Intraarterial delivery of virotherapy for glioblastoma

被引:18
作者
Srinivasan, Visish M. [1 ]
Lang, Frederick F. [2 ]
Kan, Peter [3 ]
机构
[1] Barrow Neurol Inst, Dept Neurosurg, Phoenix, AZ 85013 USA
[2] Univ Texas MD Anderson Canc Ctr, Dept Neurosurg, Houston, TX 77030 USA
[3] Univ Texas Med Branch, Dept Neurosurg, Galveston, TX 77555 USA
关键词
endovascular; intraarterial; glioblastoma; virotherapy; oncolytic; stem cell; HEPATIC ARTERIAL INFUSION; MESENCHYMAL STEM-CELLS; ONCOLYTIC ADENOVIRUS; RECURRENT GLIOBLASTOMA; HERPES-VIRUS; PHASE-I; THERAPY; CANCER; GLIOMA; MUTANT;
D O I
10.3171/2020.11.FOCUS20845
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Oncolytic viruses (OVs) have been used in the treatment of cancer, in a focused manner, since the 1990s. These OVs have become popular in the treatment of several cancers but are only now gaining interest in the treatment of glioblastome (GBM) in recent clinical trials. In this review, the authors discuss the unique applications of intraarterial (IA) delivery of OVs, starting with concepts of OV, how they apply to IA delivery, and concluding with discussion of the current ongoing trials. Several OVs have been used in the treatment of GBM, including specifically several modified adenoviruses. IA delivery of OVs has been performed in the hepatic circulation and is now being studied in the cerebral circulation to help enhance delivery and specificity. There are some interesting synergies with immunotherapy and IA delivery of OVs. Some of the shortcomings are discussed, specifically the systemic response to OVs and feasibility of treatment. Future studies can be performed in the preclinical setting to identify the ideal candidates for translation into clinical trials, as well as the nuances of this novel delivery method.
引用
收藏
页码:1 / 9
页数:9
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