Multifaceted oncolytic virus therapy for glioblastoma in an immunocompetent cancer stem cell model

Tooba A Cheema1, Hiroaki Wakimoto, Peter E Fecci

  • 1Brain Tumor Research Center and Molecular Neurosurgery Laboratory, Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.

Insights

A novel murine glioblastoma stem cell (GSC) model addresses tumor complexity. A genetically engineered oncolytic herpes simplex virus (G47-mIL12) significantly improved survival in glioblastoma models by targeting GSCs and the immune system.

Area of Science:

  • Oncology
  • Virology
  • Immunology

Background:

  • Glioblastoma (WHO grade IV) is an aggressive brain tumor with poor outcomes due to tumor heterogeneity, cancer stem cells (CSCs), aberrant vasculature, and immune suppression.
  • Current preclinical models inadequately represent these glioblastoma complexities, limiting therapeutic development.

Purpose of the Study:

  • To develop a more comprehensive murine glioblastoma stem cell (GSC) model that recapitulates key tumor features.
  • To evaluate a genetically engineered oncolytic herpes simplex virus (G47-mIL12) in this stringent glioblastoma model.

Main Methods:

  • Established a murine GSC model in syngeneic immunocompetent mice, mimicking tumor heterogeneity, invasiveness, vascularity, and immunosuppression.
  • Administered G47-mIL12, an oncolytic herpes simplex virus armed with interleukin-12, to mice with intracerebral tumors.
  • Assessed viral replication, tumor growth, survival rates, and immune responses (IFN-γ, regulatory T cells, angiogenesis).

Main Results:

  • G47-mIL12 demonstrated similar in vitro replication to its unarmed counterpart but significantly enhanced survival in vivo.
  • Mechanistically, G47-mIL12 targeted GSCs, increased IFN-γ release, inhibited angiogenesis, and reduced regulatory T cells.
  • Therapeutic efficacy was dependent on T cells, not natural killer cells.

Conclusions:

  • The developed murine GSC model effectively recapitulates critical glioblastoma features for preclinical studies.
  • G47-mIL12 offers a multifaceted therapeutic strategy by targeting GSCs, the tumor microenvironment, and the immune system, showing significant promise in a challenging glioblastoma model.

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