'Next-Gen' Cancer Therapy Can Kill Tumours Without Harming Healthy Cells

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Researchers in the US have developed a novel strategy to improve a cancer therapy that can kill tumour cells while leaving nearby healthy tissues intact.

Among the most promising anti-cancer treatments in recent years, oncolytic virotherapy (OV) has emerged at the top of the pack of immunotherapy.

Oncolytic viruses can kill cancer cells while leaving nearby healthy cells and tissues intact.In oncolytic virotherapy, the treatment also exerts its influence by activating an antitumor immune response made of immune cells such as natural killer (NK) cells.

However, sometimes those natural killers limit the oncolytic viruses, and so despite the exciting development in the OV field in recent years, there is room for improvement to tackle some limitations, including the relatively weak therapeutic activity and lack of means for effective systemic delivery.

Those improvements are now being made in the lab of Shaun Zhang, director of the Center for Nuclear Receptors and Cell Signaling at the University of Houston, US, who has received a USD 1.8 million grant from the National Institutes of Health to support his work.

"We have developed a novel strategy that not only can prevent NK cells from clearing the administered oncolytic virus, but also goes one step further by guiding them to attack tumor cells," Zhang said.

"We took an entirely different approach to create this oncolytic virotherapy by deleting a region of the gene which has been shown to activate the signaling pathway that enables the virus to replicate in normal cells," he said.

The different approach consists of a new oncolytic virus called FusOn-H2, based on the Herpes simplex 2 virus, (HSV-2), commonly known as genital herpes. They arm the virus with a NK cell engager, resulting in what Zhang calls the "two birds with one stone strategy" to enhance therapeutic effect of the new oncolytic virus.

This engager forms a bridge between NK cells and tumour cells, resulting in the killing of the engaged tumour cells, the researchers said.

"Our recent studies showed that arming FusOn-H2 with a chimeric NK engager that can engage the infiltrated natural killer cells with tumour cells could significantly enhance the effectiveness of this virotherapy," said Zhang.

"Most importantly, we observed that tumour destruction by the joint effect of the direct oncolysis and the engaged NK cells led to a measurable elicitation of neoantigen-specific antitumor immunity," he added.

Zhang and team believe that this armed FusOn-H2 will produce a three-pronged effect to enhance the antitumor efficacy against solid tumours in colon and lung cancer, which they expect to come in waves.

The first wave comes immediately after the armed virus is administered and it derives primarily from administration of the virus, according to the researchers.

The second wave comes from the natural killer cells doing their work while the third wave is the outcome of a series of chain events that ultimately result in inducing neoantigen-specific antitumor immunity, they said.

"We hypothesise that the combination of the high potency of the three-pronged therapy with the improved systemic delivery will lead to effective treatment of metastatic diseases," Zhang added.

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