Adeno-associated virus-clustered regularly interspaced short palindromic repeats/cas9‑mediated ovarian cancer

Tamaki Yahata1, Saori Toujima2, Izumi Sasaki3

  • 1Department of Obstetrics and Gynecology, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan. yahata@wakayama-med.ac.jp.

BMC Cancer
|April 23, 2025
PubMed

Insights

This study introduces a new gene therapy for ovarian cancer using adeno-associated virus (AAV)-CRISPR/Cas9 to target programmed death ligand 1 (PD-L1), improving survival and immune response.

Area of Science:

  • Oncology
  • Immunotherapy
  • Gene Therapy

Background:

  • Antibody therapy for ovarian cancer targeting immune checkpoints has limited efficacy.
  • Programmed death ligand 1 (PD-L1) is a key immune checkpoint molecule implicated in tumor immune evasion.

Purpose of the Study:

  • To develop and evaluate a novel in vivo gene immunotherapy model for ovarian cancer.
  • To target programmed death ligand 1 (PD-L1) using adeno-associated virus (AAV)-CRISPR/Cas9 gene editing.

Main Methods:

  • Production of PD-L1-AAV particles for gene editing.
  • In vitro transduction of murine ovarian cancer cells (ID8) with PD-L1-AAV.
  • In vivo assessment in a murine peritoneal dissemination model.
  • Immunohistochemical analysis of intratumoral lymphocyte populations.

Main Results:

  • Significant reduction in PD-L1 expression in ID8 cells treated with PD-L1-AAV.
  • Increased survival time in mice treated with PD-L1-AAV via intraperitoneal injection.
  • Enhanced infiltration of CD4+ and CD8+ T cells, with a decrease in Foxp3+ Treg cells within tumors.
  • No observed severe adverse events in major organs.

Conclusions:

  • AAV-CRISPR/Cas9-mediated PD-L1 targeting represents a promising novel gene-immune therapeutic strategy for ovarian cancer.
  • This approach effectively enhances anti-tumor immunity and improves survival in preclinical models.
  • The therapy demonstrates a favorable safety profile in normal tissues.