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.

Abstract

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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