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Oncolytic viruses: A new immunotherapeutic approach for breast cancer treatment?
Juan Miguel Cejalvo1, Claudette Falato2, Lorea Villanueva3
1Hospital Clínico Universitario de Valencia, INCLIVA (Instituto de investigación sanitaria) and CIBERONC, Valencia, Spain; SOLTI Cancer Research Group, Barcelona, Spain.
Abstract:
Immunotherapy has revolutionized the oncology field during the last years, mainly with the introduction of immune checkpoint inhibitors in the clinical routine. Despite the recent approval of these drugs for the treatment of triple-negative breast cancer, most breast cancer patients cannot benefit from immunotherapy as most tumors are not considered immunoreactive. Therefore, new strategies must be developed to bring immunotherapy closer to breast cancer patients. The introduction of oncolytic viruses in the immuno-oncology field has shown promising results in cancer treatment, including breast cancer. However, a better understanding of their mechanisms of action, increase evidence of safety and efficacy, and the implications of its use as a systemic therapy must be examined in more depth. This review provides a summary of oncolytic virotherapy in the context of breast cancer, both in the pre-clinical and clinical setting.
Insights
Oncolytic viruses offer a promising new strategy for breast cancer immunotherapy, especially for tumors unresponsive to current treatments. Further research is needed to optimize their use as a systemic therapy.
Area of Science:
- Oncology
- Immunology
- Virology
Background:
- Immunotherapy, particularly immune checkpoint inhibitors, has transformed cancer treatment.
- Most breast cancers, especially triple-negative breast cancer, are not responsive to current immunotherapies due to lack of tumor immunoreactivity.
- Novel therapeutic strategies are essential to broaden immunotherapy benefits for breast cancer patients.
Purpose of the Study:
- To review the current landscape of oncolytic virotherapy for breast cancer.
- To summarize pre-clinical and clinical findings on oncolytic virus efficacy and safety.
- To highlight the potential of oncolytic viruses as a systemic therapy for breast cancer.
Main Methods:
- Systematic review of pre-clinical studies on oncolytic viruses in breast cancer models.
- Analysis of clinical trial data investigating oncolytic virotherapy for breast cancer.
- Evaluation of the mechanisms of action and safety profiles of oncolytic viruses.
Main Results:
- Oncolytic viruses demonstrate potential in pre-clinical breast cancer models.
- Early clinical investigations show promise, but further evidence is required.
- Understanding mechanisms and optimizing systemic delivery are key areas for advancement.
Conclusions:
- Oncolytic virotherapy presents a promising avenue for treating breast cancer, particularly for immunotherapy-resistant cases.
- Further research into safety, efficacy, and systemic administration is crucial for clinical translation.
- Oncolytic viruses could expand the reach of immunotherapy in breast cancer care.
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