Oncolytic virus-drug conjugates for increased viral replication efficiency and potentiated cancer chemoimmunotherapy

Tao Zhang1, Weiyue Ban1, Chengda Yan2

  • 1Wuya College of Innovation, Shenyang Pharmaceutical University, Shenyang, Liaoning, 110016, China.

Biomaterials
|July 21, 2026
PubMed

Insights

This study introduces autophagy-activated oncolytic adenoviruses-doxorubicin conjugates for enhanced cancer chemoimmunotherapy. These conjugates improve drug delivery, viral replication, and immune response against tumors.

Area of Science:

  • Oncology
  • Virology
  • Immunology
  • Nanotechnology

Background:

  • Oncolytic virus (OV) therapy faces challenges in systemic delivery, tumor replication, and immune activation for cancer treatment.
  • Current strategies require improvement for effective chemoimmunotherapy against malignant cancers.

Purpose of the Study:

  • To develop autophagy-activated oncolytic adenoviruses (Ads)-doxorubicin (DOX) conjugates for enhanced cancer chemoimmunotherapy.
  • To improve the co-delivery efficiency and intratumoral replication of OVs.
  • To potentiate the therapeutic outcomes by integrating virotherapy and chemotherapy.

Main Methods:

  • Construction of Ads-DOX conjugates with Ads coated in a lipid membrane containing autophagy-responsive DOX prodrugs.
  • Intravenous administration of Ads-DOX conjugates for targeted delivery to tumor lesions.
  • Assessment of Ads-induced autophagy, DOX release, viral replication, and immune cell infiltration.

Main Results:

  • Ads-DOX conjugates demonstrated efficient co-delivery to tumors.
  • Ads induced intracellular autophagy, leading to DOX release and further autophagy activation.
  • Autophagosomes enhanced viral replication and augmented intratumoral cytotoxic T cell infiltration, improving chemoimmunotherapy efficacy.

Conclusions:

  • Autophagy-activated oncolytic adenovirus-doxorubicin conjugates offer a potent strategy for cancer chemoimmunotherapy.
  • This approach enhances OV delivery, replication, and immune response, overcoming current limitations.
  • The conjugates represent a promising translational strategy for improved cancer treatment by combining virotherapy and chemotherapy.

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.
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...
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 specific...
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 specific...
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...
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...