Oncolytic adenoviral mutants induce a novel mode of programmed cell death in ovarian cancer
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Updated: Jul 9, 2026

Genome-wide RNAi Screening to Identify Host Factors That Modulate Oncolytic Virus Therapy
Published on: April 3, 2018
S K Baird1, J L Aerts, A Eddaoudi
1Centre for Molecular Oncology, Cancer Research UK Clinical Centre, Institute of Cancer, Barts and the London Queen Mary's School of Medicine, London, UK.
Abstract:
Oncolytic adenoviral mutants have considerable activity in ovarian cancer. However, the mechanisms by which they induce cell death remain uncertain. dl922-947, which contains a 24 bp deletion in E1A CR2, is more potent than both E1A wild-type adenoviruses and the E1B-55K deletion mutant dl1520 (Onyx-015). We investigated the mode of death induced by three E1A CR2-deleted replicating adenoviruses in models of ovarian cancer and also the importance of E3 11.6 (adenovirus death protein) in determining this mode of death. Ovarian cancer cells were infected with dl922-947 (E3 11.6+) and dlCR2 (E3 11.6-). We also generated dlCR2 tSmac, which also encodes the gene for processed Smac/DIABLO. Classical apoptosis does not occur in adenoviral cell death and there is no role for mitochondria. Expression of Smac/DIABLO does not enhance cytotoxicity nor increase apoptotic features. A role for cathepsins and lysosomal membrane permeability was excluded. Autophagy is induced, but is not the mode of death and may act as a cell survival mechanism. There is no evidence of pure necrosis, while the presence of E3 11.6 does not modulate the mode or extent of cell death. Thus, E1A CR2-deleted oncolytic adenoviral cytotoxicity in ovarian cancer may define a novel mode of programmed cell death.
Insights
Oncolytic adenoviruses with E1A CR2 deletions induce cell death in ovarian cancer through a novel mechanism, distinct from apoptosis or necrosis. The adenovirus death protein (E3 11.6) does not influence this cell death pathway.
Area of Science:
- Oncology
- Virology
- Cell Biology
Background:
- Oncolytic adenoviruses show promise in ovarian cancer treatment.
- The precise mechanisms of cell death induced by these viruses are not fully understood.
- E1A CR2-deleted mutants, like dl922-947, exhibit enhanced potency.
Purpose of the Study:
- To investigate the mode of cell death induced by E1A CR2-deleted oncolytic adenoviruses in ovarian cancer models.
- To determine the role of the adenovirus death protein (E3 11.6) in modulating cell death.
- To explore the involvement of apoptosis, mitochondria, Smac/DIABLO, cathepsins, and autophagy.
Main Methods:
- Infection of ovarian cancer cells with E1A CR2-deleted adenoviruses (dl922-947, dlCR2, dlCR2 tSmac).
- Analysis of cell death pathways, including apoptosis, mitochondrial involvement, and lysosomal permeability.
- Assessment of Smac/DIABLO expression and autophagy induction.
Main Results:
- Classical apoptosis and mitochondrial pathways are not involved in adenoviral-induced cell death.
- Smac/DIABLO expression did not increase cytotoxicity or apoptotic features.
- Autophagy was observed but identified as a survival mechanism, not the mode of death.
- The presence of E3 11.6 did not alter the mode or extent of cell death.
Conclusions:
- E1A CR2-deleted oncolytic adenoviruses induce cell death in ovarian cancer via a novel programmed cell death pathway.
- This mechanism appears independent of classical apoptosis, necrosis, and the adenovirus death protein (E3 11.6).
- Further research is needed to fully elucidate this unique cell death modality.
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