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Improving the efficacy of oncolytic virus

     in doxorubicin-resistant ovarian cancer


     Seoyul Lee, DaeKyoung Kim, MinJoo Shin, YeEun Kim, Hojun Kim, Migyeon Choi, and JaeHo Kim
     Department of Physiology, School of Medicine, Pusan National University, Yangsan- si,50612



                                         A                                      A
               Abstract                                   GFP      OVV (TK -  GFP + )                 10   STAT3/p-STAT3
                                                                      GFP               A2780  A2780-R
                                                                                   inhibitor D        8
                                             Thymidine Kinase         TK             STAT3
   Recurrent   ovarian   cancer   is   caused   by             TK    deletion                         6
   drug-resistant cancer cells after chemotherapy. To   B  A2780  A2780-R  A2780  A2780-R  p-STAT3    4
   overcome  recurrent  ovarian  cancer,  it  needs  to                             GAPDH             2
   develop  anti-cancer  treatments  to  eradicate                                                    0
   drug-resistant  cancer  cells.  In  this  study,  we                                             inhibitor D  A2780  A2780-R
   isolated a drug-resistant cell line of A2780 ovarian                         B                  C
   cancer  cells  by  subculture  in  the  presence  of                            70                 35
   Doxorubicin.  The  Doxorubicin-resistant  A2780                                 60                 30
   cells  (A2780-R)  exhibited  higher  resistance  to                             50                 25
   Doxorubicin   than   A2780   cells.   We   next   24hr             48hr         40                 20
                                                                                                      15
                                                                                   30
   investigated the possibility of an oncolytic vaccine   C  A2780  A2780-R        20                 10
   virus  (OVV)  for  the  death  of  conventional   37%  8%   100  A2780          10                 5
                                                                   A2780-R
   chemotherapy-resistant   cells.   Interestingly,        24hr  80                0                  0
   A2780-R  cells  exhibited  reduced virus  replication        60               inhibitor D       inhibitor D
                                                                                  STAT3i
                                                                                                     STAT3i
   and  cell  death  compared  to  A2780  cells.  Several       40                    A2780 + V  A2780-R + V  A2780 + V  A2780-R + V
   signaling  mechanisms  were  changed  in  A2780-R   83%  36%  20             D
   compared to A2780 cells. In treating inhibitors for     48hr                       only V  V + inhibitor D  V + STAT3i  V + inhibitor D + STAT3i
   these  signaling  factors,  inhibitor  D  increased  the     0    24    48
   replication of OVV and cell death in A2780-R cells.              Hours post infection
   In  addition,  the  phosphorylation  of  STAT3  was   D  GFP
   increased  during  inhibitor  D  treatment,  and  the   A2780  11%  A2780-R  4%
   increase  in  OVV  replication  by  inhibitor  D             80  A2780
                                                                   A2780-R
   treatment  was  abrogated  during  treatment  of  a     24hr  60
   STAT3  inhibitor.  These  results  suggest  that  the        40
   pharmacological  attenuation  of  the  target  signal
   by inhibitor D augments the oncolytic efficacy  of   60%  12%  20             Figure 4. Phosphorylation of STAT3 through inhibitor D
   OVV in drug-resistant ovarian cancer.                   48hr                  treatment promotes viral replication in drug-resistant
                                                                0
                                                                     24    48    cancer cells
                                                                    Hours post infection
                                                  7-AAD
                Results                   Figure 2. A2780-R cells resisted to oncolytic vaccinia   Conclusion
                                          virus than A2780 cells
  A            B                         A                                       This study showed that the  inhibition of target
                                               5                                 signaling in cancer cells could promote the viral
      A2780                                    4
                                               3                                 replication  and  oncolytic  effect  in  cancer  cells.
        + Doxorubicin                          2                                 This  suggests  that  combined  treatment  with
                                               1                                 approved inhibitors in clinical trials of OVV may
                                               0
   Acquired resistance
                                               5                                 enhance the treatment effects to patients.
                                               4
                                               3
                                               2
      A2780-R                                  1
                                               0                                           Reference
  C            D
                       A2780      A2780-R
                                         C            D            E
                                             35    ns     16     ns  5  only V
                          0.4%        39.1%         ns                  V + inhibitor D  1.    Heo, J., et al., Randomized dose-finding
    ABCB1                                    30                      4
                                             25           12                        clinical trial of oncolytic immunotherapeutic
    ABCG2                                    20                      3
                                                          8                         vaccinia JX-594 in liver cancer. Nat Med,
    ALDH1                                    15                      2
    GAPDH                                    10           4          1              2013. 19(3): p. 329-36.
                                             5
                      ALDH-FITC   ALDH-FITC  0            0          0           2.    Vasan, N., J. Baselga, and D.M. Hyman, A view
  E                                       inhibitor D  inhibitor D                  on drug resistance in cancer. Nature, 2019.
     100                    120                 A2780-R + V  A2780-R + V            575(7782): p. 299-309.
      80                    100          F      TMSC        A2780       A2780-R  3.    Kirn, D.H. and S.H. Thorne, Targeted and
                                             only V  V + inhibitor D  only V  V + inhibitor D  only V  V + inhibitor D
      60                    80                                                      armed oncolytic poxviruses: a novel
                            60                                                      multi-mechanistic therapeutic class for
      40
                            40                                                      cancer. Nat Rev Cancer, 2009. 9(1): p. 64-71.
      20  A2780
          A2780-R           20                                                   4.    Horita, K., et al., lncRNA UCA1-Mediated
      0
      10 0  10 1  10 2  10 3  0                                                     Cdc42 Signaling Promotes Oncolytic Vaccinia
           [Doxorubicin] (nM)  A2780  A2780-R
                                                                                    Virus Cell-to-Cell Spread in Ovarian Cancer.
   Figure 1. Generation of drug-resistant ovarian cancer   Figure  3.  Inhibitor  D  enhances  viral  replication  and   Mol Ther Oncolytics, 2019. 13: p. 35-48.
   cells from A2780 ovarian cancer cells  OVV-mediated cell death
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