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Updated: May 7, 2026

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
DNA demethylating agents synergize with oncolytic HSV1 against malignant gliomas
Kazuo Okemoto1, Kazue Kasai, Benjamin Wagner
1Authors' Affiliations: Dardinger Center for Neuro-oncology and Neurosciences, Department of Neurological Surgery, James Cancer Hospital/Solove Research Institute/Comprehensive Cancer Center and Wexner Medical Center; Center for Biostatistics, The Ohio State University, Columbus, Ohio; and Department of Neurosurgery Institute for the Neurosciences at the Brigham, Brigham and Women's/Faulkner Hospital and Center for Neuro-oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Purpose:
Oncolytic viruses (OV) based on herpes simplex virus type 1 (HSV1) are being used in clinical trials for a variety of cancers. The OV, rQNestin34.5, uses a nestin promoter/enhancer to selectively drive robust viral replication in malignant glioma cells. We have discovered that this promoter becomes extensively methylated in infected glioma cells, reducing OV efficacy.
Experimental Design:
We used demethylating drugs [5-azacytidine (5-Aza)], decitabine, or valproic acid (VPA) in both in vitro and in vivo malignant glioma models to determine if they improved the efficacy of rQNestin34.5 therapy.
Results:
The use of demethylating agents, such as 5-Aza, improved OV replication and tumor cell lysis in vitro and, in fact, synergized pharmacologically on Chou-Talalay analysis. In vivo, the combination of the demethylating agents, 5-Aza or decitabine, with rQNestin34.5 significantly prolonged the survivorship of athymic mice harboring intracranial human glioma xenografts over single agent alone.
Conclusion:
These results, thus, provide further justification for the exploration of demethylating agents when combined with the OV, rQNestin34.5, in preclinical therapeutics and, possibly, clinical trials for malignant glioma.
Insights
Demethylating agents enhance oncolytic virus (OV) therapy for malignant glioma by overcoming promoter methylation. Combining these agents with rQNestin34.5 improved tumor cell lysis and prolonged survival in preclinical models.
Area of Science:
- Oncolytic virotherapy
- Cancer epigenetics
- Neuro-oncology
Background:
- Oncolytic viruses (OV) based on herpes simplex virus type 1 (HSV1) show promise for cancer treatment.
- The engineered OV, rQNestin34.5, targets malignant glioma via a nestin promoter.
- Promoter methylation in infected glioma cells reduces the efficacy of rQNestin34.5.
Purpose of the Study:
- To investigate if demethylating agents can improve the efficacy of rQNestin34.5 therapy.
- To evaluate the combination of demethylating drugs with rQNestin34.5 in malignant glioma models.
Main Methods:
- Utilized demethylating drugs: 5-azacytidine (5-Aza), decitabine, and valproic acid (VPA).
- Tested therapies in both in vitro and in vivo malignant glioma models.
- Assessed OV replication, tumor cell lysis, and animal survival.
Main Results:
- Demethylating agents, particularly 5-Aza, enhanced OV replication and glioma cell lysis in vitro.
- 5-Aza demonstrated synergistic effects with rQNestin34.5 in vitro.
- Combination therapy with 5-Aza or decitabine and rQNestin34.5 significantly prolonged survival in mice with human glioma xenografts.
Conclusions:
- Demethylating agents can overcome rQNestin34.5 promoter methylation, thereby enhancing its efficacy.
- The combination of demethylating agents and rQNestin34.5 warrants further investigation in preclinical and clinical settings for malignant glioma.
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