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Published on: November 24, 2014
Adenovirus Receptor Expression in Cancer and Its Multifaceted Role in Oncolytic Adenovirus Therapy
Lobke C M Hensen1, Rob C Hoeben2, Selas T F Bots2
1Master Research Program Infection and Immunity, Faculty of Medicine, Utrecht University, 3584 CS Utrecht, The Netherlands.
Abstract:
Oncolytic adenovirus therapy is believed to be a promising way to treat cancer patients. To be able to target tumor cells with an oncolytic adenovirus, expression of the adenovirus receptor on the tumor cell is essential. Different adenovirus types bind to different receptors on the cell, of which the expression can vary between tumor types. Pre-existing neutralizing immunity to human adenovirus species C type 5 (HAdV-C5) has hampered its therapeutic efficacy in clinical trials, hence several adenoviral vectors from different species are currently being developed as a means to evade pre-existing immunity. Therefore, knowledge on the expression of appropriate adenovirus receptors on tumor cells is important. This could aid in determining which tumor types would benefit most from treatment with a certain oncolytic adenovirus type. This review provides an overview of the known receptors for human adenoviruses and how their expression on tumor cells might be differentially regulated compared to healthy tissue, before and after standardized anticancer treatments. Mechanisms behind the up- or downregulation of adenovirus receptor expression are discussed, which could be used to find new targets for combination therapy to enhance the efficacy of oncolytic adenovirus therapy. Additionally, the utility of the adenovirus receptors in oncolytic virotherapy is examined, including their role in viral spread, which might even surpass their function as primary entry receptors. Finally, future directions are offered regarding the selection of adenovirus types to be used in oncolytic adenovirus therapy in the fight against cancer.
Insights
Oncolytic adenovirus therapy efficacy depends on tumor cell receptor expression. Understanding these receptors and their regulation is key to selecting appropriate adenovirus types for cancer treatment and improving therapeutic outcomes.
Area of Science:
- Oncolytic virotherapy
- Cancer biology
- Virology
Background:
- Oncolytic adenovirus therapy shows promise for cancer treatment, but its success hinges on adenovirus receptor expression on tumor cells.
- Different adenovirus serotypes bind to distinct receptors, with variable expression across tumor types.
- Pre-existing immunity to common adenoviruses like human adenovirus species C type 5 (HAdV-C5) limits therapeutic effectiveness.
Purpose of the Study:
- To review known human adenovirus receptors and their differential expression on tumor cells versus healthy tissues.
- To explore mechanisms of adenovirus receptor regulation (up/downregulation) in the context of cancer and treatment.
- To examine the role of adenovirus receptors in viral spread and their potential as targets for combination therapy.
Main Methods:
- Literature review of adenovirus-receptor interactions and expression patterns.
- Analysis of receptor regulation mechanisms in tumor cells.
- Evaluation of receptor utility in oncolytic virotherapy and viral dissemination.
Main Results:
- Adenovirus receptor expression varies significantly between tumor types and can be altered by anticancer treatments.
- Mechanisms of receptor modulation offer potential targets for enhancing oncolytic adenovirus therapy.
- Adenovirus receptors play a crucial role in viral spread, potentially beyond initial cell entry.
Conclusions:
- Knowledge of adenovirus receptor expression is critical for selecting optimal adenovirus vectors for specific cancer types.
- Targeting receptor regulation could improve oncolytic adenovirus therapy efficacy.
- Further research into receptor function in viral spread is needed to maximize therapeutic potential.
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