Replication-competent herpes simplex virus retargeted to HER2 as therapy for high-grade glioma

Eleonora Gambini1, Elisa Reisoli, Irene Appolloni

  • 1Department of Experimental Medicine (DIMES), University of Genoa, Genoa, Italy.

Insights

Engineered oncolytic herpes simplex viruses (HSVs) show promise for treating glioblastoma (GBM). R-LM113, targeting HER2-expressing GBM, demonstrated safety and doubled survival time in preclinical models.

Area of Science:

  • Oncolytic virotherapy
  • Cancer research
  • Herpes simplex virus (HSV) engineering

Background:

  • Oncolytic viruses offer a novel approach for glioblastoma (GBM) treatment.
  • Existing oncolytic HSVs are often highly attenuated, limiting their efficacy.
  • Targeting tumor-specific receptors can enhance safety and specificity.

Purpose of the Study:

  • To evaluate the safety and efficacy of R-LM113, an engineered oncolytic HSV.
  • R-LM113 is retargeted to human epidermal growth factor receptor 2 (HER2), common in GBM.
  • Assess R-LM113's potential against high-grade gliomas (HGG).

Main Methods:

  • Intracranial injection of R-LM113 into NOD/SCID mice models.
  • Assessment of safety by monitoring for encephalitis post-injection.
  • Evaluation of efficacy in a HER2-expressing, PDGF-induced glioma model.

Main Results:

  • R-LM113 demonstrated in vivo safety, with no encephalitis observed in sensitive mice.
  • Mice treated with R-LM113 showed doubled survival time compared to controls.
  • Treatment of established tumors with R-LM113 also doubled survival time.

Conclusions:

  • Engineered oncolytic HSV R-LM113 is safe and effective in preclinical HGG models.
  • HER2-targeted oncolytic virotherapy shows significant potential for GBM treatment.
  • R-LM113 effectively inhibits tumor growth and improves survival.

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