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Cancer-fighting viruses win approval

140 点作者 pravka超过 9 年前

7 条评论

cryoshon超过 9 年前
Definitely a really cool project! I have had the privilege to collaborate with an immuno-oncology group at Dana Farber a few years back, and they&#x27;re perpetually on the top of their game, and at the edge of human knowledge. Based off of this article, there is a lot more work to be done, though:<p>&quot;But statistics — not anecdotes — rule over drug approvals. In 2005, regulators in China approved an oncolytic adenovirus called H101 to treat head-and-neck cancer, after evidence showed that the treatment could shrink tumours. Those trials stopped short of assessing improvements in patient survival — a measure often required for FDA approval. Since then, a medical-tourism industry has built up in China for people who cannot get the therapy in their home countries.<p>Then, in May this year, a team supported by biotechnology giant Amgen of Thousand Oaks, California, published promising results from a large clinical trial of T-VEC (R. H. Andtbacka et al. J. Clin. Oncol. 33, 2780–2788; 2015). The virus both shrank tumours in people with advanced melanoma and extended patient survival by a median of 4.4 months. Yet statistically, survival benefits fell just a hair’s breadth of significance. “That raised the question, ‘Well, what is statistical significance? Is this an active agent or not?’” Russell says.&quot;<p>It&#x27;s possible that a more immunogenic (eliciting immune response) virus would have better results against cancers. Of course, this means that it would also hurt the patient more. I&#x27;m sure they know this already.<p>Though I&#x27;m biased, I think that given the current state of viral engineering, immunotherapy (immune cell gene-engineering and transplantation)is a better way of getting at cancer for now-- it&#x27;s rapidly being proven in the clinic and the lab. I can see a time 10 years from now where we&#x27;ll be able to engineer certain viruses to be powerfully oncolytic, but for now I think the problems are specificity of targeting (you only want to kill tumor cells) and the inability for prototype oncolytic viruses to infiltrate the tumor microenvironment. The infiltration problem isn&#x27;t a hard dead end, nor is it a problem unique to viral therapies, but a couple of the bleeding edge immunotherapies and even older radiotherapies and chemotherapies can pierce into the tumor microenvironment with no problem.<p>Though I expect immunotherapy to beat them to the punch, I can completely see oncolytic viruses joining the combination regimen that is the standard of care, alongside surgery, chemo and radiotherapy, provided that they show a more concrete improvement in survival rate&#x2F;length.
mindcrime超过 9 年前
<i>Oncolytics Biotech is studying a virus that hitch-hikes through the body on certain blood cells, camouflaged from the immune system.</i><p>Is it just me, or does this sound kinda dangerous? That is, engineering a virus specifically to evade the immune system. As long as it stays un-mutated, fine. But what if a mutation occurs that results in it becoming a deadly disease, with the bonus of being &quot;camouflaged from the immune system&quot;?
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jjbiotech超过 9 年前
How can they prevent this virus from evolving to replicate in non-cancerous cells? I wonder if that&#x27;s why they started with a benign virus like herpes.<p>Very cool, but slightly scarey at the same time.
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Edmond超过 9 年前
penny stock, is this a buying opportunity? I have previously had painful misses on early stuff like this.
bitwize超过 9 年前
Fuck yeah, medical science. If ever a fight were worth cheering for, it&#x27;s the fight against disease.
known超过 9 年前
Prevention is BETTER than cure; Editing DNA can PREVENT Cancer; But Govt is NOT approving it;
suprgeek超过 9 年前
Very good!<p>Kill the big dog by infecting the body with a smaller disease that is lethal to the big dog but (slightly) less lethal to the host.<p>So this can either go the &quot;World war Z&quot; way or the &quot;I am legend&quot; way - that&#x27;s a cheery thought