Cyclophosphamide enhances glioma virotherapy by inhibiting innate immune responses

G Fulci, L Breymann, D Gianni… - Proceedings of the …, 2006 - National Acad Sciences
G Fulci, L Breymann, D Gianni, K Kurozomi, SS Rhee, J Yu, B Kaur, DN Louis, R Weissleder
Proceedings of the National Academy of Sciences, 2006National Acad Sciences
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 …
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.
National Acad Sciences