IDH1-R132H enhances oncolytic HSV-1 therapy by facilitating viral entry and immune activation in glioma

Eleni Panagioti1,2, Hunter J Kelley3, Alexander L Ling3

  • 1Harvey Cushing Neuro-oncology Laboratories, Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. epanagio@bidmc.harvard.edu.

Nature Communications
|June 17, 2026
PubMed

Insights

This study shows that the IDH1-R132H mutation in gliomas makes them more sensitive to oncolytic virus therapy (CAN-3110). Combining this therapy with TIGIT blockade improves treatment outcomes for these difficult-to-treat brain tumors.

Area of Science:

  • Oncology
  • Virology
  • Immunology

Background:

  • High-grade astrocytomas with IDH mutations have poor prognoses.
  • Oncolytic virotherapy offers a potential precision treatment strategy.
  • Targeting tumor-specific molecular profiles is key for effective cancer therapy.

Purpose of the Study:

  • To evaluate the efficacy of rQNestin34.5v.2 (CAN-3110), an oncolytic herpes simplex virus 1 (oHSV-1), in IDH1-R132H-mutant diffuse gliomas.
  • To understand how the IDH1-R132H mutation influences glioma response to oHSV-1.
  • To explore combination strategies to overcome potential resistance mechanisms.

Main Methods:

  • Investigated viral susceptibility in IDH1-R132H-mutant gliomas.
  • Assessed the impact of IDH1-R132H on interferon signaling and viral replication.
  • Utilized immunocompetent murine glioma models for in vivo efficacy studies.
  • Analyzed immune activation, infiltration, and expression of immune checkpoints like TIGIT.

Main Results:

  • The IDH1-R132H mutation increases glioma susceptibility to CAN-3110 via Nectin-1 upregulation.
  • IDH1-R132H-driven hypermethylation suppresses interferon signaling, promoting viral replication and apoptosis.
  • Intratumoral CAN-3110 induced antitumor immunity in murine models.
  • Elevated PVR and TIGIT suggest potential resistance to virotherapy.

Conclusions:

  • IDH1-R132H mutation creates a permissive microenvironment for oncolytic virotherapy.
  • Combination of CAN-3110 with TIGIT blockade enhances therapeutic efficacy.
  • IDH1-R132H may serve as a predictive biomarker for oncolytic virotherapy response.

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