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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
The emerging field of oncolytic virus-based cancer immunotherapy
Rui Ma1, Zhenlong Li2, E Antonio Chiocca3
1Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Los Angeles, CA 91010, USA; Laboratory of Molecular Oncology, Frontiers Science Center for Disease-related Molecular Network, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, PR China.
Abstract:
Oncolytic viruses (OVs) provide novel and promising therapeutic options for patients with cancers resistant to traditional therapies. Natural or genetically modified OVs are multifaceted tumor killers. They directly lyse tumor cells while sparing normal cells, and indirectly potentiate antitumor immunity by releasing antigens and activating inflammatory responses in the tumor microenvironment. However, some limitations, such as limited penetration of OVs into tumors, short persistence, and the host antiviral immune response, are impeding the broad translation of oncolytic virotherapy into the clinic. If these challenges can be overcome, combination therapies, such as OVs plus immune checkpoint blockade (ICB), chimeric antigen receptor (CAR) T cells, or CAR natural killer (NK) cells, may provide powerful therapeutic platforms in the clinic.
Insights
Oncolytic viruses (OVs) are promising cancer therapies that kill tumor cells and boost anti-cancer immunity. Overcoming challenges like tumor penetration and immune response could enable combination therapies for improved cancer treatment.
Area of Science:
- Oncolytic virotherapy
- Cancer immunotherapy
- Tumor microenvironment modulation
Background:
- Oncolytic viruses (OVs) offer a novel therapeutic strategy for cancers resistant to conventional treatments.
- OVs exhibit dual action: direct tumor cell lysis and indirect immune system potentiation within the tumor microenvironment.
Purpose of the Study:
- To review the potential of oncolytic viruses as cancer therapeutics.
- To identify limitations hindering the clinical translation of oncolytic virotherapy.
- To explore promising combination strategies for enhanced oncolytic virotherapy efficacy.
Main Methods:
- Review of existing literature on oncolytic viruses and their therapeutic applications.
- Analysis of challenges associated with OV delivery, persistence, and host immune responses.
- Exploration of synergistic potential with immunotherapies like immune checkpoint blockade and CAR-T/NK cells.
Main Results:
- Oncolytic viruses demonstrate direct tumor cell killing and indirect immune stimulation.
- Key limitations include poor tumor penetration, short viral persistence, and host antiviral immunity.
- Combination therapies involving OVs with ICB, CAR T cells, or CAR NK cells show significant therapeutic promise.
Conclusions:
- Oncolytic viruses represent a promising approach for treating refractory cancers.
- Addressing current limitations is crucial for widespread clinical adoption of oncolytic virotherapy.
- Combination strategies hold the potential to create powerful new platforms for cancer treatment.
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