Target intelligence / Profile preview

Oncolytic virus (OV) (OV)

Target
OV
Molecular classification
Other
01

Overview

Oncolytic viruses (OVs) are genetically engineered or naturally occurring viruses that selectively infect and destroy cancer cells while sparing healthy tissue. Their mechanisms include direct lysis of tumor cells (oncolysis), induction of anti-tumor immune responses by releasing tumor antigens and immune modulators, destruction of tumor vasculature, and delivery of therapeutic transgenes. OVs exploit unique vulnerabilities of cancer cells, such as defects in interferon-mediated antiviral responses and overexpression of certain cell surface receptors, to achieve selectivity. Clinical use is established for a few OVs, such as Talimogene laherparepvec (HSV-based), and research is ongoing into improved targeting, combination therapies, and overcoming resistance. Safety challenges center on off-target effects, immune complications, and the risk of viral pathogenicity, especially in immunocompromised individuals.

Other names
oncolytic virusOVoncolytic virotherapyoncolytic viral therapy
02

Mechanism of action

Viral infection of cancer cells leading to cell lysis (oncolysis); Stimulation of dendritic cells and T cell recruitment (immune activation); Antitumor immunity via exposure of tumor-associated antigens (TAAs) and release of signaling molecules (cytokines, DAMPs/PAMPs); Destruction of tumor-associated vasculature; Delivery of therapeutic transgenes (e.g. cytokines, pro-apoptotic factors)

03

Biological functions

Direct lysis of tumor cellsImmune response stimulationOncolysisInduction of immunogenic cell deathTargeted destruction of tumor vasculatureTransgene expression in tumor cells
04

Disease associations

CancerOther (rare use in non-malignant diseases under investigation)
05

Safety considerations

Off-target viral infection/toxicityImmune-related adverse effects (cytokine release, inflammation)Preexisting antiviral immunity limiting efficacyLack of tumor selectivity in some casesPathogenicity or systemic toxicity in immunocompromised patientsDevelopment of antiviral antibodies diminishing repeat dosing efficacy
06

Interacting drugs

Talimogene laherparepvec (T-VEC, based on HSV)

4 more in the full profile.

07

Biomarkers

Tumor cell surface proteins/receptors enabling viral entry (e.g., CD46 for measles OV, JAM-A for reovirus, HER2, EGFR for engineered viruses)Interferon signaling pathway status (tumors with defective IFN pathway show increased susceptibility)Tumor mutational status (e.g., RAS pathway mutations for reovirus efficacy)

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