PT - JOURNAL ARTICLE AU - Mengyuan Li AU - Minghuan Zhang AU - Qian Ye AU - Yunhua Liu AU - Wenbin Qian TI - Preclinical and clinical trials of oncolytic vaccinia virus in cancer immunotherapy: a comprehensive review AID - 10.20892/j.issn.2095-3941.2023.0202 DP - 2023 Sep 15 TA - Cancer Biology & Medicine PG - 646--661 VI - 20 IP - 9 4099 - http://www.cancerbiomed.org/content/20/9/646.short 4100 - http://www.cancerbiomed.org/content/20/9/646.full SO - Cancer Biology & Medicine2023 Sep 15; 20 AB - Oncolytic virotherapy has emerged as a promising treatment for human cancers owing to an ability to elicit curative effects via systemic administration. Tumor cells often create an unfavorable immunosuppressive microenvironment that degrade viral structures and impede viral replication; however, recent studies have established that viruses altered via genetic modifications can serve as effective oncolytic agents to combat hostile tumor environments. Specifically, oncolytic vaccinia virus (OVV) has gained popularity owing to its safety, potential for systemic delivery, and large gene insertion capacity. This review highlights current research on the use of engineered mutated viruses and gene-armed OVVs to reverse the tumor microenvironment and enhance antitumor activity in vitro and in vivo, and provides an overview of ongoing clinical trials and combination therapies. In addition, we discuss the potential benefits and drawbacks of OVV as a cancer therapy, and explore different perspectives in this field.