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Updated: Nov 17, 2025

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Oncolytic virotherapy: new weapon for breast cancer treatment
Veronica Martini1,2,3, Francesca D'Avanzo1, Paola Maria Maggiora1
1Division of Oncology, Department of Translational Medicine, University of Eastern Piedmont, Novara 13100, Italy.
Abstract:
The recent introduction of viruses as a weapon against cancer can be regarded as one of the most intriguing approaches in the context of precision medicine. The role of immune checkpoint inhibitors has been extensively studied in early and advanced cancer stages, with extraordinary results. Although there is a good tolerability profile, especially when compared with conventional chemotherapy, severe immune-related adverse events have emerged as a potential limitation. Moreover, there are still treatment-resistant cases and thus further treatment options need to be implemented. Several in vitro and in vivo studies have been conducted and are ongoing to develop oncolytic viruses (OVs) as a tool to modulate the immune system response. OVs are attenuated viruses that can kill cancer cells after having infected them, producing microenvironment remodelling and antitumour immune response. The potential of oncolytic virotherapy is to contrast the absence of T cell infiltrates, converting 'cold' tumours into 'hot' ones, thus improving the performance of the immune system. Breast cancer, the second most common cause of cancer-related deaths among women, is considered a 'cold' tumour. In this context, oncolytic virotherapy might well be considered as a promising strategy. This review summarises the current status, clinical applications and future development of OVs, focusing on breast cancer treatment.
Insights
Oncolytic viruses (OVs) offer a promising precision medicine approach for cancer treatment by reprogramming the tumor microenvironment. This review explores OVs
Area of Science:
- Oncology
- Virology
- Immunotherapy
Background:
- Precision medicine increasingly utilizes viruses as anti-cancer agents.
- Immune checkpoint inhibitors show efficacy but have limitations like severe immune-related adverse events and treatment resistance.
- Oncolytic viruses (OVs) are being developed to modulate immune responses against cancer.
Purpose of the Study:
- To review the current status, clinical applications, and future development of oncolytic viruses (OVs).
- To focus on the potential of OVs in treating breast cancer, a typically 'cold' tumor.
- To explore how OVs can convert 'cold' tumors into 'hot' tumors by enhancing T cell infiltration.
Main Methods:
- Review of in vitro and in vivo studies on oncolytic viruses.
- Analysis of clinical applications and ongoing research in OV therapy.
- Focus on the mechanism of OVs in immune system modulation and tumor microenvironment remodeling.
Main Results:
- OVs are attenuated viruses that selectively infect and kill cancer cells.
- OVs can remodel the tumor microenvironment and stimulate an anti-tumor immune response.
- OVs have the potential to overcome T cell exclusion in 'cold' tumors, enhancing immunotherapy efficacy.
Conclusions:
- Oncolytic virotherapy represents a promising strategy for cancer treatment, particularly for 'cold' tumors like breast cancer.
- OVs can enhance the effectiveness of other immunotherapies by improving T cell infiltration.
- Further research and clinical trials are essential to fully realize the potential of OVs in oncology.
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