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2015 ; 2
(ä): 15016-
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Pediatric cancer gone viral Part II: potential clinical application of oncolytic
herpes simplex virus-1 in children
#MMPMID26436134
Friedman GK
; Beierle EA
; Gillespie GY
; Markert JM
; Waters AM
; Chen CY
; Denton NL
; Haworth KB
; Hutzen B
; Leddon JL
; Streby KA
; Wang PY
; Cripe TP
Mol Ther Oncolytics
2015[]; 2
(ä): 15016-
PMID26436134
show ga
Oncolytic engineered herpes simplex viruses (HSVs) possess many biologic and
functional attributes that support their use in clinical trials in children with
solid tumors. Tumor cells, in an effort to escape regulatory mechanisms that
would impair their growth and progression, have removed many mechanisms that
would have protected them from virus infection and eventual virus-mediated
destruction. Viruses engineered to exploit this weakness, like mutant HSV, can be
safely employed as tumor cell killers, since normal cells retain these antiviral
strategies. Many preclinical studies and early phase trials in adults
demonstrated that oncolytic HSV can be safely used and are highly effective in
killing tumor cells that comprise pediatric malignancies, without generating the
toxic side effects of nondiscriminatory chemotherapy or radiation therapy. A
variety of engineered viruses have been developed and tested in numerous
preclinical models of pediatric cancers and initial trials in patients are
underway. In Part II of this review series, we examine the preclinical evidence
to support the further advancement of oncolytic HSV in the pediatric population.
We discuss clinical advances made to date in this emerging era of oncolytic
virotherapy.