Octyl itaconate enhances VSVΔ51 oncolytic virotherapy by multitarget inhibition of antiviral and inflammatory pathways
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Updated: Jun 26, 2025

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Naziia Kurmasheva1, Aida Said2,3, Boaz Wong2,4
1Department of Biomedicine, Aarhus University, 8000, Aarhus C, Denmark.
Abstract:
The presence of heterogeneity in responses to oncolytic virotherapy poses a barrier to clinical effectiveness, as resistance to this treatment can occur through the inhibition of viral spread within the tumor, potentially leading to treatment failures. Here we show that 4-octyl itaconate (4-OI), a chemical derivative of the Krebs cycle-derived metabolite itaconate, enhances oncolytic virotherapy with VSVΔ51 in various models including human and murine resistant cancer cell lines, three-dimensional (3D) patient-derived colon tumoroids and organotypic brain tumor slices. Furthermore, 4-OI in combination with VSVΔ51 improves therapeutic outcomes in a resistant murine colon tumor model. Mechanistically, we find that 4-OI suppresses antiviral immunity in cancer cells through the modification of cysteine residues in MAVS and IKKβ independently of the NRF2/KEAP1 axis. We propose that the combination of a metabolite-derived drug with an oncolytic virus agent can greatly improve anticancer therapeutic outcomes by direct interference with the type I IFN and NF-κB-mediated antiviral responses.
Insights
4-octyl itaconate enhances oncolytic virotherapy by suppressing antiviral immunity in cancer cells. This combination therapy improves outcomes in resistant tumors, offering a new strategy against cancer.
Area of Science:
- Oncology
- Immunology
- Metabolomics
Background:
- Oncolytic virotherapy faces challenges due to treatment resistance, often caused by inhibited viral spread within tumors.
- Developing strategies to overcome resistance is crucial for improving the efficacy of oncolytic virotherapy.
Purpose of the Study:
- To investigate the potential of 4-octyl itaconate (4-OI), a novel metabolite derivative, to enhance oncolytic virotherapy.
- To elucidate the mechanisms by which 4-OI affects antiviral responses in cancer cells.
Main Methods:
- Tested 4-OI in combination with VSVΔ51 (vesicular stomatitis virus) in various cancer models, including cell lines, 3D tumoroids, and organotypic slices.
- Investigated the molecular mechanisms of 4-OI action, focusing on its effects on MAVS and IKKβ, and antiviral signaling pathways.
Main Results:
- 4-octyl itaconate significantly enhanced the efficacy of VSVΔ51 in multiple resistant cancer models.
- 4-OI was found to suppress antiviral immunity in cancer cells by modifying MAVS and IKKβ, independent of the NRF2/KEAP1 pathway.
- Combination therapy improved therapeutic outcomes in a resistant murine colon tumor model.
Conclusions:
- 4-octyl itaconate is a promising agent for enhancing oncolytic virotherapy against resistant cancers.
- Combining metabolite-derived drugs with oncolytic viruses can overcome treatment resistance by interfering with type I IFN and NF-κB antiviral responses.
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