2014
DOI: 10.1038/nbt.2806
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Smac mimetics and innate immune stimuli synergize to promote tumor death

Abstract: Smac mimetic compounds (SMC), a class of drugs that sensitize cells to apoptosis by counteracting the activity of inhibitor of apoptosis (IAP) proteins, have proven safe in Phase I clinical trials in cancer patients. However, because SMCs act by enabling transduction of pro-apoptotic signals, SMC monotherapy may only be efficacious in the subset of patients whose tumors produce large quantities of death-inducing proteins such as inflammatory cytokines. As such, we reasoned that SMCs would synergize with agents… Show more

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Cited by 115 publications
(138 citation statements)
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“…Elucidation of molecular details of oncolytic agents could provide a breakthrough in the development of therapeutic strategies combining oncolytic viruses with small molecules. Some chemovirus combination therapies have been reported, including that histone deacetylase (HDAC) inhibitors enhance oncolysis of HSV or VSV by suppressing innate immunity (40), inositolrequiring enzyme 1 (IRE1-α) inhibitors boost oncolytic efficacy of Maraba virus by inhibiting the ER stress response (41), and Smac mimetic compounds promote antitumor efficacy of VSV by exploiting the virus-stimulating cytokine storm (42). Understanding the molecular biology of M1-induced ER stress and subsequent cell death will help us to discover synergic compounds for combination therapy, such as IRE1-α inhibitors inducing ER stress (41).…”
Section: Discussionmentioning
confidence: 99%
“…Elucidation of molecular details of oncolytic agents could provide a breakthrough in the development of therapeutic strategies combining oncolytic viruses with small molecules. Some chemovirus combination therapies have been reported, including that histone deacetylase (HDAC) inhibitors enhance oncolysis of HSV or VSV by suppressing innate immunity (40), inositolrequiring enzyme 1 (IRE1-α) inhibitors boost oncolytic efficacy of Maraba virus by inhibiting the ER stress response (41), and Smac mimetic compounds promote antitumor efficacy of VSV by exploiting the virus-stimulating cytokine storm (42). Understanding the molecular biology of M1-induced ER stress and subsequent cell death will help us to discover synergic compounds for combination therapy, such as IRE1-α inhibitors inducing ER stress (41).…”
Section: Discussionmentioning
confidence: 99%
“…This mechanism is a newly identified method of tumor killing by the combination of vesicular stomatitis virus (VSV) and chemical agents (43). Combination of SMCs with M1 shows a tumorkilling mechanism (bystander killing) similar to the combination of SMCs and VSV, except that SMCs increase the replication of M1 but not VSV.…”
Section: Discussionmentioning
confidence: 99%
“…This typically leads to an antiviral state in surrounding cells, but can also result in killing of uninfected tumor cells by cytokines such as tumor necrosis factor alpha (TNFα) [86]. Innate immune effectors encompass natural killer (NK) cells, which are able to induce lysis of tumor cells or virally infected cells (reviewed in [87]), and phagocytic cells such as neutrophils and macrophages.…”
Section: Modes Of Action In Oncolytic Virotherapymentioning
confidence: 99%