摘要
胰腺癌是一种侵袭性的恶性疾病,尽管最近取得了进展,但目前治疗不能切除的疾病的疗效是相当有限的。基因疗法/病毒疗法策略可以为治疗包括胰腺癌的各种癌症提供新的选择。溶瘤腺病毒通过其肿瘤内扩增和多种癌症中的强杀细胞效应显示出抗肿瘤作用,并已被用于开发用于胰腺癌的有效的溶瘤病毒治疗剂。我们的最终目标是开发一种能够通过全身注射治疗晚期或传播疾病的溶瘤腺病毒。溶瘤疗法的系统应用要求更有效和选择性的基因递送,并且即使在有限的初始递送到肿瘤位置的情况下也需要体现足够的抗肿瘤效果。在这篇综述中,将从载体设计和克服当前临床应用障碍的潜在策略的角度阐述溶瘤腺病毒的现状。我们还将讨论在体内动物模型以及溶瘤腺病毒与放疗和化疗的联合治疗中提高溶瘤腺病毒的抗肿瘤活性的努力。
关键词: 溶瘤腺病毒,Cox-2启动子,纤维修饰的Ad,胰腺癌,腺病毒文库筛选。
图形摘要
Current Cancer Drug Targets
Title:The Development of Oncolytic Adenovirus Therapy in the Past and Future - For the Case of Pancreatic Cancer
Volume: 18 Issue: 2
关键词: 溶瘤腺病毒,Cox-2启动子,纤维修饰的Ad,胰腺癌,腺病毒文库筛选。
摘要: Pancreatic cancer is an aggressive malignant disease and the efficacy of current treatments for unresectable diseases is quite limited despite recent advances. Gene therapy /virotherapy strategies may provide new options for the treatment of various cancers including pancreatic cancer. Oncolytic adenovirus shows an antitumoral effect via its intratumoral amplification and strong cytocidal effect in a variety of cancers and it has been employed for the development of potent oncolytic virotherapy agents for pancreatic cancer. Our ultimate goal is to develop an oncolytic adenovirus enabling the treatment of patients with advanced or spread diseases by systemic injection. Systemic application of oncolytic therapy mandates more efficient and selective gene delivery and needs to embody sufficient antitumor effect even with limited initial delivery to the tumor location. In this review, the current status of oncolytic adenoviruses from the viewpoints of vector design and potential strategies to overcome current obstacles for its clinical application will be described. We will also discuss the efforts to improve the antitumor activity of oncolytic adenovirus, in in vivo animal models, and the combination therapy of oncolytic adenovirus with radiation and chemotherapy.
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Cite this article as:
The Development of Oncolytic Adenovirus Therapy in the Past and Future - For the Case of Pancreatic Cancer, Current Cancer Drug Targets 2018; 18 (2) . https://dx.doi.org/10.2174/1568009617666170222123925
DOI https://dx.doi.org/10.2174/1568009617666170222123925 |
Print ISSN 1568-0096 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5576 |
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