Department of Dermatology, Aichi Medical University School of Medicine, Nagakute, Japan.
Department of Virology, Graduate School of Medicine, Nagoya University, Nagoya, Japan.
Adv Exp Med Biol. 2018;1045:63-84. doi: 10.1007/978-981-10-7230-7_4.
Oncolytic virotherapy is a kind of antitumor therapy using viruses with natural or engineered tumor-selective replication to intentionally infect and kill tumor cells. An early clinical trial has been performed in the 1950s using wild-type and non-engineered in vitro-passaged virus strains and vaccine strains (first generation oncolytic viruses). Because of the advances in biotechnology and virology, the field of virotherapy has rapidly evolved over the past two decades and innovative recombinant selectivity-enhanced viruses (second generation oncolytic viruses). Nowadays, therapeutic transgene-delivering "armed" oncolytic viruses (third generation oncolytic viruses) have been engineered using many kinds of viruses. In this chapter, the history, mechanisms, rationality, and advantages of oncolytic virotherapy by herpes simplex virus (HSV) are mentioned. Past and ongoing clinical trials by oncolytic HSVs (G207, HSV1716, NV1020, HF10, Talimogene laherparepvec (T-VEC, OncoVEX)) are also summarized. Finally, the way of enhancement of oncolytic virotherapy by gene modification or combination therapy with radiation, chemotherapy, or immune checkpoint inhibitors are discussed.
溶瘤病毒治疗是一种利用具有天然或工程化肿瘤选择性复制能力的病毒来有意感染和杀死肿瘤细胞的抗肿瘤疗法。早在 20 世纪 50 年代,就已经进行了一项使用野生型和未经工程改造的体外传代病毒株和疫苗株(第一代溶瘤病毒)的早期临床试验。由于生物技术和病毒学的进步,过去二十年来,病毒治疗领域迅速发展,出现了创新的重组选择性增强病毒(第二代溶瘤病毒)。如今,已经使用多种病毒来设计具有治疗性转基因递呈的“武装”溶瘤病毒(第三代溶瘤病毒)。在本章中,提到了单纯疱疹病毒(HSV)溶瘤病毒治疗的历史、机制、合理性和优势。还总结了溶瘤 HSV(G207、HSV1716、NV1020、HF10、T-VEC、OncoVEX)的过去和正在进行的临床试验。最后,讨论了通过基因修饰或联合放射治疗、化学治疗或免疫检查点抑制剂进行溶瘤病毒治疗增强的方法。
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