*2.2. Induction of Immunologic Cell Death*

Apart from the direct lysis of cancer cells, OVs can induce various ICDs in virusinfected cells through induction of endoplasmic reticulum (ER) stress [110]. Infection of tumor cells with AdV, CV-B3, MeV, VACV, HSV, and H1-PV has been shown to induce ICD and autophagy in cancer cells [111,112]. ICD is characterized by the expression and release of DAMPs such as ATP, uric acid, heat shock proteins, ecto-calreticulin, and HMGB1, as well as extracellular proinflammatory cytokines [113]. Extracellular ATP acts as a danger signal which attracts and activates DCs [114]. HMGB1 and calreticulin can activate DCs via toll-like receptor (TLR)-4 signaling [115]. In addition, calreticulin neutralizes CD47 receptors on the tumor cell surface, and thereby, increases the tumor cell engulfment by macrophages [116]. OV-mediated ICD, along with other ICD-inducing methods such as chemotherapy and radiotherapy, break immune tolerance against the tumor and increase lymphocyte and neutrophil infiltration, leading to antitumor response and more survival in preclinical models [111].
