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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
The Clinical Advances of Oncolytic Viruses in Cancer Immunotherapy
Mohammed A Zolaly1, Waleed Mahallawi2, Zakaria Y Khawaji3
1Pediatric Hematology Oncology, Taibah University, Al-Madinah al-Munawwarah, SAU.
Abstract:
A promising future for oncology treatment has been brought about by the emergence of a novel approach utilizing oncolytic viruses in cancer immunotherapy. Oncolytic viruses are viruses that have been exploited genetically to assault malignant cells and activate a robust immune response. Several techniques have been developed to endow viruses with an oncolytic activity through genetic engineering. For instance, redirection capsid modification, stimulation of anti-neoplastic immune response, and genetically arming viruses with cytokines such as IL-12. Oncolytic viral clinical outcomes are sought after, particularly in more advanced cancers. The effectiveness and safety profile of the oncolytic virus in clinical studies with or without the combination of standard treatment (chemotherapy, radiotherapy, or primary excision) has been assessed using response evaluation criteria in solid tumors (RECIST). This review will comprehensively outline the most recent clinical applications and provide the results from various phases of clinical trials in a variety of cancers in the latest published literature.
Insights
Oncolytic viruses, engineered to target cancer cells and stimulate immune responses, show promise in advanced cancer treatment. Clinical trials are evaluating their effectiveness and safety, alone or with standard therapies.
Area of Science:
- Oncology
- Immunotherapy
- Virology
Background:
- Oncolytic viruses represent a novel approach in cancer immunotherapy.
- These viruses are genetically engineered to selectively target and destroy cancer cells, while also stimulating an anti-tumor immune response.
Purpose of the Study:
- To review the latest clinical applications of oncolytic viruses in cancer treatment.
- To summarize the efficacy and safety data from various phases of clinical trials.
Main Methods:
- Genetic engineering techniques to confer oncolytic activity (e.g., capsid modification, cytokine arming with IL-12).
- Assessment of clinical outcomes using Response Evaluation Criteria in Solid Tumors (RECIST).
- Evaluation in combination with standard treatments like chemotherapy, radiotherapy, and surgery.
Main Results:
- Oncolytic virotherapy is being investigated for advanced cancers.
- Clinical studies assess safety and effectiveness in diverse cancer types.
- Combination therapies aim to enhance treatment outcomes.
Conclusions:
- Oncolytic viruses offer a promising therapeutic strategy in oncology.
- Further clinical evaluation is crucial to establish their role in cancer treatment paradigms.
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