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Oncolytic Virus Immunotherapy
Contents
Definition of Oncolytic Virus Immunotherapy
History of Oncolytic Virus Immunotherapy
Properties of Oncolytic Viruses
Mechanism of Action of Oncolytic Viruses
Clinical Trials of Oncolytic Virus Immunotherapy
Approved Oncolytic Virus Immunotherapy
Oncolytic Virus Combination Therapy
Oncolytic virus immunotherapy is a therapeutic approach to cancer
treatment that utilizes native or genetically modified viruses that
selectively replicate within tumor cells.
Definition of Oncolytic Virus Immunotherapy
History of Oncolytic Virus Immunotherapy
Properties of Oncolytic Viruses
ss/ds DNA or RNA genome
ability to infect host cells and replicate
directly infect and lyse tumor cells in situ
do not require tumor-associated antigens in the vector
Oncolytic DNA viruses
Oncolytic RNA viruses
Mechanism of Action of Oncolytic Viruses
entry into cancer cells
exploit cancer immune evasion pathway
directly lytic effect on tumor cells
induce systemic anti-tumor immunity
target oncogenic pathways
Oncolytic viruses entry into cancer cells
Oncolytic viruses exploit cancer immune evasion pathways
Oncolytic viruses induce local and systemic anti-tumor immunity
Oncolytic viruses can target oncogenic pathways
Clinical Trials of Oncolytic Virus Immunotherapy
Key oncolytic viruses in clinical trials
Approved Oncolytic Virus Immunotherapy
Virus Trade name Developer Indication Approval
Ad5 H101
安柯瑞Oncorine®
ECHO-7 2014 2015 2016
2005
HSV-1 2015 2015
Nasopharyngeal
carcinoma
Melanoma
Metastatic
melanoma
Oncolytic Virus Combination Therapy
Combination with Adoptive T Cell Therapy
Combination with Immune Checkpoint Inhibitors
Combination with Cytokines
Combination with Cancer Vaccines
Combination with Chemoradiotherapy
Combination with adoptive T cell therapy
Combination with immune checkpoint inhibitors
Combination with cytokines
Immunostimulatory transgenes encoded by oncolytic viruses
Combination with cytokines
Combination with cancer vaccines
Thank
s!

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Oncolytic virus immunotherapy

Editor's Notes

  1. 溶瘤病毒免疫疗法是一种利用在肿瘤细胞内选择性复制的天然或转基因病毒进行癌症治疗的治疗方法。病毒杀死癌细胞的能力已经被认识了近一个世纪,但只有在过去的十多年里,临床试验才证明对癌症患者有治疗作用。
  2. 溶瘤病毒免疫疗法是一种利用在肿瘤细胞内选择性复制的天然或转基因病毒进行癌症治疗的治疗方法。病毒杀死癌细胞的能力已经被认识了近一个世纪,但只有在过去的十多年里,临床试验才证明对癌症患者有治疗作用。
  3. 流感病毒 白血病 1912狂犬病毒 宫颈癌 1956腺病毒 宫颈癌 1964新城疫病毒 白血病 1965细小病毒 肉瘤 1971麻疹病毒 白血病 1974流行性腮腺炎病毒 实体肿瘤 1997 头颈癌、胰腺癌 2003 黑色素瘤 2005鼻咽癌 2014黑色素瘤 2015 黑色素瘤
  4. 腺病毒 牛痘病毒 疱疹病毒 细小病毒
  5. 呼肠孤病毒 柯萨奇病毒 塞内卡山谷病毒 麻疹病毒 新城疫病毒 水疱性口膜炎病毒
  6. 溶瘤病毒利用多种机制进入宿主细胞,包括经常在癌细胞上过度表达的细胞表面受体。有些病毒能够通过一个以上的受体,而有些受体可以促进多种类型的病毒进入。一些病毒通过膜融合和合胞体形成的内吞作用进入细胞。已知某些溶瘤病毒优先作用于癌细胞,但尚未确定进入的细胞表面受体。
  7. 在病毒感染后,大多数正常细胞激活一种抗病毒途径,允许包含病毒感染。这种抗病毒机制可以通过激活Toll样受体(TLRs)的病毒病原体相关分子模式(PAMPs)或通过视黄酸诱导基因1(RIG-1)检测病毒核酸来触发。一旦检测到病毒,就会通过几种类型的干扰素(IFN)元件(Janus激酶(JAK)、信号转导和转录激活因子(STAT)和干扰素调节因子9(IRF9)产生信号级联,从而形成一个程序化的转录途径,限制病毒的传播,并可以针对感染细胞进行凋亡或坏死。由病毒感染引起的天然免疫反应诱导的局部IFN产生也可能通过IFN受体(IFNR)促进抗病毒活性。TLRs信号通过髓系分化原反应蛋白MYD88、TIR结构域介导的干扰素β、IRF 7、IRF3和核因子κB(NFκB)介导,诱导炎症细胞因子和I型干扰素的产生。I型干扰素通过JAK-STAT信号通路产生信号,导致细胞周期调节因子如蛋白激酶R(PKR)和IRF7的上调,这些调节因子通过与病毒颗粒结合和触发I型干扰素转录通路来限制病毒的传播,促进感染细胞的流产凋亡和细胞因子的产生,从而警告免疫系统病毒感染的存在。 然而,在癌细胞中,这个过程被打断了。癌细胞可能下调固有信号通路中的关键信号元件,包括RIG-1、IRF7和IRF3(参考文献1)。1)。这限制了TLR和RIG-1对病毒颗粒的检测,使癌细胞更容易受到病毒复制的影响。此外,癌细胞可能下调I型干扰素信号通路2-7的关键成分,从而限制I型干扰素的促凋亡和细胞周期调控作用。虽然数据有限,但该图描绘了已知促进正常细胞中病毒清除的因素和/或途径(a部分)或由于癌细胞中缺乏因子而支持病毒复制的因素和/或途径(b部分)附近的单个病毒。
  8. 溶瘤病毒的治疗效果取决于肿瘤细胞的直接裂解和抗肿瘤免疫反应的间接激活。一旦感染了溶瘤病毒,癌细胞就会启动一种由内质网(内质网)和基因毒性应激组成的抗病毒反应。这种反应导致活性氧(ROS)的上调和抗病毒细胞因子的产生。ROS和细胞因子,特别是I型干扰素(IFNs),从受感染的癌细胞中释放出来,并刺激免疫细胞(抗原呈递细胞、CD8+T细胞和自然杀伤(NK)细胞)。随后,溶瘤病毒引起溶瘤,释放病毒后代、病原体相关分子模式(PAMPs)、危险相关分子模式信号(DAMPS)和包括新抗原在内的肿瘤相关抗原(TAAS)。病毒后代的释放促进了溶瘤病毒的感染。PAMPs(由病毒颗粒组成)和DAMPS(由宿主细胞蛋白组成)通过激活受体如Toll样受体(TLRs)来刺激免疫系统。在由此产生的免疫刺激环境中,TAAS和NEO抗原被抗原提呈细胞释放和吸收。总的来说,这些事件导致对病毒感染的癌细胞产生免疫反应,以及对未受感染的癌细胞上显示的TAAS/NEO抗原产生新的免疫反应。
  9. 癌基因和其他异常的宿主细胞蛋白在肿瘤细胞中的表达可以促进病毒的复制和溶瘤活性。在健康细胞中,细胞周期进入和增殖的调节是由蛋白激酶R(PKR)、p16、视网膜母细胞瘤(RB)和抑癌基因p53等关键因子提供的。当细胞周期失调时,这些因素促进流产的凋亡。当细胞感染病毒时,PKR也可能有助于调节转录和诱导流产的凋亡。在癌细胞中,细胞周期调节和细胞增殖通常由于癌基因的活性和肿瘤抑制基因的丢失而中断。这些变化可以支持病毒复制和促进溶瘤病毒诱导的细胞死亡。例如,激活小GTPaseRAS的突变会促进细胞增殖,同时伴随着蛋白质产量的增加。如新城疫病毒(NDV)和水泡性口炎病毒(VSV)所报道的那样,这一过程可以被溶瘤病毒所取代,从而更有效地复制。此外,高活性RAS阻断PKR,这一过程可以促进溶瘤病毒(如呼肠孤病毒、单纯疱疹病毒1型(HSV-1)、腺病毒、痘苗病毒和流感病毒)在RAS突变的癌细胞中的选择性复制。一些病毒,如腺病毒,呼肠孤病毒和细小病毒,优先针对p53突变或p53缺失的癌细胞,因为p53完整的健康细胞在感染后会发生流产的凋亡。同样,调节细胞周期进入的Rb和p16的异常表达可使癌细胞易受腺病毒、HSV-1、痘苗病毒和呼肠孤病毒等溶瘤病毒的感染。癌细胞也经常上调抗凋亡蛋白B细胞淋巴瘤-XL(bcl-XL)。这一过程为NDV等溶瘤病毒提供了选择性优势,因为它为病毒复制留出了更多的时间。