2018
DOI: 10.1038/s41389-017-0020-8
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Sensitisation to mitoxantrone-induced apoptosis by the oncolytic adenovirus Ad∆∆ through Bcl-2-dependent attenuation of autophagy

Abstract: Anti-apoptotic Bcl-2 is frequently activated in human malignant cells to promote cell survival and inhibit cell death. Replication-selective oncolytic adenoviruses deleted in the functional Bcl-2 homologue E1B19K potently synergise with apoptosis-inducing chemotherapeutic drugs, including mitoxantrone for prostate cancer. Here, we demonstrate that our previously generated oncolytic mutant Ad∆∆ (E1B19K- and E1ACR2-deleted) caused potent synergistic apoptotic cell death in both drug-sensitive 22Rv1, and drug-ins… Show more

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Cited by 15 publications
(18 citation statements)
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“…These mechanisms of resistance could be due to the acquisition of neuroendocrine features following lineage reprogramming, a well-described phenomenon linked with the acquisition of drug resistance in clinic [ 86 ]. This may also be due to autophagy upregulation, a phenomenon already observed in LNCaP cells after AA treatments including Enza and bicalutamide [ 87 ], and described as driving the resistance of PCa cells to bicalutamide, Enza, taxanes, mitoxanthrone and radiotherapy [ 88 ].…”
Section: Discussionmentioning
confidence: 99%
“…These mechanisms of resistance could be due to the acquisition of neuroendocrine features following lineage reprogramming, a well-described phenomenon linked with the acquisition of drug resistance in clinic [ 86 ]. This may also be due to autophagy upregulation, a phenomenon already observed in LNCaP cells after AA treatments including Enza and bicalutamide [ 87 ], and described as driving the resistance of PCa cells to bicalutamide, Enza, taxanes, mitoxanthrone and radiotherapy [ 88 ].…”
Section: Discussionmentioning
confidence: 99%
“…We previously generated an E1ACR2-deleted mutant that was designed to enhance potency in combination with apoptosis-inducing chemotherapeutic drugs by deleting the anti-apoptotic B-cell lymphoma-2 protein (Bcl-2) functional homologue E1B19K (Ad∆∆) [ 49 ]. In combination with cytotoxic drugs, Ad∆∆ showed superior efficacy compared to single drug regimens in preclinical models of drug-insensitive prostate and pancreatic cancers [ 50 , 51 ]. Synergistic tumour reduction was caused by improved viral infection followed by higher expression levels of the apoptosis-inducing and chemosensitising E1A-gene products that promote drug-induced DNA damage followed by aberrant mitosis and cell death [ 52 ].…”
Section: Replication-selective Adenovirusesmentioning
confidence: 99%
“…Intratumoural administration of the AdΔΔ oncolytic mutant caused synergistic cell killing and increased apoptotic death in combination with mitoxantrone or docetaxel in prostate cancer cells, and promoted tumour regression in murine PC3 and DU145 xenograft models [ 49 ]. The combination treatment of AdΔΔ and mitoxantrone was recently shown to promote increased apoptosis and attenuation of mitoxantrone-induced autophagy resulting in increased cell death in 22Rv1, PC3 and PC3-M prostate cancer cells [ 51 ].…”
Section: Replication-selective Adenovirusesmentioning
confidence: 99%
“…Two phase I trials are underway with VCN-01 in combination with gemcitabine We previously generated an E1ACR2-deleted mutant that was designed to enhance potency in combination with apoptosis-inducing chemotherapeutic drugs by deleting the anti-apoptotic Bcl-2 functional homologue E1B19K (Ad∆∆) 47 . In combination with cytotoxic drugs, Ad∆∆ had superior efficacy compared to single drug regimens in preclinical models of drug-insensitive prostate and pancreatic cancers 48,49 . Synergistic tumour reduction was caused by improved viral infection followed by higher expression levels of the apoptosis-inducing and chemosensitising E1A-gene products that promote drug-induced DNA damage followed by aberrant mitosis and cell death 50 .…”
Section: Replication-selective Adenovirusesmentioning
confidence: 99%