Targeting the tumor stroma with an oncolytic adenovirus secreting a fibroblast activation protein-targeted bispecific

Jana de Sostoa1, Carlos Alberto Fajardo1, Rafael Moreno1

  • 1ProCure Program, IDIBELL-Institut Català d'Oncologia, l'Hospitalet de Llobregat, El Prat de Llobregat, Spain.

Abstract

Insights

This study armed oncolytic adenovirus with a FAP-targeting Bispecific T-cell Engager (FBiTE) to enhance T-cell activity against cancer-associated fibroblasts. The modified virus improved T-cell accumulation and demonstrated superior antitumor efficacy, suggesting a promising strategy for oncolytic virotherapy.

Area of Science:

  • Oncolytic virotherapy
  • Cancer immunology
  • Tumor microenvironment targeting

Background:

  • Oncolytic viruses (OVs) offer direct tumor cell lysis and immunogenic cell death for cancer treatment.
  • Tumor stroma, rich in cancer-associated fibroblasts (CAFs) expressing fibroblast activation protein-α (FAP), impedes OV efficacy by creating a barrier and promoting immunosuppression.
  • Targeting FAP+ CAFs is crucial for enhancing OV penetration, spread, and overall therapeutic activity.

Purpose of the Study:

  • To assess if arming an oncolytic adenovirus (OAd) with a FAP-targeting Bispecific T-cell Engager (FBiTE) can redirect lymphocytes to CAFs.
  • To enhance viral spread and T cell-mediated cytotoxicity against the tumor stroma.
  • To improve the therapeutic efficacy of oncolytic virotherapy.

Main Methods:

  • Constructed a FAP-targeting FBiTE using anti-CD3 and anti-FAP single-chain variable fragments.
  • Engineered an oncolytic adenovirus (ICOVIR15K) to express the FBiTE (ICO15K-FBiTE).
  • Evaluated FBiTE expression, T-cell activation, proliferation, and cytotoxicity in vitro, and assessed T-cell biodistribution and antitumor efficacy in vivo using NSG mice.

Main Results:

  • FBiTE expression did not compromise the infectivity or replication of the oncolytic adenovirus.
  • In vitro studies confirmed FBiTE-mediated T-cell activation, proliferation, and cytotoxicity against FAP+ cells.
  • In vivo studies showed increased intratumoral T-cell accumulation, reduced FAP levels, and superior antitumor activity compared to the parental virus.

Conclusions:

  • Combining viral oncolysis with FBiTE-mediated CAF targeting presents a potent strategy to overcome OV limitations.
  • This approach enhances T-cell engagement with the tumor stroma, improving therapeutic outcomes.
  • Further clinical development of FBiTE-armed oncolytic adenovirus is warranted for improved cancer treatment.

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