Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi Children's Hospital, Wuxi, 214023, Jiangsu, China.
School of Life Science, Zhejiang Sci-Tech University, Zhejiang, 310018, China.
J Cancer Res Clin Oncol. 2018 Dec;144(12):2433-2440. doi: 10.1007/s00432-018-2762-x. Epub 2018 Oct 6.
Vaccinia virus was widely used in the World Health Organization's smallpox eradication campaign and is currently a promising vector for gene therapy owing to its unique characteristics. Vaccinia virus can selectively replicate and propagate productively in tumor cells, resulting in oncolysis. In addition, rapid viral particle production, wide host range, large genome size (approximately 200 kb), and safe handling render vaccinia virus a suitable vector for gene therapy.
Cancer vaccines and gene therapy are being studied in clinical trials and experiment researches. However, we put forward unique challenges of optimal selection of foreign genes, administration and modification of VACV, personalized medicine, and other existing problems, based on current researches and our own experiments.
This review presents an overview of the vaccinia virus from its mechanisms to medical researches and clinical trials. We believe that the solution to these problems will contribute to understanding mechanisms of VACV and provide a theoretical basis for clinical treatment.
天花病毒曾被世界卫生组织广泛用于根除天花的行动中,由于其独特的特性,目前已成为基因治疗中很有前途的载体。天花病毒可以选择性地在肿瘤细胞中复制和高效繁殖,导致肿瘤溶解。此外,快速的病毒粒子产生、广泛的宿主范围、较大的基因组大小(约 200kb)以及安全的操作使得天花病毒成为基因治疗的合适载体。
癌症疫苗和基因治疗正在临床试验和实验研究中进行。然而,基于目前的研究和我们自己的实验,我们提出了对外源基因的最佳选择、VACV 的给药和修饰、个性化医疗等方面存在的独特挑战和其他问题。
本综述概述了从天花病毒的机制到医学研究和临床试验的各个方面。我们相信,这些问题的解决方案将有助于理解 VACV 的机制,并为临床治疗提供理论基础。