Vienne Margaux, Lopez Charlène, Lulka Hubert, Nevot Adèle, Labrousse Guillaume, Dusetti Nelson, Buscail Louis, Cordelier Pierre
Centre de Recherches en Cancérologie de Toulouse, CRCT, Université de Toulouse, Inserm, CNRS, Toulouse, France.
Equipe Labellisée Fondation ARC, Paris, France.
Mol Ther Oncol. 2024 Feb 22;32(1):200780. doi: 10.1016/j.omton.2024.200780. eCollection 2024 Mar 21.
Pancreatic cancer will soon become the second cause of death by cancer in Western countries. The main barrier to increase the survival of patients with this disease requires the development of novel and efficient therapeutic strategies that better consider tumor biology. In this context, oncolytic viruses emerge as promising therapeutics. Among them, the fibrotropic minute virus of mice prototype (MVMp) preferentially infects migrating and undifferentiated cells that highly resemble poorly differentiated, basal-like pancreatic tumors showing the worst clinical outcome. We report here that MVMp specifically infects, replicates in, and kills pancreatic cancer cells from murine and human origin with a mesenchymal, basal-like profile, while sparing cancer cells with an epithelial phenotype. Remarkably, MVMp infection, at a dose that does not provoke tumor growth inhibition in athymic mice, shows significant antitumoral effect in immune-competent models; extended mouse survival; and promoted the massive infiltration of tumors by innate, myeloid, and cytotoxic T cells that exhibit a less terminally exhausted phenotype. Collectively, we demonstrate herein for the first time that MVMp is specific and oncolytic for pancreatic tumors with mesenchymal, basal-like profile, paving the way for precision-medicine opportunities for the management of the most aggressive and lethal form of this disease.
在西方国家,胰腺癌很快将成为癌症致死的第二大原因。提高这种疾病患者生存率的主要障碍在于需要开发出能更好地考虑肿瘤生物学特性的新型高效治疗策略。在此背景下,溶瘤病毒成为了有前景的治疗手段。其中,亲纤维性小鼠微小病毒原型(MVMp)优先感染迁移性和未分化细胞,这些细胞与分化差、基底样胰腺癌高度相似,而这类胰腺癌临床预后最差。我们在此报告,MVMp能特异性感染、在其中复制并杀死源自小鼠和人类的具有间充质、基底样特征的胰腺癌细胞,同时不影响具有上皮表型的癌细胞。值得注意的是,在无胸腺小鼠中,MVMp以不引起肿瘤生长抑制的剂量感染时,在免疫健全模型中显示出显著的抗肿瘤作用;延长了小鼠生存期;促进了先天免疫细胞、髓样细胞和细胞毒性T细胞大量浸润肿瘤,这些细胞表现出较少的终末耗竭表型。总体而言,我们首次在此证明,MVMp对具有间充质、基底样特征的胰腺肿瘤具有特异性且具有溶瘤作用,为精准治疗这种最具侵袭性和致命性的疾病形式创造了机会。