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Cyclophosphamide enhances glioma virotherapy by inhibiting innate immune responses

  • Giulia Fulci
  • , Laura Breymann
  • , Davide Gianni
  • , Kazuhiko Kurozomi
  • , Sarah S. Rhee
  • , Jianhua Yu
  • , Balveen Kaur
  • , David N. Louis
  • , Ralph Weissleder
  • , Michael A. Caligiuri
  • , E. Antonio Chiocca

Research output: Contribution to journalArticlepeer-review

Abstract

Clinical trials are testing oncolytic viruses (OVs) as therapies for cancer. We have shown that animals that have brain tumors and are treated with a herpes simplex virus (HSV)-derived OV live significantly longer when cyclophosphamide (CPA) is preadministered. Here, we explore the mechanisms behind this finding. In a syngeneic rat glioma model, intratumoral HSV administration is associated with rapid increase of natural killer cells, microglia/macrophages (CD68+ and CD163+), and IFN-γ. Pretreatment with CPA enhances HSV replication and oncolysis and reduces an HSV-mediated increase in CD68+ and CD163+ cells and intratumoral IFN-γ. Molecular imaging shows CPA pretreatment to inhibit HSV-induced infiltration of tumor-associated phagocytic cells. Our results reveal molecular and cellular mechanisms that inhibit intratumoral spread of HSV and suggest a therapeutic path for improving the efficacy of virotherapy as a treatment for cancer.

Original languageEnglish (US)
Pages (from-to)12873-12878
Number of pages6
JournalProceedings of the National Academy of Sciences of the United States of America
Volume103
Issue number34
DOIs
StatePublished - Aug 22 2006
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Brain tumor
  • Gene therapy
  • Herpes simplex virus
  • Innate immunity
  • Oncolytic virus

ASJC Scopus subject areas

  • General

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