:
- Review of therapeutic strategies utilizing engineered viral vectors.
- Inclusion of adenovirus, adeno-associated virus, lentivirus, poxvirus, reovirus, baculovirus, herpesvirus, and oncolytic viruses.
- Detailed discussion of the pros and cons of each gene therapy platform.
Main Results:
- Metastatic breast cancer is a suitable candidate for gene therapy due to tumor antigens and aberrant molecular pathways.
- Oncolytic vectors demonstrate potential for selective tumor cell targeting and can be enhanced by chemotherapy.
- Challenges include reducing toxicity and improving transduction efficiency.
Conclusions:
- Gene therapy, particularly with oncolytic viruses, presents a promising avenue for metastatic breast cancer.
- Further research is essential to optimize safety, efficacy, and delivery methods.
- Advancements in preclinical models, patient selection, and regulatory frameworks are crucial for clinical translation.
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