A New Role for Vitamin D: The Enhancement of Oncolytic Viral Therapy in Pancreatic Cancer.

A New Role for Vitamin D: The Enhancement of Oncolytic Viral Therapy in Pancreatic Cancer.
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DOI:
10.3390/biomedicines6040104
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发表时间:
2018-11-05
期刊:
影响因子:
4.7
通讯作者:
Warner SG
Warner SG
中科院分区:
工程技术3区
文献类型:
--
作者:
LaRocca CJ;Warner SG

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溶瘤病毒已成为一类新的抗癌疗法,其中一种病毒已获得美国食品和药物管理局(FDA)的批准(塔里莫gene laherparepvec),还有许多其他病毒正在进行临床试验。这些病毒对肿瘤细胞有直接的裂解作用,并具有免疫调节功能,增加肿瘤微环境中炎症细胞的浸润。尽管癌症治疗取得了进步,但胰腺癌仍然是一种高度致命的恶性肿瘤。成功的系统性治疗的主要障碍之一是纤维化肿瘤基质,因为独特的细胞外基质创造了促进肿瘤生长的环境,并且对化疗和其他抗癌药物具有抗性。维生素D的多效性已被广泛研究,但最近的研究表明,它是一种有效的药物,可以调节胰腺癌间质,促进细胞毒性化疗和免疫原性的增强,以响应治疗。本文将探讨维生素D与溶瘤病毒的结合,以及维生素D调节胰腺肿瘤间质能力的新应用如何可能导致提高胰腺癌溶瘤病毒治疗疗效的潜在机制。
Oncolytic viruses have emerged as a novel class of anti-cancer therapeutics with one virus already receiving United States Food and Drug Administration (FDA) approval (talimogene laherparepvec) and many others undergoing testing in clinical trials. These viruses have direct lytic effects on tumor cells as well as immunomodulatory functions to increase inflammatory cell infiltrates in the tumor microenvironment. Despite all of the advances in cancer care, pancreatic cancer remains a highly lethal malignancy. One of the main barriers to successful systemic treatment of the disease is the fibrotic tumor stroma, as the unique extracellular matrix creates an environment that promotes tumor growth and is resistant to chemotherapy and other anti-cancer agents. The pleiotropic effects of Vitamin D have been widely studied, but recent research has now demonstrated it to be an effective agent in modulating pancreatic cancer stroma to facilitate the enhanced delivery of cytotoxic chemotherapy and immunogenicity in response to treatment. This review will explore the combination of Vitamin D with oncolytic viruses and how this novel application of Vitamin D’s ability to modulate pancreatic tumor stroma may result in a potential mechanism for increasing the efficacy of oncolytic virotherapy in pancreatic cancer.
维生素D受体信号传导和癌症。
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