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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Solid Tumor Immunotherapy with T Cell Engager-Armed Oncolytic Viruses
Eleanor M Scott1, Margaret R Duffy1, Joshua D Freedman1
1Department of Oncology, University of Oxford, Oxford, OX3 7DQ, UK.
Abstract:
Oncolytic viruses (OVs) are novel anticancer agents that combine direct cancer cell killing with the stimulation of antitumor immunity. In addition, OVs can be engineered to deliver biological therapeutics directly to tumors, offering unique opportunities to design multimodal anticancer strategies. Here, a case for arming OVs with bispecific T cell engagers (BiTEs) is put forward. BiTEs redirect the cytotoxicity of polyclonal T cells to target cells of choice, and have demonstrated efficacy against a number of hematological cancers. However, the success of BiTEs in the treatment of solid tumors appears more limited, at least in part due to: (i) poor delivery kinetics and penetration into tumors, and (ii) on-target off-tumor activity, leading to dose-limiting toxicities. Linking the production of BiTEs to OV replication provides an exciting means to restrict production to the tumor site, widen their therapeutic window, and synergize with direct oncolysis. This review summarizes progress thus far in the preclinical development of BiTE-armed OVs, and explores the possibility of cotargeting cancer cells and nontransformed stromal cells.
Insights
Oncolytic viruses (OVs) armed with bispecific T cell engagers (BiTEs) offer a promising strategy for solid tumor treatment. This approach enhances T cell-mediated tumor cell killing and improves drug delivery, potentially overcoming limitations of current therapies.
Area of Science:
- Oncology
- Immunotherapy
- Virology
Background:
- Oncolytic viruses (OVs) are emerging as potent anticancer agents, capable of direct tumor cell lysis and immune system activation.
- Bispecific T cell engagers (BiTEs) redirect T cells to target cancer cells, showing success in hematological malignancies but facing challenges in solid tumors due to delivery and toxicity issues.
Purpose of the Study:
- To explore the potential of engineering oncolytic viruses (OVs) to produce bispecific T cell engagers (BiTEs) directly within tumors.
- To address the limitations of BiTEs in solid tumors, including poor tumor penetration and on-target, off-tumor toxicities.
Main Methods:
- Review of preclinical data on the development of BiTE-armed OVs.
- Discussion of strategies for linking BiTE production to OV replication within tumor cells.
- Exploration of cotargeting cancer cells and associated stromal cells.
Main Results:
- Arming OVs with BiTEs restricts therapeutic agent production to the tumor site, enhancing safety and efficacy.
- This approach synergizes direct oncolysis with T cell-mediated cytotoxicity, improving treatment outcomes.
- Preclinical studies indicate significant potential for BiTE-armed OVs in treating solid tumors.
Conclusions:
- BiTE-armed OVs represent a novel multimodal therapeutic strategy with a widened therapeutic window for solid tumors.
- This approach holds promise for overcoming the challenges associated with traditional BiTE delivery and toxicity.
- Future research may focus on cotargeting tumor cells and stromal components for enhanced therapeutic effects.
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