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Virotherapy in Germany-Recent Activities in Virus Engineering, Preclinical Development, and Clinical Studies
Dirk M Nettelbeck1, Mathias F Leber1,2, Jennifer Altomonte3
1Clinical Cooperation Unit Virotherapy, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg, Germany.
Abstract:
Virotherapy research involves the development, exploration, and application of oncolytic viruses that combine direct killing of cancer cells by viral infection, replication, and spread (oncolysis) with indirect killing by induction of anti-tumor immune responses. Oncolytic viruses can also be engineered to genetically deliver therapeutic proteins for direct or indirect cancer cell killing. In this review-as part of the special edition on "State-of-the-Art Viral Vector Gene Therapy in Germany"-the German community of virotherapists provides an overview of their recent research activities that cover endeavors from screening and engineering viruses as oncolytic cancer therapeutics to their clinical translation in investigator-initiated and sponsored multi-center trials. Preclinical research explores multiple viral platforms, including new isolates, serotypes, or fitness mutants, and pursues unique approaches to engineer them towards increased safety, shielded or targeted delivery, selective or enhanced replication, improved immune activation, delivery of therapeutic proteins or RNA, and redirecting antiviral immunity for cancer cell killing. Moreover, several oncolytic virus-based combination therapies are under investigation. Clinical trials in Germany explore the safety and potency of virotherapeutics based on parvo-, vaccinia, herpes, measles, reo-, adeno-, vesicular stomatitis, and coxsackie viruses, including viruses encoding therapeutic proteins or combinations with immune checkpoint inhibitors. These research advances represent exciting vantage points for future endeavors of the German virotherapy community collectively aimed at the implementation of effective virotherapeutics in clinical oncology.
Insights
Virotherapy uses oncolytic viruses to kill cancer cells directly and stimulate anti-tumor immunity. German researchers are advancing these engineered viruses from preclinical studies to clinical trials for cancer treatment.
Area of Science:
- Oncology
- Virology
- Gene Therapy
Background:
- Virotherapy utilizes oncolytic viruses for direct cancer cell lysis (oncolysis) and to induce anti-tumor immune responses.
- Viruses can be engineered to deliver therapeutic proteins, enhancing direct or indirect cancer cell killing.
- This review highlights German research in virotherapy, from virus screening and engineering to clinical translation.
Purpose of the Study:
- To provide an overview of recent research activities in virotherapy by the German scientific community.
- To detail advancements in engineering oncolytic viruses for improved safety, targeting, replication, and immune activation.
- To summarize ongoing clinical trials and future directions for virotherapeutics in oncology.
Main Methods:
- Screening and engineering of diverse viral platforms (e.g., parvovirus, vaccinia, herpes, measles).
- Preclinical investigations focusing on enhanced safety, targeted delivery, selective replication, and immune modulation.
- Clinical translation through investigator-initiated and sponsored multi-center trials.
Main Results:
- Multiple viral platforms are being explored and engineered for enhanced oncolytic efficacy and safety.
- Clinical trials are evaluating the safety and potency of various oncolytic viruses, including those encoding therapeutic proteins.
- Combination therapies involving oncolytic viruses and immune checkpoint inhibitors are under investigation.
Conclusions:
- German researchers are making significant progress in developing oncolytic viruses as cancer therapeutics.
- Engineering efforts are focused on optimizing viral platforms for better cancer targeting and immune stimulation.
- The field is advancing towards the clinical implementation of effective virotherapies for cancer treatment.
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