Sensitivity of squamous cell carcinoma lymph node metastases to herpes oncolytic therapy

Zhenkun Yu1, Sen Li, Yu-Yao Huang

  • 1Head and Neck Service and Gastric, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.

Abstract

Insights

Lymph node metastases become more sensitive to herpes oncolytic therapy with increased nectin-1 expression. This suggests engineered herpes simplex virus-1 (HSV-1) is effective for treating lymph node metastases.

Area of Science:

  • Oncolytic virology
  • Cancer metastasis research
  • Immunotherapy

Background:

  • Cancer metastases can differ genetically and phenotypically from primary tumors.
  • Engineered herpes simplex virus-1 (HSV-1) shows promise for treating primary tumors but its efficacy against lymph node metastases is unclear.

Purpose of the Study:

  • To evaluate the efficacy of an attenuated oncolytic HSV-1 (NV1023) against murine squamous carcinoma cell lines derived from lymph node metastases.
  • To investigate phenotypic and genetic changes in lymph node metastases that may impact oncolytic virus therapy.

Main Methods:

  • Generated serial cell lines (LN1-LN7) from metastatic lymph nodes of mice.
  • Assessed migratory and invasive abilities, and nectin-1 (HSV-1 receptor) expression in cell lines.
  • Compared NV1023 entry, replication, and cytotoxicity in cell lines with varying passage numbers.
  • Evaluated NV1023 efficacy in a murine flank tumor model with lymph node metastases.

Main Results:

  • Higher passage lymph node cell lines exhibited increased migration, invasion, and nectin-1 expression.
  • NV1023 demonstrated enhanced viral entry, replication, and cytotoxicity in higher passage cells.
  • Intratumoral NV1023 treatment resulted in significant tumor regression and increased viral infection in lymph node metastases compared to primary tumor cells.

Conclusions:

  • Lymph node metastases can acquire characteristics, such as increased nectin-1 expression, making them more susceptible to oncolytic herpes virus therapy.
  • These findings support the clinical use of oncolytic HSV-1 for treating lymph node metastases.

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