Current strategies to circumvent the antiviral immunity to optimize cancer virotherapy

J Immunother Cancer. 2021 Apr;9(4):e002086. doi: 10.1136/jitc-2020-002086.

Abstract

Cancer virotherapy is a paradigm-shifting treatment modality based on virus-mediated oncolysis and subsequent antitumor immune responses. Clinical trials of currently available virotherapies showed that robust antitumor immunity characterizes the remarkable and long-term responses observed in a subset of patients. These data suggest that future therapies should incorporate strategies to maximize the immunotherapeutic potential of oncolytic viruses. In this review, we highlight the recent evidence that the antiviral immunity of the patients may limit the immunotherapeutic potential of oncolytic viruses and summarize the most relevant approaches to strategically redirect the immune response away from the viruses and toward tumors to heighten the clinical impact of viro-immunotherapy platforms.

Keywords: central nervous system neoplasms; immunotherapy; oncolytic virotherapy; oncolytic viruses.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Adaptive Immunity
  • Animals
  • Combined Modality Therapy
  • Host-Pathogen Interactions
  • Humans
  • Immunity, Innate
  • Immunotherapy* / adverse effects
  • Neoplasms / immunology
  • Neoplasms / therapy*
  • Neoplasms / virology
  • Oncolytic Virotherapy* / adverse effects
  • Oncolytic Viruses / immunology
  • Oncolytic Viruses / pathogenicity*
  • Treatment Outcome
  • Tumor Microenvironment / immunology*