Evidence map›Paper›PMID 38853689›Full record

ArticleNeuro-oncology2024

Targeting IGF2 to reprogram the tumor microenvironment for enhanced viro-immunotherapy.

Min Hye Noh, Jin Muk Kang, Alexandra A Miller, Grace Nguyen, Minxin Huang, Ji Seon Shim, Alberto J Bueso-Perez, Sara A Murphy, Kimberly A Rivera-Caraballo, Yoshihiro Otani and 10 more

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Neuro-oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03152318 (A Phase I Study of the Treatment of Recurrent Malignant Glioma With rQNestin34.5v.2, a Genetically Engineered HSV-1 Virus, and Immunomodulation With Cyclophosphamide), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03152318 phase1active not recruitingnot on this map

A Phase I Study of the Treatment of Recurrent Malignant Glioma With rQNestin34.5v.2, a Genetically Engineered HSV-1 Virus, and Immunomodulation With Cyclophosphamide

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2017 to 2028Enrolled62ConditionsMalignant Glioma of Brain, Astrocytoma, Malignant Astrocytoma, OligodendrogliomaArmsrQNestin, Cyclophosphamide, Stereotactic biopsy
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Selective targeting of glioma via the SCARB2 receptor: transcriptomic, proteomic andFrontiers in cellular and infection microbiology · 2025
    Pooled it
  3. Therapy-induced IGF1R signaling as an actionable vulnerability in oncolytic virotherapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. The Role of Natural Compounds in Bladder Urothelial Carcinoma Treatment.International journal of molecular sciences · 2026
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Immunotherapy in central nervous system tumors.International journal of surgery (London, England) · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Min Hye NohDepartment of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Jin Muk KangDepartment of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Alexandra A MillerThe University of Texas MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Science, Houston, Texas, USA.
Grace NguyenDepartment of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Minxin HuangDepartment of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Ji Seon ShimDepartment of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Alberto J Bueso-PerezDepartment of Neurosurgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Sara A MurphyThe University of Texas MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Science, Houston, Texas, USA.
Kimberly A Rivera-CaraballoThe University of Texas MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Science, Houston, Texas, USA.
Yoshihiro OtaniDepartment of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
Eunju KimDepartment of Food and Nutriton, Kongju National University, Yesan, Chungnam, South Korea.
Seung-Hee YooDepartment of Biochemistry, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA.
Yuanqing YanDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Yeshavanth Banasavadi-SiddegowdaSurgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.
Hiroshi NakashimaDepartment of Neurosurgery, Brigham and Women's Hospital and Harvard Medical School, Boston, Maryland, USA.
E Antonio ChioccaDepartment of Neurosurgery, Brigham and Women's Hospital and Harvard Medical School, Boston, Maryland, USA.
Balveen KaurGeorgia Cancer Center and Department of Pathology, Medical College of Georgia, Augusta University, Augusta, Georgia, USA.
Zhongming ZhaoCenter for Precision Health, McWilliams School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID 0000-0002-3477-0914
Tae Jin LeeThe University of Texas MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Science, Houston, Texas, USA.
Ji Young YooThe University of Texas MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Science, Houston, Texas, USA.ORCID 0000-0002-6767-1111

Funding

The Tumor Microenvironmental Barrier to Effective Viral OncolysisP01CA163205 · NCI · OHIO STATE UNIVERSITY · PI KEITH LLOYD LIGON · 2013 to 2026
$26.0M
Enhancing Viral Oncolysis with Vasculostatin Gene DeliveryR01CA150153 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KAUR, BALVEEN · 2011 to 2020
$4.0M
Next Gen Virotherapy for GBMR01NS127473 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Balveen Kaur · 2022 to 2026
$2.6M
Enhanced Viro-Immunotherapy for Breast Cancer Brain MetastasisR01CA276942 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Ji Young Yoo · 2023 to 2026
$2.2M
Optimizing oncolytic virus therapy for glioblastomaR61NS112410 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KAUR, BALVEEN · 2019 to 2020
$775k
IGF1R-targeted oncolytic herpes simplex viral therapy for GlioblastomaR21NS123685 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI YOO, JI YOUNG · 2022 to 2023
$405k
Oncolytic virus-mediated target delivery of a therapeutic antibody fragment in glioblastomaR41CA247044 · NCI · ONCOSYNERGY, INC. · PI CARBONELL, ANNE-MARIE, KAUR, BALVEEN · 2019 to 2019
$300k
Simultaneous targeting of tumor cells and tumor associated macrophages by RNA nanovectorR03CA252770 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LEE, TAE JIN · 2021 to 2021
$156k
American Cancer Society R21NS123685 and R01CA276942NCI NIH HHS P01CA163205NCI NIH HHS R01 CA150153NCI NIH HHS R01 CA276942NCI NIH HHS R03 CA252770NCI NIH HHS R41CA247044NIH HHS RP200615NINDS NIH HHS R01 NS127473NINDS NIH HHS R21 NS123685NINDS NIH HHS R61NS112410
6 · The paper itself

Abstract

backgroundThe FDA approval of oncolytic herpes simplex-1 virus (oHSV) therapy underscores its therapeutic promise and safety as a cancer immunotherapy. Despite this promise, the current efficacy of oHSV is significantly limited to a small subset of patients largely due to the resistance in tumor and tumor microenvironment (TME).

methodsRNA sequencing (RNA-Seq) was used to identify molecular targets of oHSV resistance. Intracranial human and murine glioma or breast cancer brain metastasis (BCBM) tumor-bearing mouse models were employed to elucidate the mechanism underlying oHSV therapy-induced resistance.

resultsTranscriptome analysis identified IGF2 as one of the top-secreted proteins following oHSV treatment. Moreover, IGF2 expression was significantly upregulated in 10 out of 14 recurrent GBM patients after treatment with oHSV, rQNestin34.5v.2 (71.4%; P = .0020) (ClinicalTrials.gov, NCT03152318). Depletion of IGF2 substantially enhanced oHSV-mediated tumor cell killing in vitro and improved survival of mice bearing BCBM tumors in vivo. To mitigate the oHSV-induced IGF2 in the TME, we constructed a novel oHSV, oHSV-D11mt, secreting a modified IGF2R domain 11 (IGF2RD11mt) that acts as IGF2 decoy receptor. Selective blocking of IGF2 by IGF2RD11mt significantly increased cytotoxicity, reduced oHSV-induced neutrophils/PMN-MDSCs infiltration, and reduced secretion of immune suppressive/proangiogenic cytokines, while increased CD8 + cytotoxic T lymphocytes (CTLs) infiltration, leading to enhanced survival in GBM or BCBM tumor-bearing mice.

conclusionsThis is the first study reporting that oHSV-induced secreted IGF2 exerts a critical role in resistance to oHSV therapy, which can be overcome by oHSV-D11mt as a promising therapeutic advance for enhanced viro-immunotherapy.

Indexed as

Brain NeoplasmsImmunotherapyInsulin-Like Growth Factor IIOncolytic VirotherapyTumor MicroenvironmentAnimalsBreast NeoplasmsFemaleGlioblastomaGliomaHerpesvirus 1, HumanHumansMiceOncolytic VirusesTumor Cells, CulturedXenograft Model Antitumor AssaysIGF2 protein, humanInsulin-Like Growth Factor IIglioblastoma (GBM)insulin-like growth factor-1 receptor (IGF1R)insulin-like growth factor 2 (IGF2)Oncolytic herpes simplex virus-1 (oHSV)tumor microenvironment (TME)

Identifiers

PMID38853689
PMCPMC11376453

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.