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Updated: Aug 22, 2026

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Treatment of aggressive thyroid cancer with an oncolytic herpes virus
Zhenkun Yu1, David P Eisenberg, Bhuvanesh Singh
1Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Abstract:
Although many thyroid cancers carry a favorable prognosis, there is a subgroup of patients with more aggressive histologies. Current therapies offer no significant survival benefit to patients with anaplastic thyroid carcinomas, which are considered fatal. Oncolytic herpes simplex viruses (HSVs) have potent antitumor effects against a variety of human malignancies. We assessed the activity of a replication-competent, attenuated, oncolytic HSV (NV1023) against 7 different thyroid cancers, including one papillary (NPA-187), one follicular (WRO82-1), one medullary (DRO81-1) and 4 anaplastic (DRO90-1, ARO, KAT-4C and KAT-18) cell lines. Only the follicular WRO82-1 line was resistant to NV1023 infection and cell lysis at a concentration of 5 viral pfu per cell (MOI 5). All other cell lines at MOI 5 demonstrated >95% infection in vitro at day 2 by X-gal staining and >88% cell death at day 4 by cytotoxicity assays. Even at MOI 0.1, 4 of these lines displayed complete cell death by day 7. Viral proliferation assays revealed that all of the nonfollicular cell lines supported logarithmic viral replication. Flank tumors of NPA-187, DRO81-1, DRO90-1 and ARO in athymic nude mice were treated with NV1023 (2 x 10(7) pfu). All NPA-187 tumors completely regressed following a single dose. DRO81-1 tumors demonstrated partial response with a single dose and significant improvement with 3 serial doses. ARO and DRO90-1 tumors showed a significant response following either single injection (54 +/- 22 and 292 +/- 138 mm3, respectively) or 3 serial injections (33 +/- 14 and 241 +/- 68 mm3, respectively) compared to saline injections (472 +/- 193 and 1,257 +/- 204 mm3, respectively) at day 20. These data suggest that herpes oncolytic therapy may be effective for the treatment of aggressive thyroid carcinomas and merits further investigation.
Insights
Oncolytic herpes simplex virus (HSV) therapy shows promise for aggressive thyroid cancers. NV1023 effectively reduced or eliminated various thyroid cancer cell lines and tumors in mice, suggesting potential for treating anaplastic thyroid carcinomas.
Area of Science:
- Oncology
- Virology
- Cancer Therapeutics
Background:
- Many thyroid cancers have a good prognosis, but aggressive subtypes like anaplastic thyroid carcinomas are often fatal.
- Current treatments offer limited survival benefits for advanced thyroid cancers.
- Oncolytic herpes simplex viruses (HSVs) demonstrate potent antitumor activity against various cancers.
Purpose of the Study:
- To evaluate the efficacy of an oncolytic HSV (NV1023) against diverse thyroid cancer cell lines.
- To assess the in vivo antitumor activity of NV1023 in mouse models of thyroid cancer.
Main Methods:
- NV1023 was tested against 7 human thyroid cancer cell lines (papillary, follicular, medullary, anaplastic) in vitro.
- Infection, cell lysis, and viral replication were quantified.
- NV1023 was administered to athymic nude mice bearing flank tumors of various thyroid cancer types.
Main Results:
- NV1023 effectively infected and lysed most thyroid cancer cell lines, with resistance observed only in one follicular line.
- In vitro assays showed significant cell death and logarithmic viral replication in susceptible cell lines.
- In vivo studies demonstrated complete tumor regression in papillary thyroid cancer and significant tumor reduction in anaplastic and medullary thyroid cancer models following NV1023 treatment.
Conclusions:
- Oncolytic herpes simplex virus therapy exhibits significant potential against aggressive thyroid carcinomas, including anaplastic types.
- NV1023 demonstrated broad activity across different thyroid cancer histologies in vitro and in vivo.
- These findings support further investigation of herpes oncolytic therapy for treating advanced thyroid cancers.
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