Efficacy of Systemically Administered Retargeted Oncolytic Herpes Simplex Viruses-Clearance and Biodistribution in

Andrea Vannini1,2, Federico Parenti1, Catia Barboni3

  • 1Department of Medical and Surgical Sciences, University of Bologna, 40126 Bologna, Italy.

Cancers
|August 26, 2023
PubMed

Insights

Retargeted oncolytic herpes simplex viruses (ReHVs) show potent anticancer effects in mice, replicating specifically in tumors. However, pre-existing immunity to HSV rapidly inactivates ReHVs, limiting their efficacy in previously infected individuals.

Area of Science:

  • Oncolytic virotherapy
  • Cancer immunotherapy
  • Herpes simplex virus (HSV) engineering

Background:

  • Systemic administration of oncolytic viruses is challenging due to potential off-target effects and immune inactivation.
  • Retargeted oncolytic viruses (ReHVs) engineered from HSV offer potential for targeted cancer therapy.
  • Pre-existing immunity to HSV can impact the efficacy of oncolytic HSV-based therapies.

Purpose of the Study:

  • To evaluate the anticancer efficacy, blood clearance, and tissue biodistribution of systemically administered ReHVs.
  • To assess ReHV performance in both HSV-naïve and HSV-preimmunized mouse models.
  • To investigate the impact of pre-existing neutralizing antibodies on ReHV activity.

Main Methods:

  • Systemic administration of HER2- and hPSMA-retargeted oncolytic herpes simplex viruses (ReHVs) armed with mIL-12.
  • Efficacy testing against lung metastases and subcutaneous tumors in HSV-naïve and HSV-preimmunized mice.
  • Assessment of viral blood clearance, tissue biodistribution, and replication sites.
  • In vitro and in vivo stability assays to determine virus inactivation mechanisms.

Main Results:

  • ReHVs demonstrated significant anticancer efficacy against lung and subcutaneous tumors in HSV-naïve mice, even in advanced disease.
  • Infectious ReHVs persisted in blood for over 1 hour, with viral genomes detected in blood and tissues for days.
  • Viral replication was exclusively observed in tumor sites (lungs and subcutaneous tumors), confirming high cancer specificity.
  • In HSV-preimmunized mice, ReHVs showed reduced efficacy due to rapid inactivation by neutralizing antibodies.
  • Serum and whole blood stability assays identified neutralizing antibodies as the primary cause of ReHV inactivation.

Conclusions:

  • Systemically administered ReHVs exhibit potent, cancer-specific oncolytic activity in HSV-naïve hosts.
  • Pre-existing neutralizing antibodies against HSV significantly impair ReHV efficacy, necessitating strategies to overcome this limitation.
  • ReHVs hold promise for systemic cancer therapy, provided methods to circumvent pre-existing immunity are developed.