Systemic oncolytic herpes virus therapy of poorly immunogenic prostate cancer metastatic to lung

Susan Varghese1, Samuel D Rabkin, Petur G Nielsen

  • 1Molecular Neurosurgery Laboratory, Department of Neurosurgery, Massachusetts General Hospital, Charlestown, Massachusetts, USA.

Abstract

Insights

The interleukin-12 (IL-12)-expressing oncolytic herpes simplex virus NV1042 effectively controlled metastatic prostate cancer in mice. NV1042 demonstrated superior efficacy over its parent vector NV1023 in reducing lung tumors and extending survival.

Area of Science:

  • Oncolytic virotherapy
  • Immunotherapy
  • Prostate cancer research

Background:

  • Metastatic prostate cancer remains a significant clinical challenge.
  • Oncolytic viruses engineered to express cytokines offer a promising therapeutic strategy.
  • Interleukin-12 (IL-12) is a key cytokine for activating anti-tumor immune responses.

Purpose of the Study:

  • To evaluate the efficacy of NV1042, an IL-12-expressing oncolytic herpes simplex virus, against pre-existing metastatic prostate cancer in immunocompetent mice.
  • To compare the therapeutic effects of NV1042 with its non-cytokine parental vector, NV1023.

Main Methods:

  • Metastatic TRAMP-C2 prostate cancer lung tumors were established in C57Bl/6 mice.
  • Mice received four intravenous administrations of NV1042 or NV1023 on day 21.
  • Tumor burden, survival, and immune responses were assessed on day 42.

Main Results:

  • Both NV1042 and NV1023 reduced extrapleural and hemorrhagic tumors.
  • NV1042 significantly outperformed NV1023 in controlling lung tumor growth and extending survival.
  • NV1042 induced transient serum IL-12, sustained lung IL-12, and activated splenocyte IFN-gamma secretion and NK activity, dependent on T cells.

Conclusions:

  • Systemic administration of NV1042 is more effective than NV1023 against established metastatic lung tumors.
  • NV1042's enhanced efficacy and immune activation warrant clinical investigation for metastatic prostate cancer.
  • The parental vector NV1020 has a known clinical safety profile, supporting the potential translation of NV1042.

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