17Triple-negative breast cancer (TNBC) constitutes 12% of all breast cancer and is 18 associated with worse prognosis compared to other subtypes of breast cancer. Current therapies 19 are limited to cytotoxic chemotherapy, radiation, and surgery, leaving a need for targeted 20 therapeutics to improve outcomes for TNBC patients. Mammalian orthoreovirus (reovirus) is a 21 nonenveloped, segmented, dsRNA virus in the Reoviridae family. Reovirus preferentially kills 22
Importance 38Triple negative breast cancer (TNBC) is unresponsive to hormone therapies, leaving 39 patients afflicted with this disease with limited treatment options. We previously engineered an 40 oncolytic reovirus (r2Reovirus) with enhanced infective and cytotoxic properties in TNBC cells. 41However, how r2Reovirus promotes TNBC cell death is not known. In this study, we show that 42 reassortant r2Reovirus can promote non-conventional caspase-dependent but caspase 3-43 independent cell death and that the mechanism of cell death depends on the genetic composition 44 of the host cell. We also map the enhanced oncolytic properties of r2Reovirus in TNBC to 45 interactions between a Type 3 M2 gene segment and Type 1 genes. Our data show that 46 understanding the interplay between the host cell environment and the genetic composition of 47 49Breast cancer is the leading cause of cancer in women and second leading cause of death 50 by cancer in women in the United States (https://seer.cancer.gov/). Triple-negative breast cancer 51 (TNBC) constitutes 10-15% of breast cancer diagnoses, has a higher rate of relapse, and lower 52 survival after metastasis than other types of breast cancer (1). TNBC is characterized by its lack 53 of expression of estrogen receptor (ER), progesterone receptor (PR), and human epidermal 54 growth factor receptor 2 (HER-2). These characteristics render TNBC cells unresponsive to 55 hormone therapies that have been efficacious in treating other types of breast cancer (2, 3). 56