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Vector-Based Immunotherapy - Types, Advantages, and Disadvantages

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Vector-based cancer immunotherapy uses modified viruses, or vectors, to deliver therapeutic agents directly to the cancer cells. Read the article to know more.

Medically reviewed by

Dr. Rajesh Gulati

Published At September 25, 2023
Reviewed AtSeptember 28, 2023

Introduction

Cancer is a leading cause of death worldwide. Conventional treatments such as chemotherapy, radiation therapy, and surgery have proven effective, but they can have severe side effects and fail to eliminate cancer completely. In recent years, vector-based cancer immunotherapy has emerged as a promising new approach to treating cancer. Recombinant viral vectors have the potential to be effective vaccine delivery systems for cancer therapy for a variety of reasons.

Each virus has unique advantages and disadvantages that can affect whether or not it can be used in a given therapeutic environment. Clinical trials to assess the immunologic and clinical efficacy of this therapeutic approach have been initiated as a result of the safety and anticancer activity of viral-based vaccinations in preclinical animals. Cancer immunotherapy has shown promising results in some patients, but it is not effective for everyone.

What Is Cancer Immunotherapy?

A form of cancer treatment known as cancer immunotherapy uses the immune system to combat the disease. The immune system serves as the body's built-in defensive system against illnesses and infections. It is made up of various cells and molecules that work together to identify and destroy foreign or abnormal cells in the body. Cancer cells are abnormal cells that have the ability to evade detection by the immune system. Cancer immunotherapy works by stimulating the immune system to recognize and attack cancer cells. There are several types of cancer immunotherapy:

  • Monoclonal Antibodies - Monoclonal antibodies are proteins that are designed to recognize and bind to specific molecules on the surface of cancer cells, making them more visible to the immune system.

  • Checkpoint Inhibitors - Drugs called checkpoint inhibitors obstruct the proteins that the immune system needs to kill cancer cells.

  • Cancer Vaccines - The immune system is prompted by cancer vaccines to identify and target cancer cells.

  • Adoptive Cell Transfer- Adoptive cell transfer involves removing immune cells from a patient's body, modifying them in the laboratory to recognize and attack cancer cells, and then returning them to the patient's body.

What Is Vector-Based Cancer Immunotherapy?

Vector-based cancer immunotherapy involves using modified viruses, or vectors, to deliver therapeutic agents directly to cancer cells. The vectors are engineered to target specific cancer cells and trigger an immune response, which helps the body's natural defenses fight the cancer.

The majority of viruses are immunogenic by nature and can be modified to express tumor antigen transgenes.

  • One of the most promising vectors in cancer immunotherapy is the adenovirus. Adenoviruses are a common cause of respiratory illnesses, but they can also be engineered to target cancer cells. The adenovirus vector delivers a gene that produces a protein known as a tumor antigen. The tumor antigen is recognized by the immune system as foreign and triggers an immune response that attacks the cancer cells.

  • Another vector used in cancer immunotherapy is the lentivirus. Lentiviruses are commonly used in gene therapy because they can deliver genetic material to cells. In cancer immunotherapy, lentiviruses are engineered to produce chimeric antigen receptors (CARs). CARs are proteins that can recognize and bind to specific antigens on cancer cells, which triggers an immune response that kills the cancer cells.

What Are the Advantages of Vector Based Cancer Immunotherapy?

Vector-based cancer immunotherapy offers several advantages over traditional cancer treatments, including targeted therapy, increased efficacy, durability, personalized treatment, and the potential for combination therapy. Although more study is required to completely comprehend the advantages and restrictions of this strategy, early clinical trials have shown encouraging results, and it has the potential to revolutionize cancer treatment in the future.

Vector-based cancer immunotherapy has several advantages over traditional cancer treatments, including:

  • Targeted Therapy: Vector-based cancer immunotherapy can be designed to specifically target cancer cells while sparing healthy cells. This lessens the possibility of adverse effects from conventional cancer therapies, including chemotherapy and radiation therapy.

  • Increased Efficacy: The effectiveness of cancer treatment can be improved through vector-based cancer immunotherapy, which drives the immune system to recognize and eliminate cancer cells. This can result in a better response to treatment and longer-lasting remission.

  • Durability: Vector-based cancer immunotherapy can have a lasting effect on the immune system, resulting in a prolonged response to the cancer. This can provide a more durable treatment outcome compared to traditional cancer treatments, which may require ongoing treatment or maintenance therapy.

  • Personalized Treatment: Vector-based cancer immunotherapy can be tailored to the individual patient's cancer, allowing for a more personalized treatment approach. This can increase the likelihood of treatment success and reduce the risk of treatment-related complications.

  • Potential For Combination Therapy: Vector-based cancer immunotherapy can be combined with other cancer treatments, such as chemotherapy and radiation therapy, to improve treatment outcomes. This allows for a more comprehensive and integrated approach to cancer treatment.

What Are the Disadvantages of Vector Based Cancer Immunotherapy?

Vector-based cancer immunotherapy has several advantages over traditional cancer treatments, but there are also some disadvantages that should be considered. These include limited effectiveness, immune-related side effects, high cost, limited availability, and potential for toxicity. Despite these limitations, vector-based cancer immunotherapy is a promising new approach to cancer treatment that has shown significant potential in early clinical trials. To completely comprehend the advantages and restrictions of this therapeutic strategy and to maximize its application in clinical practice, more research is required.

The disadvantage of vector-based immunotherapy is that some vectors is the development of host-induced neutralizing antibodies to the vector itself, thus limiting its continued use. The following are the disadvantages of the vector based cancer immunotherapy:

  • Limited Effectiveness: The effectiveness of vector-based cancer immunotherapy may not be universal, and the response rate can change depending on the type of cancer and the immune system of the particular patient.

  • Immune-related Side Effects: Vector-based cancer immunotherapy can cause immune-related side effects, such as fever, fatigue, and inflammation. These side effects can occasionally be serious and need medical attention.

  • High Cost: Vector-based cancer immunotherapy can be expensive, making it inaccessible for some patients. This can be a significant barrier to treatment for those without access to adequate health insurance or financial resources.

  • Limited Availability: Vector-based cancer immunotherapy is still a relatively new and developing field, and the treatment may not be widely available in all regions or hospitals.

  • Potential For Toxicity: The viral vectors used in vector-based cancer immunotherapy can have toxic effects on the body if not carefully monitored and controlled.

Conclusion

It is obvious that the developing science of immunotherapy offers a variety of intriguing prospective cancer treatments, but therapeutic effectiveness is currently constrained by ineffective gene delivery. As delivery mechanisms for immunotherapy techniques, viral vectors have several advantages. These are quite effective. The most effective immunotherapy systems in the battle against cancer may be produced as a result of safety modifications to these vectors, efficacy improvements in terms of targeting modalities, and usage of adjuvants.

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Dr. Rajesh Gulati
Dr. Rajesh Gulati

Family Physician

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