Infection of non-cancer cells: A barrier or support for oncolytic virotherapy?

Victor A Naumenko1, Aleksei A Stepanenko1,2, Anastasiia V Lipatova3

  • 1V. Serbsky National Medical Research Center for Psychiatry and Narcology, Moscow 119034, Russia.

Insights

Oncolytic viruses can infect normal cells, particularly in the tumor microenvironment. This review explores how these viruses infect non-cancer cells and its importance for cancer virotherapy.

Area of Science:

  • Oncology
  • Virology
  • Immunology

Background:

  • Oncolytic viruses are engineered to selectively infect and kill cancer cells, sparing healthy tissues.
  • However, oncolytic viruses have been observed to infect non-tumor cells, a phenomenon whose implications for cancer therapy remain unclear.

Purpose of the Study:

  • To review the infection of non-cancerous targets by oncolytic viruses.
  • To investigate the mechanisms by which attenuated viruses infect normal cells.
  • To assess the significance of this off-target infection for the efficacy of oncolytic virotherapy.

Main Methods:

  • Literature review focusing on studies of oncolytic virus infection in non-tumor cells.
  • Emphasis on infection within the tumor microenvironment and secondary lymphoid tissues.
  • Analysis of mechanisms driving viral entry into normal cells.

Main Results:

  • Oncolytic viruses demonstrate tropism for various non-tumor cell types, including those within the tumor microenvironment and immune cells.
  • Mechanisms for normal cell infection involve viral properties and host cell interactions, often exploiting pathways similar to tumor cell entry.
  • The impact of infecting immune cells and stromal cells in the tumor microenvironment on therapeutic outcomes is complex and warrants further investigation.

Conclusions:

  • Understanding the infection of normal cells by oncolytic viruses is crucial for optimizing cancer virotherapy strategies.
  • Further research is needed to elucidate the precise role of non-target cell infection in modulating anti-tumor immunity and overall treatment efficacy.
  • Targeting or leveraging these interactions may enhance the therapeutic potential of oncolytic viruses.

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