Immunological and Clinical Outcomes Associated with Histotripsy Ablation in Spontaneously Occurring Canine

Alayna N Hay1,2, Lauren Ruger3, Elliana R Vickers1,3,4

  • 1Department of Small Animal Clinical Sciences, Virgina Maryland College of Veterinary Medicine, Blacksburg, VA 24061, USA.

Cancers
|August 13, 2026
PubMed
Abstract

Insights

Histotripsy, a focused ultrasound technique, shows promise in treating osteosarcoma (OS) by modulating the tumor microenvironment. This approach may improve survival times for canine OS patients, offering new hope for this devastating bone cancer.

Area of Science:

  • Oncology
  • Immunology
  • Biotechnology

Background:

  • Osteosarcoma (OS) is a rare bone cancer affecting children and dogs with poor prognoses.
  • Current OS treatments have stagnated, necessitating novel therapeutic strategies.
  • The immunosuppressive tumor microenvironment hinders treatment efficacy and promotes metastasis in OS patients.

Purpose of the Study:

  • To investigate histotripsy's potential to induce immunomodulation in canine OS.
  • To assess the impact of histotripsy on the tumor microenvironment and systemic immunity.

Main Methods:

  • Utilized histotripsy, a mechanical focused ultrasound ablation, in canine patients with naturally occurring OS.
  • Analyzed tumor gene expression and systemic immune cell activation post-ablation.

Main Results:

  • Histotripsy induced local and systemic immunomodulation, including pro-inflammatory signaling and immune cell activation.
  • Observed increased T-cell and B-cell signaling, alongside enhanced monocyte activation within five days.
  • Canine patients receiving histotripsy before standard care showed improved survival beyond the expected median.

Conclusions:

  • Histotripsy demonstrates potential in overcoming the immunosuppressive tumor microenvironment in OS.
  • This modality may offer a novel therapeutic approach to improve outcomes for OS patients.