Gastrointestinal Cancer Specific Oncolytic Virotherapy Development Service

Introduction Workflow Case Study

Introduction

Gastrointestinal Cancers are serious disorders that impact the digestive tract (GI tract) and the organs involved in the digestive process, including the esophagus, stomach, biliary system, pancreas, small intestine, large intestine, rectum, and anus. As an innovative treatment method, immunotherapy is emerging as a promising and effective option for treating numerous types of cancer. It has had positive results in different lab and clinical studies. Even though using immune checkpoint inhibitor antibodies that target CTLA-4, PD-1, or PD-L1 (the three key immune checkpoint molecules) has provided real-world benefits in treating gastric cancer, colorectal cancer, and pancreatic cancer, oncolytic virotherapy is quickly becoming another treatment with great promise. Many studies have shown that oncolytic viruses (OVs) are highly effective at taking on and fighting gastrointestinal cancers. With Creative Biolabs's oncolytic virus development platform OncoVirapy™ and our growing knowledge of how tumors work in GI cancers, our researchers can create customized oncolytic virotherapy plans and offer services to build and test oncolytic viruses.

The Common Types and Characteristics of Gastrointestinal Cancers

Tab.1 Common types of gastrointestinal cancers.

Types of Cancer Main manifestations
Gastric cancer
  • Helicobacter pylori infection is a risk factor for gastric cancer.
  • The early symptoms of gastric cancer are not obvious and are similar to those of peptic ulcer disease, accompanied by burning abdominal pain.
  • The spread of gastric cancer can cause hepatomegaly, jaundice, ascites, and enlarged lymph nodes.
Colorectal cancer
  • Colorectal cancers, which are predominantly adenocarcinomas, originate from the mucosa of the large intestine (colon) and rectum.
  • Initially, colorectal cancer presents as sessile or pedunculated growths (termed polyps) on the mucosal surfaces of the large intestine and rectum.
  • After metastasizing to adjacent lymph nodes, colorectal cancer can further metastasize to the liver.
Pancreatic cancer
  • Smoking, chronic pancreatitis, obesity, and exposure to specific chemical agents are recognized risk factors for pancreatic cancer.
  • The majority of pancreatic cancers are adenocarcinomas. Adenocarcinoma typically originates from the epithelial cells that line the pancreatic duct. The vast majority of adenocarcinomas develop in the head of the pancreas, which is adjacent to the first part of the small intestine (the duodenum).
Esophageal cancer
  • Esophageal cancer predominantly originates from cells lining the wall of the esophagus, the tube that connects the throat to the stomach.
  • Prolonged esophageal irritation caused by recurrent gastroesophageal reflux results in the formation of Barrett's esophagus.
  • The risk of esophageal adenocarcinoma is higher in obese patients because they have a higher risk of gastroesophageal reflux.

Schematic representation of the location of pancreatic cancer.Distributed under CC BY-SA 4.0, from Wiki, without modification.

Schematic representation of the location of colorectal cancer. (OA Literature)Distributed under CC BY 3.0, from Wiki, without modification.

Oncolytic Virus Therapy for Gastrointestinal Cancers

Oncolytic viral vectors are loaded with different monoclonal antibodies for the treatment of digestive system tumors. (OA Literature)Fig.2 Oncolytic viral vector therapy strategies for gastrointestinal tumors.1

  • Pancreatic cancer and Pancreatic ductal adenocarcinomas:

AVL-armed oncolytic cowpox virus boosts replication and anti-tumor ability in pancreatic cancer by raising ROS. The results demonstrated that oncoVV-AVL can enhance the oncolytic effects on pancreatic cancer (PC) cells and induce the production of multiple cytokines, including TNF-α, IL-6, IL-8, and IFN-Ⅰ), without eliciting an antiviral response.

PDAC patients on chemo/radiotherapy have<10% response rate and risk drug resistance. Non-pathogenic OV M1 shows potential for PDAC treatment. It inhibits the viability of different pancreatic cancer cells.

  • Gastric cancer

Researchers engineer a novel chimeric orthopoxvirus, CF17, for gastric cancer treatment. In in vivo experiments, intraperitoneal CF17 injection notably decreases peritoneal tumor burden and curbs malignant ascites formation compared to the control.

G47Δ, a third-generation oncolytic HSV-1, is designed by mutating γ34.5, ICP6, and α47 in the HSV-1 genome. Preclinical data show it has strong anti-tumor effects and good safety. In gastric cancer, G47Δ promotes M1 macrophage and NK cell infiltration, reduces M2 macrophages, and holds great promise for research and clinical use.

  • Colorectal cancer

V937, a non - transgenic coxsackievirus A21 Kuykendall strain, has undergone clinical evaluation for advanced solid tumor treatment. It specifically targets and lyses tumor cells overexpressing ICAM-1. Additionally, recombinant IFN-γ and pembrolizumab boost ICAM-1 expression, which in turn augments V937-mediated oncolysis and immunogenicity.

The combined oncolytic effects of bortezomib and HSV-1 on colorectal cancer cell lines are evident. This combination controls proteins related to heat stress, stress inside cells (endoplasmic reticulum stress), and cell death (apoptosis). It starts up the caspase-12 process, reduces the level of Bcl-2, and makes cells die off in a programmed way. This effectively stops tumors from growing.

In the face of the demand for innovative therapeutic approaches in gastrointestinal malignancies, oncolytic viruses persist in demonstrating potential as an efficacious treatment option. Creative Biolabs will continuously endeavor to explore this novel methodology to surmount the remaining obstacles and formulate more effective oncolytic virotherapy strategies for its clientele.

Workflow

The basic process of oncolytic virus-related services conducted by Creative Biolabs. (Creative Biolabs Original)

Estimated Timeframe:

Pre-requirement communication: 1-2 weeks

Design and construction of oncolytic viruses: 3-4 weeks

Mass production of oncolytic viruses: 2-3 weeks

Function and properties of oncolytic viruses in vivo and in vitro: 3-4 weeks

Results analysis and test report: 1-2 weeks

Product delivery and shipping: 2-3 weeks

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Case Study

The use of genetically engineered oncolytic viruses in widely-applied in vivo mouse models and in vitro cell-line models of gastrointestinal cancers has led to a substantial boost in tumor-destroying potency. Insights culled from numerous scientific studies present important perspectives on its promising future for the treatment of gastrointestinal cancers.

Cytopathic effect caused by viral infection. (OA Literature)Fig.3 Cytopathic effect of oncolytic virus on tumor cells is observed by microscope.2

The ability of virus replication and the effect of the virus on tumor cell activity were determined. (OA Literature)Fig.4 Viral replication kinetics and cell viability after virus infection were detected.2

Flow cytometry is used to detect the expression of 4-1BBL. (OA Literature)Fig.5 Flow cytometry can be used to detect the expression of related markers.2

Tumor volume was measured in a mouse model. (OA Literature)Fig.6 Detection of tumor growth inhibition by oncolytic viruses.2

Tumor growth images as well as tumor weight statistics. (OA Literature)Fig.7 An in vivo tumor model is constructed to detect the effect of an oncolytic virus on tumor size.2

Survival curves of Pan02_HVEM tumor-bearing mice. (OA Literature)Fig.8 Gene-edited oncolytic viruses prolong Survival of cancer-bearing mice.2

References

  1. Silva-Pilipich, Noelia, Ángela Covo-Vergara, and Cristian Smerdou. "Local delivery of immunomodulatory antibodies for gastrointestinal tumors." Cancers 15.8 (2023): 2352. DOI: 10.3390/cancers15082352. Distributed under Open Access license CC BY 4.0, without modification.
  2. Gao, Wenrui, et al. "4-1BBL-Armed Oncolytic Herpes Simplex Virus Exerts Antitumor Effects in Pancreatic Ductal Adenocarcinoma." Vaccines 12.12 (2024): 1309. DOI: 10.3390/vaccines12121309. Distributed under Open Access license CC BY 4.0, without modification, the picture is reformatted.
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