Oncolytic virotherapy provides a potent therapy option for squamous bladder cancer

Julia Pannhausen1,2, Julia Wirtz1,2, Klaus Mantwill3

  • 1Institute of Pathology, Uniklinik RWTH Aachen, 52074, Aachen, Germany.

Scientific Reports
|April 18, 2025
PubMed

Insights

Oncolytic virotherapy with adenovirus XVir-N-31 shows promise for treating bladder squamous cell carcinoma (SCC). Preclinical studies confirm its efficacy in targeting SCC by leveraging Y-Box binding protein 1 (YB-1) expression.

Area of Science:

  • Oncolytic virotherapy
  • Bladder cancer research
  • Squamous cell carcinoma (SCC) treatment

Background:

  • Limited effective treatment options for bladder squamous cell carcinoma (SCC) impact patient prognosis.
  • Oncolytic virotherapy is a promising approach for bladder cancer, with FDA designation for non-invasive high-grade bladder cancer (BLCA).
  • Preclinical studies show efficacy of oncolytic adenovirus XVir-N-31 in urothelial carcinoma (UC), but its potential in SCC is unexplored.

Purpose of the Study:

  • To evaluate the efficacy of oncolytic adenovirus XVir-N-31 as a novel treatment for bladder squamous cell carcinoma (SCC).
  • To investigate the role of Y-Box binding protein 1 (YB-1) in facilitating XVir-N-31 replication in SCC.

Main Methods:

  • Analyzed YB-1 mRNA expression in TCGA BLCA cohort and correlated it with patient outcomes.
  • Performed immunohistochemical staining for YB-1 in 89 SCC samples.
  • Assessed XVir-N-31 infection, replication, and cell-killing capacity in vitro in subtype-specific cell cultures.
  • Evaluated XVir-N-31 efficacy in a novel in ovo xenograft model using patient-derived SCC and UC cell lines.

Main Results:

  • Increased YB-1 mRNA expression was detected in the basal/squamous subtype of BLCA, correlating with patient outcomes.
  • Strong YB-1 expression was confirmed in squamous BLCA (sq-BLCA) via immunohistochemistry.
  • XVir-N-31 demonstrated high infection, replication, and cell-killing rates in vitro.
  • In ovo xenografts showed significant growth suppression (39-49%) by XVir-N-31.

Conclusions:

  • Preclinical data support the high efficacy of XVir-N-31 oncolytic virotherapy for bladder squamous cell carcinoma (SCC).
  • YB-1 expression is a potential biomarker for XVir-N-31 therapy in SCC.
  • XVir-N-31 represents a promising novel therapeutic strategy for SCC of the bladder.

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