Modulation of the tumor microenvironment with an oncolytic adenovirus for effective T-cell therapy and checkpoint inhibition
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Updated: Dec 27, 2025

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
João Manuel Santos1, Riikka Havunen1, Akseli Hemminki2
1Cancer Gene Therapy Group, Translational Immunology Research Program and Department of Oncology, University of Helsinki, Helsinki, Finland; TILT Biotherapeutics Ltd, Helsinki, Finland.
Abstract:
Despite exciting proof-of-concept data mediated by adoptive T-cell transfer and checkpoint blockade, major challenges imposed by the tumor microenvironment restrict clinical benefits to a minority of patients with advanced or metastatic solid malignancies. While employment of toxic pre- and postconditioning regimens to circumvent the inefficacy of T-cell transfer presents a fundamental problem for heavily pretreated cancer patients, for checkpoint blockade, the main issue relates to low single-agent response rates. To overcome these hurdles, combination therapy with oncolytic adenovirus is becoming an attractive solution given multiple intrinsic modulatory effects on the intratumoral immune compartment, engineering capabilities and safety profile. Here, we provide a short overview on the tumor microenvironmental challenges in solid tumors, and how oncolytic adenoviruses can counteract these barriers. Finally, the immunotherapeutic potential of oncolytic adenoviruses will be discussed in the context of clinical experience with adoptive T-cell therapy and immune checkpoint inhibitors.
Insights
Oncolytic adenoviruses offer a promising solution to overcome tumor microenvironment challenges and improve cancer immunotherapy. They enhance adoptive T-cell transfer and checkpoint blockade efficacy for solid tumors.
Area of Science:
- Immunology
- Oncology
- Virology
Background:
- Solid tumors present significant challenges to current immunotherapies like adoptive T-cell transfer and checkpoint blockade.
- Limited clinical benefits are observed in patients with advanced or metastatic solid malignancies due to the tumor microenvironment.
- Existing treatments often involve toxic regimens or suffer from low response rates.
Purpose of the Study:
- To provide an overview of tumor microenvironmental challenges in solid tumors.
- To explain how oncolytic adenoviruses can counteract these barriers.
- To discuss the immunotherapeutic potential of oncolytic adenoviruses in combination with existing therapies.
Main Methods:
- Review of existing literature on tumor microenvironment.
- Analysis of oncolytic adenovirus properties and mechanisms.
- Discussion of clinical experiences with adoptive T-cell therapy and immune checkpoint inhibitors.
Main Results:
- Oncolytic adenoviruses possess intrinsic modulatory effects on the intratumoral immune compartment.
- They offer engineering capabilities and a favorable safety profile for combination therapy.
- Oncolytic adenoviruses can potentially overcome limitations of current immunotherapies.
Conclusions:
- Oncolytic adenoviruses represent an attractive strategy to enhance cancer immunotherapy.
- Combination therapy involving oncolytic adenoviruses may improve outcomes for solid tumors.
- Further clinical investigation is warranted to fully realize their immunotherapeutic potential.
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