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Review
. 2024 Jul 29;12(1):71.
doi: 10.1186/s40364-024-00617-6.

Leveraging oncovirus-derived antigen against the viral malignancies in adoptive cell therapies

Affiliations
Review

Leveraging oncovirus-derived antigen against the viral malignancies in adoptive cell therapies

Wei Zhang et al. Biomark Res. .

Abstract

Adoptive cell therapies (ACTs) have revolutionized cancer immunotherapy, prompting exploration into their application against oncoviruses. Oncoviruses such as human papillomavirus (HPV), hepatitis B virus (HBV), hepatitis C virus (HCV), and Epstein-Barr virus (EBV) contribute significantly (12-25%) to human malignancies through direct or indirect oncogenic mechanisms. These viruses persistently or latently infect cells, disrupt cellular homeostasis and pathways, challenging current antiviral treatment paradigms. Moreover, viral infections pose additional risks in the setting of long-term cancer therapy and lead to morbidity and mortality. Virally encoded oncoproteins, which are tumor-restricted, immunologically foreign, and even uniformly expressed, represent promising targets for patient-tailored ACTs. This review elucidates the rationale for leveraging viral antigen-specific ACTs in combating viral-associated malignancies. On this basis, ongoing preclinical studies consolidate our understanding of harnessing ACTs against viral malignancies, underscoring their potential to eradicate viruses implicated in cancer progression. Furthermore, we scrutinize the current landscape of clinical trials focusing on virus-specific ACTs and discuss their implications for therapeutic advancement.

Keywords: Adoptive cell therapies (ACTs); Oncoprotein; Oncovirus; Viral antigen; Viral malignancy.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
a Viral persistent or latent infection and host cellular immunity against oncogenic infection (By Figdraw). A variety of virally oncogenic mechanisms determine the transformation and maintenance of the malignancy. Virus-infected cells can be recognized and eliminated by host cellular immunity. b Schematic diagram of ACTs on viral malignancies. Engineered TILs, DCs, CAR-T cells, TCR-T cells, and VST therapies have the potential for application to viral malignancies. CAR-T cells target the virally-encoded cell surface antigen through an antibody-based scFv. In contrast, TCR-T cells target a virus-derived peptide on MHC complex. In TIL therapy, tumor is surgically resected and T-cells are expanded from the tumor ex vivo. TILs target viral antigens as well as non-viral proteins. The VST therapy aims to enhance the host immune system’s ability to clear infected cells by using activated virus specific T-cells. While the DCs enable to induce and amplify virus-specific CTLs.
Fig. 2
Fig. 2
Virally encoded antigens and relevant utilization of oncovirus-specific ACTs in viral malignancies. a HPV-specific ACTs. b HBV-specific ACTs. c HCV-specific ACTs. d CMV-specific ACTs. e EBV-specific ACTs. f HIV-1-specific ACTs.

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