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作为抗癌疗法的HIV编码基因疗法:一篇叙述性综述。

HIV-Encoded Gene Therapy as Anti-cancer Therapeutics: A Narrative Review.

作者信息

Balakrishnan Pachamuthu, Sathish Sankar, Saravanan Shanmugam

机构信息

Department of Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

出版信息

Cureus. 2024 Feb 1;16(2):e53431. doi: 10.7759/cureus.53431. eCollection 2024 Feb.

Abstract

Recently, there has been interest in using viruses as cancer treatments. Oncolytic virology was founded by scientists who noticed that viruses might preferentially lyse cancer cells over healthy ones. Oncolytic virotherapy has similar obstacles as other treatment approaches, gaining entry into the specific tumour cell, encountering antiviral immune responses, off-target infection and many other unfavourable circumstances in the tumour microenvironment, and a lack of unique therapeutic and predictive biomarkers. However, oncolytic viruses have emerged as the main players in the biological treatment for cancer with the use of vectors such as human adenoviruses in oncolytic virotherapy. Recent large-scale research has shown that other viruses, such as the measles virus and the herpes simplex virus (HSV), may potentially be viable options for cancer treatment. The FDA has cleared T-VEC, an HSV-based oncolytic virus, for use in biological cancer treatment after its successful completion of human clinical trials. Furthermore, the measles virus vaccine strain has shown remarkable outcomes in pre-clinical and clinical testing. The use of such modified viruses in biological cancer treatment holds promise for groundbreaking discoveries in the field of cancer research because of their therapeutic effectiveness, fewer side effects, and safety. Several other newer approaches have been used in recent years. HIV-encoded proteins are also hypothesized to promote mitochondrial homeostasis causing bystander-induced apoptosis. We provide an overview of the most recent developments in the clinical use of oncolytic virus-based biological cancer treatment in this study. This evaluation also assesses the advantages and disadvantages of the viral candidates and provides insight into their potential in the future.

摘要

最近,人们对利用病毒进行癌症治疗产生了兴趣。溶瘤病毒学由一些科学家创立,他们注意到病毒可能优先裂解癌细胞而非健康细胞。溶瘤病毒疗法与其他治疗方法存在类似的障碍,包括进入特定肿瘤细胞、遭遇抗病毒免疫反应、脱靶感染以及肿瘤微环境中的许多其他不利情况,并且缺乏独特的治疗和预测生物标志物。然而,在溶瘤病毒疗法中,利用人腺病毒等载体,溶瘤病毒已成为癌症生物治疗的主要手段。最近的大规模研究表明,其他病毒,如麻疹病毒和单纯疱疹病毒(HSV),可能是癌症治疗的潜在可行选择。FDA在基于HSV的溶瘤病毒T-VEC成功完成人体临床试验后,已批准其用于癌症生物治疗。此外,麻疹病毒疫苗株在临床前和临床试验中已显示出显著效果。由于其治疗效果、较少的副作用和安全性,在癌症生物治疗中使用此类修饰病毒有望在癌症研究领域取得突破性发现。近年来还采用了其他几种更新的方法。据推测,HIV编码的蛋白质也可促进旁观者诱导的凋亡所导致的线粒体稳态。在本研究中,我们概述了基于溶瘤病毒的癌症生物治疗临床应用的最新进展。该评估还评估了候选病毒的优缺点,并深入探讨了它们未来的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e200/10909071/5c0c0efa1cf3/cureus-0016-00000053431-i01.jpg

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