Hu Cheng, Wei Song, Zhu Wenbo, Lv Boran, Li Shuhao, Liu Baiyu, Yan Guangmei, Liu Ying
Department of Urology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, Guangdong, China.
Authors contributed equally.
Cancer Drug Resist. 2025 Aug 13;8:41. doi: 10.20517/cdr.2025.119. eCollection 2025.
Muscle-invasive bladder cancer (MIBC) remains lethal despite promising oncolytic virotherapy, hindered by tumor-intrinsic resistance. This study aimed to elucidate the molecular basis underlying differential sensitivity to the oncolytic M1 virus in bladder cancer. Bladder cancer cell lines with varying sensitivity to M1 were analyzed for endoplasmic reticulum (ER) stress responses and unfolded protein response (UPR) pathway activation. IRE1α expression was modulated using small interfering RNA and a selective inhibitor. Viral cytotoxicity, replication, and apoptosis were assessed using viability assays, immunofluorescence, electron microscopy, and immunoblotting. antitumor efficacy was assessed using xenografted mice. Clinical relevance was examined using patient-derived cells and survival data from The Cancer Genome Atlas. M1 virus induced ER stress and apoptosis in sensitive cells (e.g., T24, UM-UC-3) supporting viral protein expression, whereas low-sensitivity cells like EJ showed minimal response due to limited viral replication. In moderately sensitive cells, M1 replication led to viral protein accumulation, triggering IRE1α upregulation, which in turn limited further protein buildup and apoptosis. IRE1α inhibition enhanced M1-induced ER stress, apoptotic signaling, and oncolysis without affecting viral replication capacity. , M1 plus STF083010 achieved greater tumor suppression than monotherapy without added toxicity. Analysis of patient-derived cells and TCGA data further revealed downregulation of IRE1α in primary tumors and its potential association with worse prognosis. IRE1α modulates M1-induced viral protein accumulation and cell death. Inhibiting IRE1α enhances ER stress and potentiates the oncolytic effect of M1 virus. Targeting IRE1α may improve M1-based virotherapy outcomes in accessible tumors.
尽管溶瘤病毒疗法前景广阔,但肌肉浸润性膀胱癌(MIBC)仍然致命,肿瘤内在抗性阻碍了其发展。本研究旨在阐明膀胱癌对溶瘤M1病毒敏感性差异的分子基础。分析了对M1敏感性不同的膀胱癌细胞系的内质网(ER)应激反应和未折叠蛋白反应(UPR)途径激活情况。使用小干扰RNA和选择性抑制剂调节IRE1α的表达。通过活力测定、免疫荧光、电子显微镜和免疫印迹评估病毒的细胞毒性、复制和凋亡。使用异种移植小鼠评估抗肿瘤疗效。使用患者来源的细胞和来自癌症基因组图谱的生存数据检查临床相关性。M1病毒在敏感细胞(如T24、UM-UC-3)中诱导ER应激和凋亡,支持病毒蛋白表达,而像EJ这样的低敏感性细胞由于病毒复制受限而反应极小。在中度敏感细胞中,M1复制导致病毒蛋白积累,触发IRE1α上调,进而限制了进一步的蛋白积累和凋亡。IRE1α抑制增强了M1诱导的ER应激、凋亡信号传导和溶瘤作用,而不影响病毒复制能力。M1加STF083010比单一疗法实现了更大的肿瘤抑制且无额外毒性。对患者来源的细胞和TCGA数据的分析进一步揭示了原发性肿瘤中IRE1α的下调及其与较差预后的潜在关联。IRE1α调节M1诱导的病毒蛋白积累和细胞死亡。抑制IRE1α增强ER应激并增强M1病毒的溶瘤作用。靶向IRE1α可能改善可及肿瘤中基于M1的病毒疗法的疗效。
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