Mechanisms of Oncolytic Virus-Induced Multi-Modal Cell Death and Therapeutic Prospects

Jinzhou Xu1, Chenqian Liu1, Ye An1

  • 1Department and Institute of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China.

Insights

Oncolytic viruses offer a promising cancer treatment by selectively destroying tumor cells and activating anti-cancer immunity. This review explores their mechanisms, clinical applications, and strategies to enhance their effectiveness for improved patient outcomes.

Area of Science:

  • Oncology
  • Virology
  • Immunology

Background:

  • Cancer poses a significant global health challenge with rising incidence and mortality rates.
  • Traditional cancer treatments have limitations, necessitating novel therapeutic strategies.
  • Oncolytic viruses represent a promising approach, selectively targeting and destroying tumor cells while sparing healthy tissues.

Purpose of the Study:

  • To systematically review the mechanisms of oncolytic viruses in inducing various forms of cancer cell death.
  • To explore the direct cytotoxic effects and immune-activating capabilities of oncolytic viruses.
  • To summarize recent advancements in clinical applications and strategies for enhancing oncolytic virus efficacy.

Main Methods:

  • Systematic literature review of oncolytic virus mechanisms and applications.
  • Analysis of direct tumor cell lysis and immune response activation.
  • Evaluation of gene modification, combination therapy, and delivery systems for enhanced efficacy.

Main Results:

  • Oncolytic viruses induce multiple cell death pathways, including apoptosis, autophagy, pyroptosis, necroptosis, and ferroptosis.
  • They exhibit direct tumor-killing effects and stimulate local and systemic antitumor immunity.
  • Novel recombinant viruses and enhanced delivery systems show potential in clinical settings.

Conclusions:

  • Understanding the multifaceted mechanisms of oncolytic viruses is crucial for developing personalized cancer therapies.
  • Strategies like gene modification and combination therapy can improve oncolytic virus efficacy.
  • Further research is needed to optimize oncolytic viruses for overcoming drug resistance and improving patient prognosis, establishing them as a key cancer treatment modality.

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