Abstract

Glioblastoma (GBM) is the most common type of primary brain tumor in adults. Despite recent advances in cancer therapy, including the breakthrough of immunotherapy, the prognosis of GBM patients remains dismal. One of the new promising ways to therapeutically tackle the immunosuppressive GBM microenvironment is the use of engineered viruses that kill tumor cells via direct oncolysis and via stimulation of antitumor immune responses. In this review, we focus on recently published results of phase I/II clinical trials with different oncolytic viruses and the new interesting findings in preclinical models. From syngeneic preclinical GBM models, it seems evident that oncolytic virus-mediated destruction of GBM tissue coupled with strong adjuvant effect, provided by the robust stimulation of innate antiviral immune responses and adaptive anti-tumor T cell responses, can be harnessed as potent immunotherapy against GBM. Although clinical testing of oncolytic viruses against GBM is at an early stage, the promising results from these trials give hope for the effective treatment of GBM in the near future.

Highlights

  • Glioblastoma (GBM) is the most common type of primary brain tumor in adults

  • While the focus used to be on the direct oncolytic effect, the current working model of oncolytic virotherapy rather relies on utilizing viruses as immunotherapeutic agents

  • As oncolytic viruses can replicate in the target cells, they provide an intriguing possibility for one shot self-amplifying cancer therapy

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Summary

Results

Results repeated cycles of sargamostim followed by IV virus injection into resection cavity followed by oral.

Heating the Suppressive Tumor Microenvironment with Viruses
Feasibility of Systemic Virus Delivery into the GBM
Conclusions
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