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. 2021 Oct 5;12:721830. doi: 10.3389/fimmu.2021.721830

Figure 3.

Figure 3

Obstacles to OVT of gliomas via intratumoral and systemic delivery. For intratumoral delivery only, 1) the expense and complexity of neurosurgical procedures, limiting repeat administration. For systemic delivery only, 1) After injection, the first challenge is neutralization of OVs by antibodies in the peripheral blood; 2) Off target effect is the second challenge for systemic delivery since OVs may not be able to reach to the brain and cause infection to normal tissue (e.g. liver); 3) even if OVs can reach to the brain, the intact BBB is able to block the passage of most viruses. For both intratumoral and systemic delivery, 1) Innate anti-viral response can prevent OVs from interacting with tumor cells; 2) the specific tumor microenvironment is also resistant to OVs infection and suppresses the OVs-induced anti-tumor immune response; 3) tumor heterogeneity can make OVs insensitive to part of tumor cells.