Table 2. Routes of delivery of oncolytic viruses: advantages, disadvantages, and tumors in which routed.
Intertumoral route | Intravenous route | Intraperitoneal route | intrathecal route | |
Advantages | Higher concentration of OV in tumor site. Ability to control desirable concentration. | Good option in case of inaccessible tumors. Convenient and rapid. | Faster absorption. Relatively easy to be administrated. Targeting abdominal cavity organs. | Ideal for CNS tumors. |
Disadvantages | Challenges in access deeper tumors. Difficult repeating doses in complex procedures. | Requires highly selective targets. Physiological barriers (e.g., BBB) and elimination by immune response. More toxicity. | Slower absorption than IV. | Limited to CNS. |
Tumors | Melanoma Retinoblastoma Pancreatic carcinoma Astrocytoma Gliomas Breast cancer Colorectal cancer | Melanoma. Bladder cancer. LSCC Astrocytoma. Neuroblastoma. Ovarian cancer. Prostatic carcinoma. Glioblastoma | Angiosarcoma. Epithelioid sarcoma. Kaposi’s sarcoma. GI stromal cancer. Leiomyosarcoma. Liposarcoma. Pancreatic carcinoma | Glioblastoma. Glioma. Ependymoma. Primitive neuroectodermal tumor. CNS lymphoma |