Head & Neck Cancer (HNC) Specific Oncolytic Virotherapy Development Service

Cancer Characteristics Application of Ovs Workflow Case Study FAQ

HNC stands as the world's sixth most prevalent cancer type which makes up 6% of all cancer cases and results in 350,000 deaths annually. HNC includes cervical tumors, otolaryngological (ENT) tumors, and oral and maxillofacial tumors. Among cervical tumors, thyroid tumors are the most prevalent. In otolaryngology, common tumors comprise laryngeal cancer, paranasal sinus cancer, and so on. Tongue cancer, gingival cancer, and buccal cancer represent frequent forms of oral cancer. The majority of head and neck cancer occurrences represent squamous cell carcinomas which develop primarily in areas like the oropharynx, oral cavity, hypopharynx, or larynx.

The treatment options for head and neck cancer encompass surgery, radiotherapy, chemotherapy, targeted therapy, and immunotherapy. Oncolytic virotherapy for HNC represents a relatively advanced therapeutic approach currently. Through gene editing techniques, the oncolytic viruses (Ovs) can be engineered to reduce their virulence to normal cells. Administration routes include intratumoral injection and intravenous infusion, both of which exhibit high safety profiles.

Staffed with preeminent experts and armed with rich experience in immunotherapy, Creative Biolabs has set up a cutting-edge OncoVirapy™ platform, through which its scientists are adept at devising tailored oncolytic virotherapy plans for head and neck cancer.

Factors Predisposing to Lung Cancer

Anatomical diagram of the constituent parts of the human pharynx and larynx.Fig.1 Schematic diagram of the anatomy of the throat.Distributed under CC BY-SA 4.0, from Wiki, without modification.

Tab.1 The basic components of head and neck cancer, pathogenic factors, and treatment.

Head and Neck Cancer Detailed information
Oral Cancer
  • Tongue cancer (mostly at the tongue margin, etc.)
  • Gum cancer (mostly in the gums of the molar area)
  • Buccal cancer (commonly found in the buccal mucosa)
  • Floor cancer (often in the front of the floor of the mouth)
  • Lip cancer (mostly in the lower lip)
Pharyngeal Cancer
  • Nasopharyngeal carcinoma (mostly in the posterior wall of the nasopharyngeal roof and pharyngeal recess)
  • Oropharyngeal carcinoma (often in the tonsils, soft palate, base of the tongue, etc.)
  • Hypopharyngeal carcinoma (mostly in piriform fossa, posterior ring area, and posterior wall of pharynx)
Laryngeal Cancer
  • Supraglottic type (including epiglottic cancer)
  • Glottic type (occurring in vocal cords)
  • Subglottic type (located below the vocal cords and above the lower margin of the cricoid cartilage)
  • Transglottic type (originating in the laryngeal compartment, spanning the supraglottic and glottic areas)
Thyroid Cancer
  • Papillary carcinoma (most common, less malignant), follicular carcinoma (second, moderate malignant)
  • Medullary carcinoma (derived from thyroid parafollicular cells, moderate malignant)
  • Undifferentiated carcinoma (high malignant, poor prognosis)
Tongue cancer Most of them occur at the lingual margin, followed by the tip of the tongue, the back of the tongue, and the base of the tongue. Most of the pathological types were squamous cell carcinoma
Pathogenic factors
  • Smoking and drinking: tobacco carcinogens and alcohol metabolites damage the mucosa
  • Viral infection: Human papillomavirus is associated with oropharyngeal carcinoma and Epstein-Barr virus is associated with nasopharyngeal carcinoma
  • Environmental factors: long-term exposure to chemical carcinogens, air pollution, ionizing radiation, etc
  • Dietary factors: lack of vitamins A, C, E and trace elements, excessive consumption of pickled foods
  • Genetic factors: Some head and neck cancers have a familial genetic tendency, such as medullary thyroid cancer is associated with RET gene mutations
Main treatment
  • Surgical treatment: The primary means of early treatment is to remove the tumor and lymph nodes that may metastasize
  • Radiation therapy: suitable for all stages, can be used alone or in combination, is the main treatment of nasopharyngeal cancer
  • Chemotherapy: Used for preoperative tumor reduction, postoperative assistance, late palliation, commonly used cisplatin and other drugs
  • Targeted therapy: Targeting specific molecular targets, such as cetuximab for EGFR
  • Immunotherapy: activation of the autoimmune system, such as the immune checkpoint inhibitor Pembrolizumab

Oncolytic Virus Therapy for Head and Neck Cancer

The application of oncolytic virus therapy represents a promising approach to treating head and neck cancer. OVs show significant promise as a treatment option for head and neck cancer. Human gene therapy applications in HNC research utilize viruses such as lentiviruses, adenoviruses, herpes simplex viruses, vaccinia virus, and adeno-associated viruses which possess specific properties enabling selective targeting and destruction of cancer cells with minimal damage to healthy tissue.

  • EGFR is highly overexpressed in numerous HNSCCs. Human Ad5 modified with the EGFR-binding protein ligand can precisely target the overexpressed EGFR in HNSCC.
  • RAd-p53, a gene therapy agent, is approved for HNSCC patients with TP53 mutations. It is generated by cotransformation-relevant vectors in HEK 293 cells. In HNC patients, its overall response rate (CR+PR) exceeds 90%, much higher than standard cancer therapy alone. Most regimens combine it with radiotherapy and/or chemotherapy.
  • G47Δ is a triple-genetically-engineered, third-generation oncolytic HSV-1 that has been genetically modified to lose γ34.5 and α47 and inactivate the ICP6. In patients with untreated oral squamous cell carcinoma, adjunctive use of G47Δ with a monoclonal antibody inhibits tumor growth in the pre-surgical period and also eliminates residual microtumors in the residual tongue.
  • HF10 is likewise a highly attenuated, replication-competent mutant oHSV-1. It has obvious toxicity to tongue cancer cells in vitro, strong replication ability, and good tumor cell lysis ability by intratumoral injection.

Workflow

The basic process of oncolytic virus-related services conducted by Creative Biolabs. (Creative Biolabs Original)

Estimated Timeframe:

Pre-requirement communication:1-2 weeks

Design and construction of oncolytic viruses: 3-4 weeks

Mass production of oncolytic viruses:2-3 weeks

Function and properties of oncolytic viruses in vivo and in vitro:3-4 weeks

Results analysis and test report:1-2 weeks

Product delivery and shipping:2-3 weeks

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Case Study

The use of genetically engineered oncolytic viruses in commonly employed in vivo mouse models and in vitro cell-culture models of HNC has shown a significant rise in the rates of tumor destruction. Information gathered from several published research data provides useful evidence on OVs promising potential for treating HNC.

Treatment of head and neck cancer cells with oncolytic viruses reduces their activity. (OA Literature)Fig.2 Oncolytic HSV reduces the activity of HNC cells of different origins.1

Oncolytic virus reduces tumor volume in a mouse model of head and neck cancer. (OA Literature)Fig.3 Oncolytic HSV is effective in eliminating tumors.1

Oncolytic viruses effectively shorten the diameter of head and neck tumors. (OA Literature)Fig.4 Oncolytic HSV is effective in eliminating tumors.1

Oncolytic viruses significantly improves the survival of mice with cancer. (OA Literature)Fig.5 Oncolytic HSV treatment can significantly prolong the survival time of HNC model mice.1

FAQ

  • How to accurately assess the oncolytic potency of oncolytic viruses?

Creative Biolabs provides a variety of experimental protocols to accurately assess the efficacy of oncolytic virus products. For example, it uses MTT assay or CCK-8 assay, flow cytometry, western blot, etc. With the mature oncolytic virus construction and detection platform, Creative Biolabs' experienced technical team will offer customers professional customized in vivo and in vitro experimental protocol design.

  • How to verify the effect in vivo and ensure the success rate of animal model construction?

Animal models of HNC are mainly constructed using immunodeficient or transgenic mice. Human HNC cell lines or tumor tissues are transplanted to form subcutaneous or orthotopic models. Modeling success is enhanced by optimizing cell inoculation (dose, site) and monitoring animal health or tumor growth. Advanced imaging, like in vivo imaging systems, enables real-time tumor observation to meet experimental needs.

  • What additional information is needed to design and construct oncolytic viruses?

First, we identify the oncolytic virus types clients need, such as adenovirus, herpes simplex virus, and vaccinia virus. Clients should provide accurate gene sequences, functions, and expression regulations if there are genes for insertion or deletion. Also, clients need to define molecular targets and functional detection indicators. Our professionals will communicate with clients to craft the plan.

  • In addition to animal and cell models, are there other means to test oncolytic virus function?

In addition to in vitro cell models and animal models, the functionality of oncolytic viruses can also be evaluated by constructing relevant tumor organoids. The construction duration typically ranges from 4 to 6 weeks. Throughout this period, our team will maintain communication with you and provide regular feedback on the growth status of the organoids.

In the face of the swift advancements in innovative therapeutic approaches for HNC, oncolytic viruses remain a highly promising treatment modality. Leveraging our state-of-the-art OncoVirapy™ platform, Creative Biolabs is certain of its ability to supply novel OVs and formulate more effective oncolytic virotherapy strategies for our clients. Should you have any inquiries regarding oncolytic viruses, please do not hesitate to reach out to us.

Reference

  1. Esaki, Shinichi, et al. "Oncolytic activity of HF10 in head and neck squamous cell carcinomas." Cancer Gene Therapy 27.7 (2020): 585-598. DOI: 10.1038/s41417-019-0129-3. Distributed under Open Access license CC BY 4.0, the figures are reformatted.
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