Unusual Partners: γδ-TCR-Based T Cell Therapy in Combination with Oncolytic Virus Treatment for Diffuse Midline

Konstantinos Vazaios1,2, Patricia Hernández López2, Tineke Aarts-Riemens2

  • 1Princess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.

Insights

New immunotherapies combining engineered T cells (TEGs) and oncolytic viruses (OVs) show promise for treating pediatric diffuse midline glioma (DMG). This combination enhances anti-tumor activity against DMG cells expressing specific targets.

Area of Science:

  • Immunotherapy
  • Oncology
  • Virology

Background:

  • Pediatric diffuse midline glioma (DMG) has limited treatment options and poor survival outcomes.
  • Immunotherapies, including CAR-T cells and oncolytic viruses (OVs), are emerging as novel therapeutic strategies.
  • Engineered T cells (TEGs) targeting BTN2A1 and BTN3A offer a potential approach for cancer treatment.

Purpose of the Study:

  • To investigate the potential of combining TEGs and OVs to enhance anti-tumor responses in pediatric DMG.
  • To evaluate the expression of BTN2A1 and BTN3A in DMG cells after OV infection.
  • To assess the synergistic efficacy of combined TEG and OV therapy against DMG.

Main Methods:

  • TEGs were used to target DMG cells expressing BTN2A1 and BTN3A.
  • DMG cells were infected with oncolytic viruses (adenovirus Δ24-RGD or reovirus R124).
  • The expression of BTN2A1 and BTN3A was analyzed post-OV infection.
  • Cytotoxicity assays were performed to evaluate the anti-tumor effects of TEGs alone and in combination with OVs.
  • The effect of pamidronate on the combined therapy was assessed.

Main Results:

  • TEGs effectively targeted DMG cells expressing BTN2A1 and BTN3A.
  • OVs enhanced BTN3A expression, but not BTN2A1, in DMG cells.
  • Combined TEG and OV therapy demonstrated an additive anti-tumor effect against DMG cell cultures under suboptimal conditions.
  • This additive effect was diminished when γ9δ2 TCR-ligand interaction was boosted with pamidronate.

Conclusions:

  • Combining OVs with Vγ9Vδ2 TCR-engineered immune cells (TEGs) shows additive efficacy against pediatric DMG.
  • This combination strategy holds potential for improving therapeutic outcomes in DMG patients.
  • Further research is warranted to optimize this combined immunotherapeutic approach.

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