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Convection Enhanced Delivery of the Oncolytic Adenovirus Delta24-RGD in Patients with Recurrent GBM: A Phase I Clinical Trial Including Correlative Studies
Figure 1. Serum-specific anti-adenovirus IgG antibodies were determined in all patients prior to (white bars) and 4 weeks after (black bars) Delta24-RGD treatment. Adenoviruses are non-enveloped DNA viruses that can infect a wide range of vertebrate hosts, and the clinical manifestations of human infections vary from mild respiratory infections to life-threatening multi-organ diseases. Human adenoviruses are classified into different serotypes based on whether they are cross-neutralized by antibodies, and more than 50 disease-causing serotypes have been identified, divided into 6 subgroups from A to F. Of these, human adenovirus serotypes 1, 2, and 5 primarily cause mild respiratory illness, while human adenovirus serotypes 4 and 7 may cause more severe pneumonia. Due to their high infectivity, adenovirus is mainly used as a vector for gene transfer. Adenoviruses have many advantages as vectors, firstly, the viral genome has a clear structure and is easy to manipulate for insertion of exogenous genes. Secondly, adenovirus has a very broad host cell tropism and can effectively infect cells. In addition, recombinant genomes are stable for continuous transmission and can be produced rapidly and on a large scale. In addition to these advantages, when recombinant adenovirus vaccines are used by the mucosal route, high transduction efficiencies are expected because mucosal infection is an inherent property of adenoviruses
The adenoviral genome has been genetically engineered for safe and effective use of adenoviral vectors. The first-generation of adenoviral vectors knocked out E1/E3, allowing for transgene insertion, replication-defective characterization, and improved immunogenicity. However, this generation of vector genomes has homology to the E1 portion of the insertional packaging cell line HEK293, and therefore it is likely that replication-competent adenovirus (RCA) will emerge. The second-generation adenoviral vectors further improved transgenic capacity by additional deletion of the E2/E4 locus, reducing the likelihood of RCA formation. However, the overall yield was lower than the first-generation adenoviral vectors due to the reduced replication capacity of the production cell lines. The third generation of adenoviral vectors deletes almost all genomic sequences except those necessary for packaging, and is therefore also known as helper gene-dependent adenovirus vectors. It can also insert multiple transgene expression cassettes and has a high capacity, but it is more difficult to manufacture, less immunogenic than previous generations, and still has the potential to be contaminated with helper viruses.
Figure 1. Schematic representation of the adenovirus genome and adenovirus-based vectors
(Source: Chang J. 2021)
The versatility and efficacy of adenoviral vectors have made them a useful platform for vaccines against new pathogens or vaccines in need of improvement, and with continued research and improvement, adenoviral vectors will become an indispensable tool in vaccine development.
Human Anti-AdV
Anti-HAd
References
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Adenovirus Infection and Transplantation
Transplantation
Authors: Al-Heeti OM, Cathro HP, Ison MG.
Cytokine Responses to Adenovirus and Adenovirus Vectors
Viruses
Authors: Atasheva S, Shayakhmetov DM.
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