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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Concepts in Oncolytic Adenovirus Therapy
Klaus Mantwill1, Florian Gerhard Klein1, Dongbiao Wang1
1Department of Urology, Klinikum Rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Abstract:
Oncolytic adenovirus therapy is gaining importance as a novel treatment option for the management of various cancers. Different concepts of modification within the adenovirus vector have been identified that define the mode of action against and the interaction with the tumour. Adenoviral vectors allow for genetic manipulations that restrict tumour specificity and also the expression of specific transgenes in order to support the anti-tumour effect. Additionally, replication of the virus and reinfection of neighbouring tumour cells amplify the therapeutic effect. Another important aspect in oncolytic adenovirus therapy is the virus induced cell death which is a process that activates the immune system against the tumour. This review describes which elements in adenovirus vectors have been identified for modification not only to utilize oncolytic adenovirus vectors into conditionally replicating adenoviruses (CRAds) that allow replication specifically in tumour cells but also to confer specific characteristics to these viruses. These advances in development resulted in clinical trials that are summarized based on the conceptual design.
Insights
Oncolytic adenovirus therapy uses modified adenoviruses to target and destroy cancer cells. These conditionally replicating adenoviruses (CRAds) offer a promising new approach for cancer treatment, activating immune responses against tumors.
Area of Science:
- Oncolytic virotherapy
- Cancer biology
- Gene therapy
Background:
- Oncolytic adenovirus therapy is an emerging cancer treatment.
- Adenovirus vectors can be genetically modified for tumor specificity and enhanced anti-tumor effects.
- Viral replication and tumor cell lysis are key mechanisms of action.
Purpose of the Study:
- To review modifications in adenovirus vectors for oncolytic therapy.
- To discuss the development of conditionally replicating adenoviruses (CRAds).
- To summarize clinical trials based on CRAd design.
Main Methods:
- Review of scientific literature on adenovirus vector modifications.
- Analysis of genetic engineering strategies for tumor targeting and transgene expression.
- Compilation and categorization of clinical trial data based on CRAd conceptual design.
Main Results:
- Identified key elements within adenovirus vectors for modification.
- Demonstrated that modifications enable tumor-specific replication (CRAds).
- Highlighted the role of viral replication, transgene expression, and virus-induced cell death in anti-tumor immunity.
Conclusions:
- Adenovirus vector modification is crucial for developing effective oncolytic therapies.
- CRAds offer enhanced tumor specificity and therapeutic potential.
- Clinical trials show promise for oncolytic adenovirus therapy in cancer management.
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