Oncolytic adenovirus inhibits TNBC tumor growth/metastasis in mice by targeting TGF-β and overexpressing GM-CSF
Nguyễn Thị Thanh Nhàn1, Soon Cheon Shin1, Beniamin Filimon1
1Cancer Gene Therapy Program, Department of Medicine, NorthShore University HealthSystem, an Academic Affiliate of the University of Chicago Pritzker School of Medicine, Endeavor Health Research Institute, Evanston, IL, USA.
Abstract:
Despite therapeutic advancements, metastatic triple-negative breast cancer (TNBC) remains mostly incurable and is a frequent cause of cancer-related deaths. We tested the hypothesis that inhibiting suppressive signals sustained by transforming growth factor (TGF)-β and concurrently stimulating recruitment of inflammatory cells with granulocyte-macrophage colony-stimulating factor (GM-CSF) by oncolytic viruses would result in improved anti-tumor responses. Thus, we developed a new oncolytic adenovirus rAd.sT.GM (AMUN-003) that expresses both sTGFβRIIFc (a TGF-β decoy), and GM-CSF and tested it in a mouse TNBC (4T1) subcutaneous model. rAd.sT.GM was safe to use and more effective in controlling tumor progression and lung metastasis following intratumoral injections when compared with control adenoviruses without modifications. In the same model, combinations of immune checkpoint inhibitor (ICI) therapy with rAd.sT.GM resulted in better inhibition of tumor growth and metastasis. Furthermore, we examined key immune response and prognosis biomarkers in sera, lungs, spleens, and tumors to evaluate the treatment efficacy. We found several key anti-tumor Th1 cytokines such as interleukin (IL)-2, IL-4, and interferon-γ, were stimulated by the combination therapy either systemically or in tumors or both, as well as anti-tumor biomarkers such as Granzyme B and perforin. These results support advancement to clinical testing with the combination therapy of rAd.sT.GM and ICIs for TNBC patients.
Insights
A novel oncolytic adenovirus, rAd.sT.GM, effectively reduced triple-negative breast cancer (TNBC) growth and metastasis in mice. Combination therapy with immune checkpoint inhibitors (ICIs) further enhanced anti-tumor immune responses.
Area of Science:
- Oncolytic virotherapy
- Immunotherapy
- Breast cancer research
Background:
- Metastatic triple-negative breast cancer (TNBC) presents significant therapeutic challenges and is a leading cause of cancer mortality.
- Current treatments for TNBC have limited efficacy, necessitating novel therapeutic strategies.
Purpose of the Study:
- To evaluate the efficacy of a novel oncolytic adenovirus, rAd.sT.GM, engineered to inhibit transforming growth factor-beta (TGF-β) and stimulate granulocyte-macrophage colony-stimulating factor (GM-CSF).
- To assess the combined therapeutic effect of rAd.sT.GM and immune checkpoint inhibitors (ICIs) in a preclinical model of TNBC.
Main Methods:
- Development of rAd.sT.GM, an oncolytic adenovirus expressing a TGF-β decoy (sTGFβRIIFc) and GM-CSF.
- Testing rAd.sT.GM in a subcutaneous mouse model of TNBC (4T1).
- Evaluation of combination therapy with rAd.sT.GM and ICIs, including analysis of immune biomarkers in various tissues and serum.
Main Results:
- Intratumoral administration of rAd.sT.GM demonstrated safety and superior control of tumor progression and lung metastasis compared to control adenoviruses.
- Combination therapy with rAd.sT.GM and ICIs significantly inhibited tumor growth and metastasis.
- The combination treatment stimulated key anti-tumor immune responses, including Th1 cytokines (IL-2, IL-4, IFN-γ) and cytotoxic markers (Granzyme B, perforin).
Conclusions:
- rAd.sT.GM is a safe and effective oncolytic agent for TNBC.
- Combination therapy of rAd.sT.GM with ICIs shows promising results in enhancing anti-tumor immunity and controlling TNBC progression and metastasis.
- These findings support the clinical advancement of rAd.sT.GM and ICI combination therapy for TNBC patients.
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