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Published on: February 24, 2023
Overcoming tumor resistance by heterologous adeno-poxvirus combination therapy
Markus Vähä-Koskela1, Siri Tähtinen1, Susanna Grönberg-Vähä-Koskela1
1Department of Pathology and Transplantation Laboratory, Cancer Gene Therapy Group, Haartman Institute, University of Helsinki , Helsinki, Finland.
Abstract:
Successful cancer control relies on overcoming resistance to cell death and on activation of host antitumor immunity. Oncolytic viruses are particularly attractive in this regard, as they lyse infected tumor cells and trigger robust immune responses during the infection. However, repeated injections of the same virus promote antiviral rather than antitumor immunity and tumors may mount innate antiviral defenses to restrict oncolytic virus replication. In this article, we have explored if alternating the therapy virus could circumvent these problems. We demonstrate in two virus-resistant animal models a substantial delay in antiviral immune- and innate cellular response induction by alternating injections of two immunologically distinct oncolytic viruses, adenovirus, and vaccinia virus. Our results are in support of clinical development of heterologous adeno-/vaccinia virus therapy of cancer.
Insights
Alternating oncolytic virus therapies, specifically adenovirus and vaccinia virus, delays immune resistance in animal cancer models. This strategy enhances potential for effective cancer treatment by overcoming viral defense mechanisms.
Area of Science:
- Immunology
- Virology
- Oncology
Background:
- Effective cancer treatment requires overcoming tumor cell resistance to death and stimulating host antitumor immunity.
- Oncolytic viruses offer a promising approach by selectively killing tumor cells and eliciting immune responses.
- Challenges include the development of antiviral immunity and tumor-intrinsic defenses against repeated single-virus administration.
Purpose of the Study:
- To investigate if alternating immunologically distinct oncolytic viruses can circumvent antiviral immune responses and tumor defenses.
- To evaluate the efficacy of alternating adenovirus and vaccinia virus therapy in virus-resistant preclinical cancer models.
Main Methods:
- Utilized two distinct oncolytic viruses: adenovirus and vaccinia virus.
- Administered alternating injections of these viruses in two established virus-resistant animal cancer models.
- Monitored and analyzed the induction of antiviral immune responses and innate cellular defenses.
Main Results:
- Alternating adenovirus and vaccinia virus injections significantly delayed the induction of antiviral immune responses.
- This therapeutic strategy also postponed the onset of innate cellular defense mechanisms in the tumor microenvironment.
- Demonstrated a substantial delay in the development of resistance to oncolytic virotherapy.
Conclusions:
- Alternating oncolytic virus therapy with distinct agents like adenovirus and vaccinia virus is a viable strategy to overcome treatment resistance.
- This approach holds promise for enhancing the clinical efficacy of oncolytic virotherapy in cancer patients.
- Supports further clinical development of heterologous oncolytic virus combinations for cancer treatment.
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