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Oncolytic adenovirus: A tool for cancer therapy in combination with other therapeutic approaches
Nasser Hashemi Goradel1, Nasir Mohajel2, Ziba Veisi Malekshahi1
1Department of Medical Biotechnology, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:
Cancer therapy using oncolytic viruses is an emerging area, in which viruses are engineered to selectively propagate in tumor tissues without affecting healthy cells. Because of the advantages that adenoviruses (Ads) have over other viruses, they are more considered. To achieve tumor selectivity, two main modifications on Ads genome have been applied: small deletions and insertion of tissue- or tumor-specific promoters. Despite oncolytic adenoviruses ability in tumor cell lysis and immune responses stimulation, to further increase their antitumor effects, genomic modifications have been carried out including insertion of checkpoint inhibitors and antigenic or immunostimulatory molecules into the adenovirus genome and combination with dendritic cells and chemotherapeutic agents. This study reviews oncolytic adenoviruses structures, their antitumor efficacy in combination with other therapeutic strategies, and finally challenges around this treatment approach.
Insights
Oncolytic adenoviruses (Ads) are engineered to target cancer cells, offering a promising therapy. Combining Ads with other treatments enhances their effectiveness against tumors.
Area of Science:
- Oncolytic virotherapy
- Adenovirus-based cancer treatment
- Tumor-selective gene therapy
Background:
- Oncolytic viruses are engineered to selectively replicate in tumor cells, sparing healthy tissues.
- Adenoviruses (Ads) are favored for oncolytic virotherapy due to their advantageous characteristics.
- Current strategies focus on enhancing tumor selectivity and therapeutic efficacy of oncolytic Ads.
Purpose of the Study:
- To review the structural modifications of oncolytic adenoviruses.
- To evaluate the antitumor efficacy of oncolytic adenoviruses in combination with other therapeutic strategies.
- To discuss the challenges associated with oncolytic adenovirus therapy.
Main Methods:
- Genomic modifications of adenoviruses, including deletions and promoter insertions, for tumor selectivity.
- Engineering Ads with checkpoint inhibitors, antigenic, or immunostimulatory molecules.
- Combination strategies involving dendritic cells and chemotherapeutic agents.
Main Results:
- Oncolytic adenoviruses demonstrate tumor cell lysis and stimulate immune responses.
- Genomic modifications and combination therapies significantly enhance antitumor effects.
- The reviewed strategies show potential for increasing the efficacy of oncolytic adenovirus treatments.
Conclusions:
- Oncolytic adenoviruses represent a viable strategy for cancer therapy.
- Combined therapeutic approaches amplify the antitumor potential of oncolytic adenoviruses.
- Addressing current challenges is crucial for the clinical translation of this treatment.
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