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Published on: January 7, 2019
Oncolytic Viruses and Their Potential as a Therapeutic Opportunity in Osteosarcoma
Mary Frances Wedekind1, Timothy P Cripe2
1National Institutes of Health, Bethesda, MD, USA.
Abstract:
Osteosarcoma remains an unmet medical need. Oncolytic viruses are gaining traction as novel cancer therapeutics. These viruses are either naturally nonpathogenic or engineered to be safe by specific genetic deletions yet retain the ability to infect and kill human cancer cells and elicit anticancer immunity. Some versions are being specifically designed and tested in patients with osteosarcoma, though due to their generalized mechanism of action most are being tested in patients across a broad range of cancer types. The activity of these viruses is impacted not only by the susceptibility of tumor cells to infection but also by the tumor microenvironment (TME) and by tumor immunogenicity. Here we review the field of oncolytic viruses with a particular emphasis on highlighting any available data in preclinical osteosarcoma models or in patients with osteosarcoma. While in general the viruses have been shown safe to administer to patients by a variety of routes, their therapeutic efficacy to date has been limited. Given the low rate of adverse events and the likely absence of long-term side effects, the utility of oncolytic viruses will most likely be realized when used in combination with other agents.
Insights
Oncolytic viruses show promise for treating osteosarcoma, a challenging cancer. While generally safe, their effectiveness is currently limited, suggesting combination therapies may be key for future success.
Area of Science:
- Oncology
- Virology
- Immunology
Background:
- Osteosarcoma is a significant unmet medical need.
- Oncolytic viruses are emerging as a novel therapeutic strategy for cancer treatment.
- These viruses selectively infect and kill cancer cells while stimulating an anti-tumor immune response.
Purpose of the Study:
- To review the current landscape of oncolytic viruses for osteosarcoma treatment.
- To highlight available data from preclinical osteosarcoma models and clinical trials.
- To discuss factors influencing oncolytic virus activity, including tumor cell susceptibility, the tumor microenvironment, and immunogenicity.
Main Methods:
- Literature review of oncolytic virus research.
- Emphasis on studies involving osteosarcoma models and patients.
- Analysis of safety and efficacy data from various administration routes.
Main Results:
- Oncolytic viruses have demonstrated a favorable safety profile in patient administration.
- Therapeutic efficacy of oncolytic viruses in osteosarcoma has been limited to date.
- Factors such as tumor microenvironment and immunogenicity impact virus activity.
Conclusions:
- Oncolytic viruses are safe for administration in cancer patients, including those with osteosarcoma.
- Current therapeutic efficacy is limited, necessitating further research.
- Combination therapy approaches are likely essential to maximize the utility of oncolytic viruses in osteosarcoma treatment.
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