The Comprehensive Cancer Centre of Drum Tower Hospital, Medical School of Nanjing University & Clinical Cancer Institute of Nanjing University, Nanjing, China.
Front Immunol. 2020 Apr 28;11:683. doi: 10.3389/fimmu.2020.00683. eCollection 2020.
The recent successes of tumor immunotherapy approaches, such as immune checkpoint blockade (ICB) and chimeric antigen receptor T cell (CAR-T) therapy, have revolutionized cancer treatment, improving efficacy and extending treatment to a larger proportion of cancer patients. However, due to high heterogeneity of cancer, poor tumor cell targeting, and the immunosuppressive status of the tumor microenvironment (TME), combinatorial agents are required to obtain more effective and consistent therapeutic responses in a wide range of cancers. Oncolytic viruses (OVs) are able to selectively replicate in and destroy tumor cells and subsequently induce systematic anti-tumor immune responses. Thus, they are ideal for combining with cancer immunotherapy. In this review, we discuss the current understanding of OVs, as well as the latest preclinical and clinical progress of combining OVs with cancer immunotherapies, including ICB, CAR-T therapy, bispecific T cell engagers (BiTEs), and cancer vaccines. Moreover, we consider future directions for applying OVs to personalized cancer immunotherapies, which could potentially launch a new generation of cancer treatments.
近年来,肿瘤免疫疗法的成功,如免疫检查点阻断(ICB)和嵌合抗原受体 T 细胞(CAR-T)疗法,已经彻底改变了癌症治疗方式,提高了疗效,并将治疗范围扩大到更多的癌症患者。然而,由于癌症的高度异质性、肿瘤细胞靶向性差以及肿瘤微环境(TME)的免疫抑制状态,需要联合使用多种药物才能在广泛的癌症中获得更有效和一致的治疗反应。溶瘤病毒(OVs)能够选择性地在肿瘤细胞内复制并破坏肿瘤细胞,随后诱导全身性抗肿瘤免疫反应。因此,它们是与癌症免疫疗法联合应用的理想选择。在这篇综述中,我们讨论了 OVs 的最新理解,以及 OVs 与癌症免疫疗法联合应用的最新临床前和临床进展,包括 ICB、CAR-T 疗法、双特异性 T 细胞衔接器(BiTEs)和癌症疫苗。此外,我们还考虑了将 OVs 应用于个性化癌症免疫疗法的未来方向,这可能会开创新一代癌症治疗方法。