Department of Bioengineering, College of Engineering, Hanyang University, Seoul, Korea.
Cancer Gene Ther. 2013 Feb;20(2):70-6. doi: 10.1038/cgt.2012.95. Epub 2013 Jan 11.
Recurrent or metastatic cancer in most cases remains an incurable disease, and thus alternative treatment strategies, such as oncolytic virotherapy, are of great interest for clinical application. Oncolytic adenoviruses (Ads) have many advantages as virotherapeutic agents and have been safely employed in the clinics. However, the efficacy of oncolytic Ads is insufficient to eradicate tumors and current clinical applications are restricted to local administration against primary tumors because of immunological obstacles and poor tumor-cell targeting. Thus, alternative viable approaches are needed to establish therapies based on oncolytic Ad that will eliminate both primary and metastatic cancers. To this end, rational design of oncolytic Ads that express immunostimulatory genes has been employed. Even when restricted to local viral delivery, these oncolytic Ad-based immunotherapeutics have been shown to exert systemic antitumor immunity and result in eradication of both primary and metastatic cancers. Moreover, oncolytic Ad-based immunotherapeutics in combination with either dendritic cell-based vaccine or radiotherapy further strengthen the systemic tumor-specific immunity, resulting in complete suppression of both local and distant tumor metastatic growth. This review will focus on the most recent updates in strategies to develop potent oncolytic Ad-based immunotherapeutics for use in cancer gene therapy.
在大多数情况下,复发性或转移性癌症仍然是一种无法治愈的疾病,因此,溶瘤病毒治疗等替代治疗策略对于临床应用具有重要意义。溶瘤腺病毒(Ads)作为病毒治疗剂具有许多优势,并已在临床安全应用。然而,溶瘤 Ads 的疗效不足以根除肿瘤,目前的临床应用仅限于针对原发性肿瘤的局部给药,这是由于免疫障碍和肿瘤细胞靶向性差所致。因此,需要替代可行的方法来建立基于溶瘤 Ad 的治疗方法,以消除原发性和转移性癌症。为此,人们采用了表达免疫刺激基因的溶瘤 Ads 的合理设计。即使仅限于局部病毒传递,这些基于溶瘤 Ad 的免疫疗法已被证明能发挥全身抗肿瘤免疫作用,并导致原发性和转移性癌症的根除。此外,溶瘤 Ad 为基础的免疫疗法与树突状细胞疫苗或放射治疗相结合,进一步增强了全身肿瘤特异性免疫,导致局部和远处肿瘤转移生长完全抑制。本综述将重点介绍用于癌症基因治疗的有效溶瘤 Ad 为基础的免疫疗法的最新策略。