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Published on: April 15, 2016
Overcoming the limitations of locally administered oncolytic virotherapy
JinWoo Hong1, Chae-Ok Yun1,2
1Department of Bioengineering, College of Engineering, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 133-791 South Korea.
Abstract:
Adenovirus (Ad) has been most extensively evaluated gene transfer vector in clinical trials due to facile production in high viral titer, highly efficient transduction, and proven safety record. Similarly, an oncolytic Ad, which replicates selectively in cancer cells through genetic modifications, is actively being evaluated in various phases of clinical trials as a promising next generation therapeutic against cancer. Most of these trials with oncolytic Ads to date have employed intratumoral injection as the standard administration route. Although these locally administered oncolytic Ads have shown promising outcomes, the therapeutic efficacy is not yet optimal due to poor intratumoral virion retention, nonspecific shedding of virion to normal organs, variable infection efficacy due to heterogeneity of tumor cells, adverse antiviral immune response, and short biological activity of oncolytic viruses in situ. These inherent problems associated with locally administered Ad also holds true for other oncolytic viral vectors. Thus, this review will aim to discuss various nanomaterial-based delivery strategies to improve the intratumoral administration efficacy of oncolytic Ad as well as other types of oncolytic viruses.
Insights
Nanomaterial-based delivery systems show promise for enhancing oncolytic adenovirus (Ad) cancer therapy. These strategies aim to overcome limitations of direct injection for improved viral retention and efficacy against tumors.
Area of Science:
- Oncolytic virotherapy
- Gene therapy vectors
- Nanomedicine
Background:
- Adenovirus (Ad) is a well-established gene transfer vector with high efficiency and safety.
- Oncolytic Ads, engineered to replicate in cancer cells, are under investigation as cancer therapeutics.
- Current intratumoral injection of oncolytic Ads faces challenges including poor retention and immune response.
Purpose of the Study:
- To review nanomaterial-based delivery strategies for oncolytic adenovirus.
- To address limitations of intratumoral administration for oncolytic viral therapy.
- To improve therapeutic efficacy of oncolytic viruses in cancer treatment.
Main Methods:
- Review of existing literature on nanomaterial-based delivery systems for oncolytic viruses.
- Analysis of strategies to enhance intratumoral virion retention and reduce off-target shedding.
- Discussion of methods to overcome tumor heterogeneity and immune responses affecting oncolytic virus efficacy.
Main Results:
- Nanomaterial formulations can improve the stability and targeting of oncolytic adenoviruses.
- Engineered delivery systems demonstrate potential for enhanced viral retention within tumors.
- Strategies are being developed to mitigate adverse immune reactions and prolong viral activity.
Conclusions:
- Nanomaterial-based delivery offers a promising approach to optimize oncolytic adenovirus therapy.
- Overcoming current administration challenges can significantly improve clinical outcomes for oncolytic virotherapy.
- Further research into advanced delivery systems is crucial for the next generation of cancer treatments.
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