Achieving systemic delivery of oncolytic viruses

<p><strong>Introduction:</strong> Oncolytic virotherapy is a selective and powerful tool for cancer treatment. Studies proving the ability of oncolytic viruses (OVs) to target and rapidly kill cancer cells have led to approval of H101 and Imlygic®. Both these OVs are restricted to...

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Main Authors: Hill, C, Carlisle, R
Format: Journal article
Language:English
Published: Taylor and Francis 2019
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author Hill, C
Carlisle, R
author_facet Hill, C
Carlisle, R
author_sort Hill, C
collection OXFORD
description <p><strong>Introduction:</strong> Oncolytic virotherapy is a selective and powerful tool for cancer treatment. Studies proving the ability of oncolytic viruses (OVs) to target and rapidly kill cancer cells have led to approval of H101 and Imlygic®. Both these OVs are restricted to intratumoral administration into cancer lesions. Despite promising preclinical results, systemic delivery of OV has shown limited success in patients due to a knockdown in infectivity, as a result of rapid immune-mediated neutralization, and poor penetration into tumors.</p> <p><strong>Areas covered:</strong> This review catalogs the techniques used to enhance OV delivery. Firstly, insights from clinical trials of OV provide evidence of the need for enhanced delivery strategies. Secondly, the techniques applied to overcome the challenges highlighted by clinical trial data (i.e. suboptimal pharmacokinetics, antiviral immune responses, and poor penetration into solid tumors) are reviewed.</p> <p><strong>Expert opinion:</strong> For OV to gain traction and convert potential into value, researchers focussed on showing clinical and commercial viability following intratumoral injection. For the technology to mature and become applicable across a wider range of patients/cancer indications, amenability to systemic delivery is required. This may be achieved using strategies that modulate the OV by genetic or chemical means and/or that alter the physiology of target tumors.</p>
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spelling oxford-uuid:bbb28dfa-f1d1-4133-917f-ecefbd80e6272022-03-27T05:18:53ZAchieving systemic delivery of oncolytic virusesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:bbb28dfa-f1d1-4133-917f-ecefbd80e627EnglishSymplectic Elements at OxfordTaylor and Francis2019Hill, CCarlisle, R<p><strong>Introduction:</strong> Oncolytic virotherapy is a selective and powerful tool for cancer treatment. Studies proving the ability of oncolytic viruses (OVs) to target and rapidly kill cancer cells have led to approval of H101 and Imlygic®. Both these OVs are restricted to intratumoral administration into cancer lesions. Despite promising preclinical results, systemic delivery of OV has shown limited success in patients due to a knockdown in infectivity, as a result of rapid immune-mediated neutralization, and poor penetration into tumors.</p> <p><strong>Areas covered:</strong> This review catalogs the techniques used to enhance OV delivery. Firstly, insights from clinical trials of OV provide evidence of the need for enhanced delivery strategies. Secondly, the techniques applied to overcome the challenges highlighted by clinical trial data (i.e. suboptimal pharmacokinetics, antiviral immune responses, and poor penetration into solid tumors) are reviewed.</p> <p><strong>Expert opinion:</strong> For OV to gain traction and convert potential into value, researchers focussed on showing clinical and commercial viability following intratumoral injection. For the technology to mature and become applicable across a wider range of patients/cancer indications, amenability to systemic delivery is required. This may be achieved using strategies that modulate the OV by genetic or chemical means and/or that alter the physiology of target tumors.</p>
spellingShingle Hill, C
Carlisle, R
Achieving systemic delivery of oncolytic viruses
title Achieving systemic delivery of oncolytic viruses
title_full Achieving systemic delivery of oncolytic viruses
title_fullStr Achieving systemic delivery of oncolytic viruses
title_full_unstemmed Achieving systemic delivery of oncolytic viruses
title_short Achieving systemic delivery of oncolytic viruses
title_sort achieving systemic delivery of oncolytic viruses
work_keys_str_mv AT hillc achievingsystemicdeliveryofoncolyticviruses
AT carlisler achievingsystemicdeliveryofoncolyticviruses