Looking for biomarkers in interferon response pathway to predict response to oncolytic HSV-1 in breast cancer: An ex

Zahra Nejatipour1, Ladan Teimoori-Toolabi2, Ramin Sarrami Forooshani3

  • 1Genetics and Molecular Medicine Department, Zanjan University of Medical Science, Zanjan, Iran.

Insights

Myeloid differentiation primary response protein (Myd88) is a potential biomarker for breast cancer virotherapy. Higher Myd88 expression indicates resistance to oncolytic virus treatment, aiding patient selection.

Area of Science:

  • Oncology
  • Virology
  • Immunology

Background:

  • Breast cancer is a leading global malignancy in women.
  • Oncolytic viruses offer a promising cancer therapy, but their efficacy can be limited by intact interferon (IFN) signaling in cancer cells.
  • Identifying biomarkers for IFN-mediated responses is crucial for predicting virotherapy success.

Purpose of the Study:

  • To identify interferon (IFN)-mediated biomarkers that predict patient response to oncolytic virus therapy in breast cancer.
  • To evaluate the correlation between Myd88 gene expression and sensitivity to oncolytic herpes simplex virus (oHSV) in patient-derived tumor cultures.

Main Methods:

  • Eight patient-derived primary breast tumor cultures were infected with an ICP34.5 deleted oncolytic herpes simplex virus (oHSV).
  • Infectivity rates, cell survival, and gene expression within the IFN pathway were analyzed.
  • Receiver operating characteristic (ROC) curve analysis was used to determine a differentiating cutoff for Myd88 expression.

Main Results:

  • Tumor cultures with higher Myeloid differentiation primary response protein (Myd88) mRNA expression exhibited reduced cell death and resistance to oHSV infectivity (P < 0.05).
  • The identified Myd88 expression cutoff predicted sensitivity to oHSV in only 13 out of 16 additional patients.
  • Myd88 emerged as a significant biomarker for predicting resistance to oHSV virotherapy.

Conclusions:

  • Myeloid differentiation primary response protein (Myd88) mRNA expression is a potential predictive biomarker for breast cancer response to oncolytic virus therapy.
  • Elevated Myd88 levels indicate resistance to oHSV, enabling better patient selection for virotherapy.
  • This biomarker can improve the efficacy of virotherapy by identifying patients most likely to benefit from treatment.

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