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Adenovirus infection and replication process in tumor cells

Molecular classification
Other
01

Overview

Adenovirus infection and replication in tumor cells refers to the use of genetically engineered adenoviruses that selectively infect and replicate within cancer cells, resulting in tumor cell lysis (oncolysis) and induction of anti-tumor immunity. Conditionally replicative adenoviruses (CRAds) are modified by deleting or mutating genes such as E1B-55K or E1A, restricting their ability to replicate in normal cells while allowing robust viral production and oncolysis in cancer cells. Notable examples include ONYX-015 and other engineered adenoviruses. Though often termed “targets” in oncolytic virotherapy literature, this is a process not a distinct molecular entity[1][2][3].

Other names
Oncolytic adenoviral replicationAdenoviral oncolysisReplication-competent adenovirus therapy
02

Mechanism of action

Selective replication in tumor cells due to mutations or deletions in viral genes (e.g., E1B-55K deletion, E1A modification) Cell lysis from viral replication and progeny release Induction of anti-tumor immune responses Potential expression of therapeutic transgenes (e.g., GM-CSF)[2]

03

Biological functions

Oncolysis (virus-induced cancer cell death)Viral replicationCell lysisImmune system activationGene delivery
04

Disease associations

CancerInfection
05

Safety considerations

Off-target viral replication in normal tissuesImmune-mediated toxicitiesIncomplete tumor targeting and heterogeneity in tumor susceptibilityPotential inflammation or systemic viral spread[1][2]
06

Interacting drugs

ONYX-015 (DL1520)

4 more in the full profile.

07

Biomarkers

Tumor p53 status (historically, though replication can occur independently of p53)[1][2]Expression of YB-1 protein in tumors (may govern selectivity of ONYX-015)[2]Tissue/tumor-specific promoter activity (e.g., telomerase or PSA promoter for restricting replication)[2]

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