Potency-enhancing mutations in E3-19K and i-leader increase the cytolytic activity of the PH20/SPAM1-armed oncolytic

Aleksei A Stepanenko1,2, Anastasiia O Sosnovtseva1,3,4, Anastasiia A Vasiukova1

  • 1Department of Fundamental and Applied Neurobiology, V.P. Serbsky National Medical Research Center of Psychiatry and Narcology of the Ministry of Health of the Russian Federation, 119034 Moscow, Russia.

Molecular Therapy. Oncology
|February 20, 2026
PubMed

Insights

New mutations in oncolytic adenovirus (Ad5Δ24RGD) enhance tumor cell killing but not spread. Fiber modifications and hyaluronidase expression show promise for improving glioma treatment efficacy.

Area of Science:

  • Oncolytic virotherapy
  • Gene therapy
  • Cancer research

Background:

  • Oncolytic adenovirus Ad5-delta-24-RGD (Ad5Δ24RGD) has limited efficacy in high-grade glioma.
  • Enhancing viral spread and cytolytic efficiency is crucial for improving oncolytic adenovirus therapy.

Purpose of the Study:

  • To investigate the impact of specific mutations and modifications on the therapeutic efficacy of Ad5Δ24RGD in glioma.
  • To identify strategies for enhancing oncolytic adenovirus potency and spread.

Main Methods:

  • Introduction of potency-enhancing mutations (19KSS-iLQ125Ter) into Ad5Δ24RGD.
  • Evaluation of viral spread efficiency using fluorescent plaques and cytolytic efficiency via vital dye staining.
  • Assessment of different fiber modifications (e.g., F5RGD4C) and transgene expression (e.g., hPH20).
  • Inhibition studies using nelfinavir and analysis of adenovirus death protein (ADP) expression.

Main Results:

  • The 19KSS-iLQ125Ter mutations significantly increased cytolytic efficiency and vital dye-stained plaque size.
  • These mutations did not enhance actual spread efficiency in most cell lines.
  • Fiber modification type, particularly F5RGD4C, strongly influenced spread efficiency.
  • Nelfinavir inhibited viral spread and plaque formation.
  • Expression of hPH20 from a specific insertion site preserved enhanced oncolytic potency.

Conclusions:

  • The 19KSS-iLQ125Ter mutations improve the cytolytic capacity of Ad5Δ24RGD.
  • Fiber modifications are critical for enhancing viral spread.
  • Combining 19KSS-iLQ125Ter mutations with hPH20 expression presents a potential strategy to improve therapeutic outcomes in glioma.