Telomerase-specific oncolytic immunotherapy for promoting efficacy of PD-1 blockade in osteosarcoma

Yusuke Mochizuki1, Hiroshi Tazawa2,3, Koji Demiya1

  • 1Departments of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, 700-8558, Japan.

Insights

Oncolytic virotherapy with OBP-502 enhances PD-1 blockade efficacy in osteosarcoma. This combination therapy boosts antitumor immune responses, suggesting a promising new strategy for treating osteosarcoma patients refractory to PD-1 inhibitors.

Area of Science:

  • Immunology
  • Oncology
  • Virology

Background:

  • Immune checkpoint inhibitors like anti-programmed cell death 1 (PD-1) antibodies have limited efficacy in osteosarcoma (OS).
  • Oncolytic virotherapy offers a novel approach to enhance antitumor immune responses.
  • A telomerase-specific oncolytic adenovirus, OBP-502, was developed for cancer treatment.

Purpose of the Study:

  • To evaluate the combined therapeutic effect of PD-1 blockade and OBP-502 in osteosarcoma.
  • To investigate the expression of key receptors and ligands involved in immune response in OS cells.
  • To assess the impact of combination therapy on tumor-infiltrating CD8+ T cells.

Main Methods:

  • Analysis of coxsackie and adenovirus receptor (CAR), integrins (αvβ3, αvβ5), and programmed cell death ligand 1 (PD-L1) expression in murine OS cells (K7M2, NHOS).
  • Assessment of OBP-502 cytopathic activity using the XTT assay and immunogenic cell death markers (ATP, HMGB1).
  • Evaluation of antitumor effects and CD8+ T cell infiltration in subcutaneous OS tumor models treated with combination therapy.

Main Results:

  • K7M2 and NHOS cells exhibited high expression of integrins αvβ3 and αvβ5, but not CAR.
  • OBP-502 significantly reduced OS cell viability, increased PD-L1 expression, and elevated extracellular ATP and HMGB1 levels.
  • Combined OBP-502 and PD-1 blockade significantly enhanced antitumor efficacy and CD8+ T cell infiltration in vivo.

Conclusions:

  • Telomerase-specific oncolytic virotherapy (OBP-502) shows potential as an immunogenic therapy for osteosarcoma.
  • Combining OBP-502 with PD-1 blockade can overcome resistance to PD-1 inhibitors in osteosarcoma.
  • This combination strategy represents a promising approach to augment antitumor immunity in osteosarcoma.

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