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Advances in viral oncolytics for treatment of multiple myeloma - a focused review
Ayesha Sarwar1, Laila Hashim2, Muhammad Salman Faisal3
1Department of Internal Medicine, King Edward Medical University, Lahore, Pakistan.
Introduction:
Oncolytic viruses are genetically engineered viruses that target myeloma-affected cells by detecting specific cell surface receptors (CD46, CD138), causing cell death by activating the signaling pathway to induce apoptosis or by immune-mediated cellular destruction.
Areas Covered:
This article summarizes oncolytic virotherapy advancements such as the therapeutic use of viruses by targeting cell surface proteins of myeloma cells as well as the carriers to deliver viruses to the target tissues safely. The major classes of viruses that have been studied for this include measles, myxoma, adenovirus, reovirus, vaccinia, vesicular-stomatitis virus, coxsackie, and others. The measles virus acts as oncolytic viral therapy by binding to the CD46 receptors on the myeloma cells to utilize its surface H protein. These H-protein and CD46 interactions lead to cellular syncytia formation resulting in cellular apoptosis. Vesicular-stomatitis virus acts by downregulation of anti-apoptotic factors (Mcl-2, BCL-2). Based upon the published literature searches till December 2020, we have summarized the data supporting the advances in viral oncolytic for the treatment of MM.
Expert Opinion:
Oncolytic virotherapy is an experimental approach in multiple myeloma (MM); many issues need to be addressed for safe viral delivery to the target tissue.
Insights
Oncolytic viruses are engineered to target multiple myeloma cells via specific receptors, inducing cell death through apoptosis or immune responses. Research is advancing this experimental therapy for better delivery and efficacy.
Area of Science:
- Oncology
- Virology
- Immunotherapy
Background:
- Oncolytic virotherapy utilizes genetically engineered viruses to selectively target and destroy cancer cells.
- Multiple myeloma (MM) is a cancer of plasma cells, and oncolytic viruses offer a novel therapeutic avenue.
- Viruses can induce cancer cell death via apoptosis or immune-mediated destruction.
Purpose of the Study:
- To summarize advancements in oncolytic virotherapy for multiple myeloma.
- To review viruses targeting cell surface receptors (CD46, CD138) on myeloma cells.
- To discuss safe viral delivery methods and challenges in MM treatment.
Main Methods:
- Literature search of published data up to December 2020.
- Review of oncolytic viruses targeting myeloma cell surface proteins.
- Analysis of viral mechanisms, including measles and vesicular stomatitis virus.
Main Results:
- Measles virus binds CD46 receptors, inducing apoptosis through syncytia formation.
- Vesicular stomatitis virus promotes apoptosis by downregulating anti-apoptotic factors (Mcl-2, BCL-2).
- Various viruses like adenovirus, reovirus, and vaccinia show potential in oncolytic virotherapy.
Conclusions:
- Oncolytic virotherapy is a promising experimental treatment for multiple myeloma.
- Targeting specific cell surface receptors enhances viral selectivity.
- Further research is needed to address safe and effective viral delivery for MM treatment.
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