Centre for Cancer Therapeutics, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Department of Biochemistry, Microbiology, and Immunology, Faculty of Medicine, University of Ottawa, ON, Canada.
Front Immunol. 2023 Dec 19;14:1332929. doi: 10.3389/fimmu.2023.1332929. eCollection 2023.
Immunotherapy and specifically oncolytic virotherapy has emerged as a promising option for cancer patients, with oncolytic herpes simplex virus-1 (oHSV-1) expressing granulocyte macrophage colony stimulating factor being the first OV to be approved by the FDA for treatment of melanoma. However, not all cancers are sensitive and responsive to oncolytic viruses (OVs). Our group has demonstrated that fumaric and maleic acid esters (FMAEs) are very effective in sensitizing cancer cells to OV infection. Of note, these FMAEs include dimethyl fumarate (DMF, also known as Tecfidera), an approved treatment for multiple sclerosis and psoriasis. This study aimed to assess the efficacy of DMF in combination with oncolytic HSV-1 in preclinical cancer models. We demonstrate herewith that pre-treatment with DMF or other FMAEs leads to a significant increase in viral growth of oHSV-1 in several cancer cell lines, including melanoma, while decreasing cell viability. Additionally, DMF was able to enhance oHSV-1 infection of mouse-derived tumor cores as well as human patient tumor samples but not normal tissue. We further reveal that the increased viral spread and oncolysis of the combination therapy occurs via inhibition of type I IFN production and response. Finally, we demonstrate that DMF in combination with oHSV-1 can improve therapeutic outcomes in aggressive syngeneic murine cancer models. In sum, this study demonstrates the synergistic potential of two approved therapies for clinical evaluation in cancer patients.
免疫疗法,特别是溶瘤病毒治疗,已成为癌症患者的一种有前途的选择,表达粒细胞巨噬细胞集落刺激因子的单纯疱疹病毒 1(oHSV-1)是第一种获得 FDA 批准用于治疗黑色素瘤的溶瘤病毒。然而,并非所有癌症对溶瘤病毒(OV)都敏感和有反应。我们的研究小组已经证明,富马酸和马来酸酯(FMAE)非常有效地使癌细胞对 OV 感染敏感。值得注意的是,这些 FMAE 包括富马酸二甲酯(DMF,也称为 Tecfidera),这是一种用于治疗多发性硬化症和银屑病的已批准药物。本研究旨在评估 DMF 联合溶瘤性单纯疱疹病毒 1 在临床前癌症模型中的疗效。我们在此证明,DMF 或其他 FMAE 的预处理会导致几种癌细胞系(包括黑色素瘤)中 oHSV-1 的病毒生长显著增加,同时降低细胞活力。此外,DMF 能够增强小鼠来源的肿瘤核心以及人类患者肿瘤样本中的 oHSV-1 感染,但不能增强正常组织的感染。我们进一步揭示,联合治疗中病毒传播和溶瘤作用的增加是通过抑制 I 型干扰素的产生和反应来实现的。最后,我们证明 DMF 联合 oHSV-1 可以改善侵袭性同源小鼠癌症模型中的治疗效果。总之,这项研究证明了两种已批准的疗法在癌症患者临床评估中的协同潜力。
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