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Published on: January 7, 2019
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.
Abstract:
Oncolytic viruses (OVs) are emerging as potential treatment options for cancer. Natural and genetically engineered viruses exhibit various antitumor mechanisms. OVs act by direct cytolysis, the potentiation of the immune system through antigen release, and the activation of inflammatory responses or indirectly by interference with different types of elements in the tumor microenvironment, modification of energy metabolism in tumor cells, and antiangiogenic action. The action of OVs is pleiotropic, and they show varied interactions with the host and tumor cells. An important impediment in oncolytic virotherapy is the journey of the virus into the tumor cells and the possibility of its binding to different biological and nonbiological vectors. OVs have been demonstrated to eliminate cancer cells that are resistant to standard treatments in many clinical trials for various cancers (melanoma, lung, and hepatic); however, there are several elements of resistance to the action of viruses per se. Therefore, it is necessary to evaluate the combination of OVs with other standard treatment modalities, such as chemotherapy, immunotherapy, targeted therapies, and cellular therapies, to increase the response rate. This review provides a comprehensive update on OVs, their use in oncolytic virotherapy, and the future prospects of this therapy alongside the standard therapies currently used in cancer treatment.
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.
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