A conditionally replicating adenovirus for nasopharyngeal carcinoma gene therapy

Marie C Chia1, Wei Shi, Jian-Hua Li

  • 1Division of Experimental Therapeutics, Princess Margaret Hospital/Ontario Cancer Institute, University Health Network, Toronto, Ontario, Canada M5G 2M9.

Insights

A novel adenovirus targets Epstein-Barr virus (EBV)-positive nasopharyngeal carcinoma (NPC) cells, causing tumor cell death and inhibiting growth. This EBV-dependent therapy shows promise as a safe and effective treatment for NPC.

Area of Science:

  • Oncolytic virology
  • Gene therapy
  • Cancer research

Background:

  • Nasopharyngeal carcinoma (NPC) is strongly associated with Epstein-Barr virus (EBV) infection.
  • Targeting tumor-specific elements like the EBV genome is a strategy for cancer therapy.
  • Developing targeted oncolytic viruses requires exploiting unique tumor characteristics.

Purpose of the Study:

  • To construct and evaluate a novel conditionally replicating adenovirus, adv.oriP.E1A, for targeting EBV-positive NPC.
  • To assess the efficacy and safety of adv.oriP.E1A in preclinical models of NPC.
  • To investigate the potential of EBV-dependent gene expression for cancer treatment.

Main Methods:

  • Construction of a novel adenovirus (adv.oriP.E1A) utilizing EBV-dependent replication.
  • In vitro assessment of adv.oriP.E1A cytotoxicity in EBV-positive NPC cells versus EBV-negative cell lines.
  • In vitro confirmation of adenoviral replication in infected NPC cells.
  • Evaluation of tumor inhibition after ex vivo infection of NPC cells.
  • Assessment of combination therapy with radiation in NPC xenograft models.
  • In vivo safety evaluation through systemic delivery in animal models.

Main Results:

  • adv.oriP.E1A demonstrated extensive cell death in EBV-positive NPC cells (C666-1) but not in EBV-negative cells.
  • Adenoviral replication was confirmed in vitro by increased viral protein and DNA levels.
  • Ex vivo infection inhibited tumor formation for over 100 days.
  • Combination therapy with radiation led to complete tumor disappearance in xenograft models.
  • Systemic delivery showed minimal, temporary liver function perturbation, indicating good safety.

Conclusions:

  • A conditionally replicating adenovirus targeting EBV-positive NPC has been successfully developed.
  • The adv.oriP.E1A therapy is effective in reducing tumor burden and shows a favorable safety profile.
  • This EBV-dependent oncolytic virotherapy strategy holds significant therapeutic potential for NPC treatment.