Oncolytic Virotherapy: A New Paradigm in Cancer Immunotherapy

Simona Ruxandra Volovat1, Dragos Viorel Scripcariu2, Ingrid Andrada Vasilache3

  • 1Department of Medical Oncology-Radiotherapy, "Grigore T. Popa" University of Medicine and Pharmacy, 16 University Str., 700115 Iasi, Romania.

Insights

Oncolytic viruses (OVs) offer promising cancer treatment by directly killing tumors and stimulating immune responses. Combining OVs with standard therapies may overcome resistance and improve patient outcomes.

Area of Science:

  • Oncology
  • Virology
  • Immunology

Background:

  • Oncolytic viruses (OVs) are viruses that selectively infect and kill cancer cells.
  • OVs possess multiple antitumor mechanisms, including direct cell lysis, immune system potentiation, and modulation of the tumor microenvironment.
  • Challenges in oncolytic virotherapy include viral delivery to tumor cells and potential resistance mechanisms.

Purpose of the Study:

  • To provide a comprehensive update on oncolytic viruses (OVs) in cancer treatment.
  • To review the mechanisms of action, challenges, and future prospects of OV therapy.
  • To explore the potential of combining OVs with standard cancer treatment modalities.

Main Methods:

  • Review of existing literature on oncolytic viruses and their application in cancer therapy.
  • Analysis of antitumor mechanisms of OVs, including direct and indirect actions.
  • Evaluation of resistance factors and strategies to enhance OV efficacy, such as combination therapies.

Main Results:

  • OVs demonstrate pleiotropic antitumor effects and varied interactions with host and tumor cells.
  • OVs have shown efficacy in clinical trials against various cancers, including melanoma, lung, and hepatic cancers.
  • Resistance to OV therapy exists, necessitating combination strategies.

Conclusions:

  • Oncolytic virotherapy is a rapidly evolving field with significant therapeutic potential.
  • Combining OVs with chemotherapy, immunotherapy, targeted therapies, and cellular therapies is crucial for improving response rates.
  • Further research into OV delivery, resistance mechanisms, and combination strategies will enhance their clinical utility.

Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
527
Cancer Vaccines01:30

Cancer Vaccines

Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
368
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.6K
Mechanisms of Retrovirus-induced Cancers01:51

Mechanisms of Retrovirus-induced Cancers

Retroviruses are RNA viruses that have been shown to cause cancers in diverse species, including chickens, mice, cats, and monkeys. The RNA genomes of these viruses are first reverse-transcribed into single and then double-stranded DNA (dsDNA) copies. This dsDNA called proviral DNA then integrates into the host genome. Subsequently, the host cell transcribes the proviral DNA in concert with the chromosomal DNA. This leads to the production of viral RNA and proteins that assemble at the host...
5.1K
Rous Sarcoma Virus (RSV) and Cancer01:03

Rous Sarcoma Virus (RSV) and Cancer

Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand  RNA genome. Its genome consists of four main open...
5.1K