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Published on: September 12, 2019
Synergistic antitumour effects of rapamycin and oncolytic reovirus
Charles Comins1, Guy Richard Simpson1, William Rogers1
1Oncology, Faculty of Health and Medical Sciences, University of Surrey, Leggett Building, Guildford, Surrey, GU2 7WG, UK.
Abstract:
There are currently numerous oncolytic viruses undergoing clinical trial evaluation in cancer patients and one agent, Talimogene laherparepvec, has been approved for the treatment of malignant melanoma. This progress highlights the huge clinical potential of this treatment modality, and the focus is now combining these agents with conventional anticancer treatments or agents that enhance viral replication, and thereby oncolysis, in the tumour microenvironment. We evaluated the combination of reovirus with rapamycin in B16F10 cell, a murine model of malignant melanoma, based on potential mechanisms by which mTOR inhibitors might enhance viral oncolysis. Rapamycin was not immunomodulatory in that it had no effect on the generation of an antireovirus-neutralising antibody response in C57/black 6 mice. The cell cycle effects of reovirus (increase G0/G1 fraction) were unaffected by concomitant or sequential exposure of rapamycin. However, rapamycin attenuated viral replication if given prior or concomitantly with reovirus and similarly reduced reovirus-induced apoptotic cell death Annexin V/PI and caspase 3/7 activation studies. We found clear evidence of synergistic antitumour effects of the combination both in vitro and in vivo, which was sequence dependent only in the in vitro setting. In conclusion, we have demonstrated synergistic antitumour efficacy of reovirus and rapamycin combination.
Insights
This study found that combining reovirus with rapamycin shows synergistic antitumor effects in melanoma models. While rapamycin reduced viral replication, the combination therapy enhanced efficacy both in vitro and in vivo.
Area of Science:
- Oncology
- Virology
- Immunology
Background:
- Oncolytic viruses are a promising cancer treatment modality, with one agent approved for malignant melanoma.
- Current research focuses on combining oncolytic viruses with conventional therapies or agents that enhance viral replication and oncolysis.
- The mTOR pathway is a potential target for enhancing oncolytic virus efficacy.
Purpose of the Study:
- To evaluate the combination of reovirus and rapamycin in a murine model of malignant melanoma (B16F10 cells).
- To investigate the mechanisms by which mTOR inhibitors, specifically rapamycin, might enhance viral oncolysis.
- To assess the impact of rapamycin on reovirus replication, cell cycle, apoptosis, and anti-viral immune response.
Main Methods:
- Combination therapy of reovirus and rapamycin was tested in B16F10 melanoma cells and C57/black 6 mice.
- Viral replication, cell cycle progression, and apoptosis (Annexin V/PI, caspase 3/7 activation) were analyzed.
- Antireovirus-neutralizing antibody responses were measured in mice.
Main Results:
- Rapamycin did not affect the generation of anti-reovirus antibodies in mice.
- Rapamycin did not alter the cell cycle effects of reovirus.
- Rapamycin attenuated viral replication and reduced reovirus-induced apoptosis when administered prior to or concurrently with reovirus.
- Synergistic antitumor effects were observed for the reovirus-rapamycin combination both in vitro and in vivo, with sequence-dependent efficacy in vitro.
Conclusions:
- The combination of reovirus and rapamycin demonstrates synergistic antitumor efficacy in preclinical models of melanoma.
- Rapamycin's inhibitory effect on viral replication and apoptosis does not preclude its beneficial combination with reovirus for enhanced antitumor activity.
- Further investigation into this combination therapy is warranted for cancer treatment.
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