Is oncolytic adenoviral-mediated immunotherapy through p53-overexpression the solution to refractory pancreatic

Lucy J A Harriss1, Lewis Stevens2, Charles J Rayner3

  • 1Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Insights

Oncolytic adenovirus therapy with p53 overexpression enhanced cancer cell death and improved PD-1 blockade efficacy in pancreatic cancer models. This combination therapy promoted immunogenic cell death and increased CD8+ T cell infiltration.

Area of Science:

  • Oncolytic virotherapy
  • Cancer immunotherapy
  • Molecular oncology

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) presents a poor prognosis due to its dense stroma and immunosuppressive microenvironment.
  • Oncolytic viruses and immune checkpoint inhibitors (ICIs) like PD-1 blockade are promising therapeutic strategies for PDAC.
  • Activating p53, a tumor suppressor, alongside these therapies is an emerging area of research.

Purpose of the Study:

  • To evaluate the efficacy of oncolytic adenovirus (AdV) mediating p53 expression in pancreatic cancer.
  • To assess the combination of p53-expressing AdV with PD-1 blockade.
  • To investigate the impact on immunogenic cell death and anti-tumor immune responses.

Main Methods:

  • In vitro studies using pancreatic cancer cell lines infected with p53-expressing AdV.
  • In vivo studies using preclinical models of pancreatic cancer.
  • Analysis of cell death mechanisms (apoptosis, autophagy) and immune cell infiltration (CD8+ T cells).

Main Results:

  • p53-expressing AdV induced significant cancer cell death in vitro, associated with apoptosis and autophagy.
  • Increased markers of immunogenic cell death were observed.
  • In vivo, p53-expressing AdV demonstrated improved anti-tumor efficacy, which was further enhanced by PD-1 blockade, correlating with increased CD8+ T cell infiltration.

Conclusions:

  • Oncolytic adenovirus-mediated p53 overexpression can promote immunogenic cell death in pancreatic cancer.
  • Combining p53-expressing AdV with PD-1 blockade significantly enhances anti-tumor efficacy.
  • This combination strategy holds potential for improving treatment outcomes in pancreatic cancer by modulating the tumor microenvironment and immune response.

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