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Updated: Sep 13, 2025

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
An αvβ6-specific virotherapy expressing bispecific immune cell activators induces immune cell activation to mediate
Rebecca J Bayliss1, Luned M Badder1, James Davies1
1Department of Cancer and Genetics, School of Medicine, Cardiff University, Cardiff CF14 4XN, UK.
Abstract:
Ad5NULL-A20 is an adenovirus type 5-based precision virotherapy engineered to selectively target αvβ6-positive tumors. Bispecific immune cell activators (BICAs) bind both an immune cell receptor and tumor cell-associated antigen (TAA) in tandem to induce a tumor-specific immune response. Combining the selectivity and oncolytic properties of Ad5NULL-A20 with the potency of BICA will create a more tolerated, enduring immune cell response limited to tumor sites, reducing off-target effects and dose-limiting toxicities. We developed multiple BICA targeting T cells via CD3, natural killer (NK) cells via CD16/NKG2D receptors, and TAA epidermal growth factor receptor (EGFR) and major histocompatibility complex-related chain A (MICA). In vitro studies establish that Ad5NULL-A20 BICA in αvβ6 tumor cells results in T cell and NK activation at tumor sites and a loss of tumor cell viability. Ex vivo studies validate these findings demonstrating a significant and rapid reduction in growth of patient-derived 3D tumor organoids transduced with oncolytic Ad5NULL-A20-BICA in the presence of T cells or NK cells. Ad5NULL-A20 expressing BICA can produce a potent immune response resulting in tumor eradication. This approach has significant translational potential to develop a novel cancer therapeutic for clinical success.
Insights
This study introduces Ad5NULL-A20, a novel virotherapy combining oncolytic adenovirus with bispecific immune cell activators (BICAs). This combination enhances tumor-specific immune responses for potential cancer treatment.
Area of Science:
- Oncolytic Virotherapy
- Immunotherapy
- Cancer Therapeutics
Background:
- Ad5NULL-A20 is an adenovirus type 5-based precision virotherapy targeting αvβ6-positive tumors.
- Bispecific immune cell activators (BICAs) enhance tumor-specific immune responses by engaging immune cells and tumor antigens.
- Combining these approaches aims for a potent, localized immune response with reduced toxicity.
Purpose of the Study:
- To develop and evaluate Ad5NULL-A20 expressing BICAs for enhanced cancer immunotherapy.
- To create a novel therapeutic strategy combining oncolytic virotherapy with targeted immune activation.
Main Methods:
- Development of multiple BICAs targeting T cells (CD3) and NK cells (CD16/NKG2D) against tumor-associated antigens (EGFR, MICA).
- In vitro assessment of Ad5NULL-A20 BICA efficacy on αvβ6 tumor cells, evaluating immune cell activation and tumor cell viability.
- Ex vivo validation using patient-derived 3D tumor organoids treated with Ad5NULL-A20-BICA and immune cells (T cells or NK cells).
Main Results:
- In vitro studies demonstrated T cell and NK cell activation at tumor sites and reduced tumor cell viability.
- Ex vivo studies showed significant and rapid reduction in the growth of patient-derived tumor organoids.
- Ad5NULL-A20-BICA induced potent immune responses, leading to tumor eradication in experimental models.
Conclusions:
- Ad5NULL-A20 expressing BICAs can generate potent, tumor-specific immune responses.
- This combined approach shows significant translational potential for developing novel cancer therapeutics.
- The strategy promises improved tolerability and efficacy by localizing immune responses to tumor sites.
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