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Oncolytic Adenovirus Therapy for Solid Tumors Through Induction of Xenogeneic Rejection: Preclinical Proof of Concept and Safety for Adf35(OGN)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Cancer Immunotherapy. Uppsala universitet.ORCID iD: 0009-0002-7256-465X
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Description
Abstract [en]

Cancer immunotherapy has improved the survival for a substantial proportion of cancer patients but for many cancers treatment is still lacking and, hence, there is a great need to further develop cancer immunotherapies for the future benefit of more patients. 

Oncolytic adenoviruses with various immunostimulatory transgenes have previously been well tolerated in clinical trials of cancer treatment. They are used both for their oncolytic and immunostimulatory effect but also as delivery platform of transgenes in cancer gene therapy. We have constructed an oncolytic adenovirus, Adf35(OGN), with transgenic expression of alpha-1,3-galactosyltransferase (GGTA1) from Sus scrofa, synthesizing the immune stimulatory glycosylation Galactose-α-1,3-galactose (α-gal) and neutrophil activating protein (NAP) from Helicobacter pylori, an immunomodulatory protein. a-gal and NAP are potent activators and modulators of the human immune system and have not previously been combined in cancer immunotherapy.  

In paper I, Adf35(OGN) was shown to effectively infect human pancreatic tumor cells which further led to expression of α-gal and NAP, antibody opsonization and complement deposition on infected cells, complement and antibody dependent cellular cytotoxicity and activation of various immune cells. Furthermore, when Adf35(OGN) was injected intratumorally in pancreatic tumors in mouse, tumor growth was inhibited and mouse survival improved. 

In paper II, a simple qPCR-based assay is presented that can be used to quantify replication competent adenoviruses, accidently formed during production, in batches of oncolytic adenoviruses intended for use in clinical trials to ensure levels below acceptable limits. 

In paper III, to evaluate the safety of Adf35(OGN), biodistribution and toxicity was studied in Syrian hamster and mouse. The viral treatment was well tolerated without treatment-related toxicity or viral replication in tissues and the shedding of virus to the environment was sparse.  

In paper IV, various enzymes and polycations were evaluated as vehicles for intratumoral injections of oncolytic adenoviruses. Hyaluronidase tripled viral transduction and may be considered to improve the treatment efficacy of oncolytic viruses.

In conclusion, the preclinical efficacy and safety results presented in the thesis encourage future clinical trials with Adf35(OGN). 

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2025. , p. 49
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 2148
Keywords [en]
Oncolytic adenovirus, cancer immunotherapy, cancer gene therapy, solid tumors, xenogenic rejection, α-gal, Galactose-α-1, 3-galactose, neutrophil activating protein, NAP, Helicobacter pylori, replication competent adenoviruses, RCA, Adf35(OGN), toxicity, biodistribution, Hyaluronidase
National Category
Medical Biotechnology (Focus on Cell Biology, (incl. Stem Cell Biology), Molecular Biology, Microbiology, Biochemistry or Biopharmacy)
Identifiers
URN: urn:nbn:se:uu:diva-551871ISBN: 978-91-513-2468-5 (print)OAI: oai:DiVA.org:uu-551871DiVA, id: diva2:1950158
Public defence
2025-06-05, H:son Holmdahlsalen, Akademiska sjukhuset, Ing 100-101, Uppsala, 13:00 (English)
Opponent
Supervisors
Available from: 2025-05-06 Created: 2025-04-05 Last updated: 2025-05-06
List of papers
1. Oncolytic adenovirus therapy for pancreatic cancer through induction of immunogenic rejection
Open this publication in new window or tab >>Oncolytic adenovirus therapy for pancreatic cancer through induction of immunogenic rejection
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(English)Manuscript (preprint) (Other academic)
National Category
Medical Biotechnology (Focus on Cell Biology, (incl. Stem Cell Biology), Molecular Biology, Microbiology, Biochemistry or Biopharmacy)
Identifiers
urn:nbn:se:uu:diva-551863 (URN)
Available from: 2025-03-03 Created: 2025-03-03 Last updated: 2025-04-05
2. A qPCR-Based Method for Quantification of RCA Contaminants in Oncolytic Adenovirus Products
Open this publication in new window or tab >>A qPCR-Based Method for Quantification of RCA Contaminants in Oncolytic Adenovirus Products
2022 (English)In: Frontiers in Molecular Biosciences, E-ISSN 2296-889X, Vol. 9, article id 883249Article in journal (Refereed) Published
Abstract [en]

Oncolytic adenovirus is one of the most promising treatments against cancer and is widely evaluated clinically. During high titer production, “Wild-type-” like replication-competent adenovirus (RCA) contaminants can be generated through recombination events due to the DNA sequence similarity between oncolytic virus and host cells. These RCA contaminants raise various safety concerns in clinics. Cell culture-based methods have been developed to detect RCA contaminants in replication-deficient adenovirus vectors. These methods were based on that only RCA contaminants, but not the vectors, are able to grow in and lyse the test cell line. However, these methods are not suitable for distinguishing RCA contaminants from the oncolytic adenovirus products because both can replicate in test cell lines. Herein, we reported a qPCR-based method to quantify RCA contaminants quickly and reliably in E1B-deleted oncolytic adenovirus products. This method is based on specific detection of the E1B gene, which can be acquired during production via recombination events between viral and host cell DNA. The assay is sensitive with the limit of detection at 10 VP of the RCA contaminants and the limit of quantification at 75 VP of the RCA contaminants in each 40 µL qPCR reaction. We have also validated the method on virus batches produced in the non-GMP and GMP conditions. Our results showed that this qPCR-based method was reliable and robust for detecting and quantifying RCA contaminants in oncolytic adenovirus products. The method may also be adapted for other oncolytic adenoviruses products by switching primer sets.

Place, publisher, year, edition, pages
Frontiers Media S.A.Frontiers, 2022
Keywords
replication-competent adenovirus, conditionally replicating adenovirus, quantification, clinical production, qPCR, RCA contaminants
National Category
Medical Biotechnology (with a focus on Cell Biology (including Stem Cell Biology), Molecular Biology, Microbiology, Biochemistry or Biopharmacy)
Identifiers
urn:nbn:se:uu:diva-477516 (URN)10.3389/fmolb.2022.883249 (DOI)000807322800001 ()35677885 (PubMedID)
Funder
Sjöberg FoundationClas Groschinski Memorial Foundation, M19359Erik, Karin och Gösta Selanders FoundationGöran Gustafsson Foundation for promotion of scientific research at Uppala University and Royal Institute of Technology
Note

De två första författarna delar förstaförfattarskapet

Available from: 2022-06-20 Created: 2022-06-20 Last updated: 2025-04-05Bibliographically approved
3. Biodistribution and toxicity evaluation of oncolytic adenovirus Adf35(OGN) in Syrian hamster and mouse
Open this publication in new window or tab >>Biodistribution and toxicity evaluation of oncolytic adenovirus Adf35(OGN) in Syrian hamster and mouse
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2025 (English)In: Cancer Gene Therapy, ISSN 0929-1903, E-ISSN 1476-5500Article in journal (Refereed) Published
National Category
Medical and Health Sciences Medical Biotechnology (Focus on Cell Biology, (incl. Stem Cell Biology), Molecular Biology, Microbiology, Biochemistry or Biopharmacy)
Identifiers
urn:nbn:se:uu:diva-551730 (URN)10.1038/s41417-025-00875-y (DOI)
Funder
Sjöberg FoundationSwedish Cancer Society, 21 1519PjSwedish Research Council, 2023-02221
Available from: 2025-02-28 Created: 2025-02-28 Last updated: 2025-04-05
4. Evaluation of drug delivery vehicles for improved transduction of oncolytic adenoviruses in solid tumor tissue
Open this publication in new window or tab >>Evaluation of drug delivery vehicles for improved transduction of oncolytic adenoviruses in solid tumor tissue
2025 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 130, p. e11217-e11217Article in journal (Refereed) Published
Abstract [en]

Background: Oncolytic viruses are promising tools for immune stimulatory gene therapy of cancer, but their clinical effect on solid tumors have so far been limited. Transduction of the target tumor cells is limited by both extracellular matrix that blocks viral spread within the solid tumor tissue and electrostatic forces that inhibit virus from binding its entry receptor on the cell surface. The enzymes hyaluronidase and collagenase and the polycations diethylaminoethyl (DEAE)-dextranbranched Polyethylenimine (PEI) and protamine sulfate have previously shown potential to improve gene transfer in different forms of viral gene therapy, since they may help the virus to overcome these barriers. In this study, we compared the transduction-enhancing potential of these substances when used as vehicles for adenoviral transduction in solid tumor tissue.

Methods: Subcutaneous tumors of pancreatic ductal adenocarcinoma were established in mice and treated with a mix of adenoviral vector Adf35(GFP-Luc) and either one of the selected vehicles. Transduction efficacy was determined by quantification of the viral transgene expression level using live imaging.

Results: Addition of hyaluronidase tripled the transgene expression of Adf35(GFP-Luc) when compared to virus alone. No such positive effect was seen for the other tested vehicles.

Conclusions: Out of the tested candidates, hyaluronidase showed the best potential to facilitate viral spread in tumor tissue and transduction of tumor cells. Therefore, hyaluronidase may be used as vehicle to improve clinical efficacy of oncolytic virotherapies.

Place, publisher, year, edition, pages
Upsala Medical Society, 2025
National Category
Medical Biotechnology (Focus on Cell Biology, (incl. Stem Cell Biology), Molecular Biology, Microbiology, Biochemistry or Biopharmacy)
Identifiers
urn:nbn:se:uu:diva-551731 (URN)10.48101/ujms.v130.11217 (DOI)001431194500001 ()39981200 (PubMedID)2-s2.0-85219411815 (Scopus ID)
Available from: 2025-02-28 Created: 2025-02-28 Last updated: 2025-04-22Bibliographically approved

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