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Generation of Multivirus-specific T Cells to Prevent/treat Viral Infections after Allogeneic Hematopoietic Stem Cell Transplant
Published on: May 27, 2011
Antiviral humoral immunity: Enemy or ally of viral immunotherapy?
Maria Eugenia Davola1, Olga Cormier1, Karen Mossman1
1Department of Medicine, Centre for Discovery in Cancer Research and McMaster Immunology Research Centre, McMaster University, Hamilton, ON L8S 4K1, Canada.
Abstract:
Oncolytic viruses are gaining traction as novel cancer immunotherapy tools given their ability to selectively target transformed cells. While direct tumor debulking was historically considered their primary mode of action, it is now appreciated that antitumor immunity significantly contributes to therapeutic efficacy. While T cells play a key role, less is known about humoral immunity in oncolytic virotherapy. While systemic delivery is the clinically preferred route for therapy administration, most oncolytic viruses are delivered directly to the tumor to avoid neutralization by pre-existing or therapy-induced immunity. In this review, we discuss emerging data showing the contribution of antiviral immunity to oncolytic activity along with growing evidence that questions dogma surrounding inhibitory activity of neutralizing antibodies. We further discuss how route of administration, tumor vascularization, host and cellular range, and oncolytic virus mechanism of action influence the role of the humoral immune response to therapy outcomes. We end the discussion with additional factors to consider, such as regulatory B cells, immunoglobulin isotype, Fc-mediated functions and the importance of choosing the right pre-clinical model that may contribute to overall therapy outcomes that are not routinely considered in pre-clinical and clinical studies of viral immunotherapies.
Insights
Oncolytic viruses are promising cancer immunotherapies. This review explores how antiviral immunity, particularly humoral responses, impacts oncolytic virotherapy outcomes, challenging traditional views on antibody neutralization.
Area of Science:
- Immunology
- Oncology
- Virology
Background:
- Oncolytic viruses are emerging as potent cancer immunotherapy agents, selectively targeting cancer cells.
- While direct cell lysis was a known mechanism, the role of antitumor immunity in oncolytic virotherapy is increasingly recognized.
- The contribution of humoral immunity, including neutralizing antibodies, to oncolytic virus efficacy is not fully understood.
Purpose of the Study:
- To review the current understanding of humoral immune responses in oncolytic virotherapy.
- To discuss how antiviral immunity influences the effectiveness of oncolytic viruses.
- To explore factors affecting the humoral immune response to oncolytic viruses and their therapeutic outcomes.
Main Methods:
- Literature review of preclinical and clinical studies on oncolytic virotherapy and antiviral immunity.
- Analysis of emerging data on the role of neutralizing antibodies and other humoral factors.
- Discussion of factors influencing humoral immune responses, such as administration route and tumor characteristics.
Main Results:
- Emerging data suggest antiviral immunity contributes significantly to oncolytic virus efficacy.
- Evidence challenges the dogma that neutralizing antibodies solely inhibit oncolytic virotherapy.
- Factors like administration route, tumor vascularization, and viral mechanisms influence humoral immunity's role.
Conclusions:
- Humoral immunity plays a complex role in oncolytic virotherapy, with potential for both inhibition and enhancement.
- Further research is needed to understand regulatory B cells, immunoglobulin isotypes, and Fc-mediated functions.
- Appropriate preclinical models are crucial for accurately predicting oncolytic virotherapy outcomes in clinical settings.
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