Armed oncolytic adenovirus elicits a "self-feeder" effect to supercharge NK cells for solid tumor control

Qibin Liao1, Siqiang Lai2, Zhongyi Fan3

  • 1Biotherapy Clinical Research Center, Shenzhen Third People's Hospital, The Second Affiliated Hospital, Southern University of Science and Technology, Shenzhen 518112, Guangdong Province, China; State Key Laboratory of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou 510182, Guangdong Province, China.

Cellular Immunology
|April 3, 2026
PubMed
Abstract

Insights

This study combines ex vivo expanded natural killer (NK) cells with engineered oncolytic adenoviruses (oAds) for enhanced anti-tumor immunity. The dual-phase strategy improves NK cell infiltration and activity in solid tumors.

Area of Science:

  • Immunology
  • Oncology
  • Gene Therapy

Background:

  • Natural killer (NK) cells are crucial for innate anti-tumor immunity but face limitations in solid tumors due to poor infiltration and suppression within the tumor microenvironment (TME).
  • Ex vivo expansion of NK cells increases their numbers but does not fully overcome challenges of tumor homing and sustained activity post-infusion.
  • Engineered oncolytic adenoviruses (oAds) offer a potential strategy for localized immunomodulation to enhance NK cell-based cancer therapies.

Purpose of the Study:

  • To develop a combinatorial approach integrating ex vivo NK cell expansion with localized immunomodulation using engineered oAds.
  • To address the challenges of inadequate tumor infiltration and functional suppression of NK cells in the TME.
  • To enhance the efficacy of NK cell therapy against solid tumors.

Main Methods:

  • Engineered K562 feeder cells to express IL-2, membrane-bound IL-21 (mbIL-21), and 4-1BBL for ex vivo NK cell expansion.
  • Developed armed oAds (oAd-IL-2/mbIL-21/4-1BBL) to express the same immunomodulators for localized delivery.
  • Evaluated the combined effects in vitro and in a HCT116 subcutaneous tumor-bearing mouse model, assessing tumor growth, NK cell infiltration, proliferation, activation, and migration.

Main Results:

  • Achieved 100-fold NK cell expansion with >85% purity using engineered feeder cells within 14 days.
  • oAd-IL-2/mbIL-21/4-1BBL enhanced NK cell proliferation, activation, migration, and tumor cell lysis in vitro.
  • The combination therapy synergistically suppressed tumor growth and increased tumor-infiltrating NK cells in vivo, with oAds creating a 'self-feeder' effect within the TME.

Conclusions:

  • A dual-phase strategy integrating scalable ex vivo expansion with in situ activation effectively overcomes key barriers in NK cell therapy for solid tumors.
  • This approach enhances NK cell homing, persistence, and anti-tumor activity within the tumor microenvironment.
  • The findings support the potential of this combinatorial therapy for improving cancer treatment outcomes.

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