Table 2.
Advantages and disadvantages of two different routes for delivering oncolytic viruses.
| Intratumoral delivery | Intravenous delivery | Intraperitoneal administration | Intrathecal administration | Subcutaneous administration | |
|---|---|---|---|---|---|
| Advantages | High concentration of oncolytic virus at target tissue to observe a definite effect (39–41) | Good choice when injecting oncolytic virus directly into tumors is challenging (26, 42, 43, 54, 55, 58, 59) | Absorbed faster than subcutaneous injection (65) | An ideal choice for CNS tumors (68) | Easy to operate (65) |
| Enables researchers to control the precise concentration of the oncolytic virus in tumor sites (26, 42, 43) | Convenient and rapid for researchers at the clinical experimental stage (56, 60, 63) | Relatively easy to administer and requires few specialty skills (65) | |||
| An ideal choice for targeting the organs in the abdominal cavity (66) | |||||
| Disadvantages | Significant challenges in accessing deep lesions (54, 55, 58, 59) | Requires highly selective tissue targets (55) | Absorbed slower than intravenous injection (65) | Limited to central nervous system tumors (68) | Applied only to small animals in which veins are difficult to find (65) |
| Complex procedures make repeat dosing difficult (61, 63) | Physiological barriers such as blood-brain barrier and oncolytic virus elimination by the immune system (55) | ||||
| Mostly applied in vitro experiments (39, 42, 44–47) | This route of administration, if any, would be the most likely to lead to toxicity (65) |