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Updated: May 19, 2026

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Multimechanistic tumor targeted oncolytic virus overcomes resistance in brain tumors
Kaoru Tamura1, Hiroaki Wakimoto, Aayush S Agarwal
1Molecular Neurotherapy and Imaging Laboratory, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02129, USA.
Abstract:
Only a subset of cancer patients inoculated with oncolytic herpes simplex virus (oHSV) type-1 has shown objective response in phase 1 and 2 clinical trials. This has raised speculations whether resistance of tumor cells to oHSV therapy may be a limiting factor. In this study, we have identified established and patient derived primary glioblastoma multiforme (GBM) stem cell lines (GSC) resistant to oHSV and also to tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) that has recently shown promise in preclinical and initial clinical studies. We created a recombinant oHSV bearing a secretable TRAIL (oHSV-TRAIL) and hypothesized that oHSV-TRAIL could be used as a cancer therapeutic to target a broad spectrum of resistant tumors in a mechanism-based manner. Using the identified resistant GBM lines, we show that oHSV-TRAIL downregulates extracellular signal-regulated protein kinase (ERK)-mitogen-activated protein kinase (MAPK) and upregulates c-Jun N-terminal kinase (JNK) and p38-MAPK signaling, which primes resistant GBM cells to apoptosis via activation of caspase-8, -9, and -3. We further show that oHSV-TRAIL inhibits tumor growth and invasiveness and increases survival of mice bearing resistant intracerebral tumors without affecting the normal tissues. This study sheds new light on the mechanism by which oHSV and TRAIL function in concert to overcome therapeutic-resistance, and provides an oncolytic virus based platform to target a broad spectrum of different cancer types.
Insights
This study developed a novel oncolytic herpes simplex virus (oHSV) carrying tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) to overcome cancer cell resistance. The engineered virus effectively targets resistant glioblastoma stem cells, inhibiting tumor growth and improving survival.
Area of Science:
- Oncolytic virotherapy
- Cancer stem cell biology
- Molecular oncology
Background:
- Limited patient response to oncolytic herpes simplex virus (oHSV) type-1 suggests tumor cell resistance.
- Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) shows promise but faces resistance challenges.
- Glioblastoma stem cells (GSCs) present a significant therapeutic challenge due to inherent resistance.
Purpose of the Study:
- To engineer a recombinant oHSV expressing secretable TRAIL (oHSV-TRAIL) to overcome resistance in glioblastoma stem cells (GSCs).
- To investigate the molecular mechanisms by which oHSV-TRAIL sensitizes resistant GSCs to apoptosis.
- To evaluate the therapeutic efficacy of oHSV-TRAIL in preclinical models of glioblastoma.
Main Methods:
- Identification and characterization of oHSV- and TRAIL-resistant GSC lines.
- Construction and application of a recombinant oHSV encoding secretable TRAIL.
- Analysis of MAPK signaling pathways (ERK, JNK, p38) and apoptosis-related caspases (caspase-8, -9, -3).
- Assessment of tumor growth, invasiveness, and survival in mouse models bearing intracerebral tumors.
Main Results:
- oHSV-TRAIL effectively downregulates ERK and upregulates JNK and p38 signaling in resistant GSCs.
- This modulation primes resistant GSCs for apoptosis through caspase activation.
- oHSV-TRAIL significantly inhibits tumor growth and invasiveness, prolonging survival in mice without harming normal tissues.
Conclusions:
- oHSV-TRAIL represents a potent therapeutic strategy to overcome resistance in glioblastoma stem cells.
- The combined action of oHSV and TRAIL offers a novel mechanism to sensitize resistant tumors to apoptosis.
- This oncolytic virus platform holds potential for targeting a wide range of cancer types exhibiting therapeutic resistance.
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