Activation of Nrf2 Signaling Augments Vesicular Stomatitis Virus Oncolysis via Autophagy-Driven Suppression of Antiviral Immunity

Mol Ther. 2017 Aug 2;25(8):1900-1916. doi: 10.1016/j.ymthe.2017.04.022. Epub 2017 May 17.

Abstract

Oncolytic viruses (OVs) offer a promising therapeutic approach to treat multiple types of cancer. In this study, we show that the manipulation of the antioxidant network via transcription factor Nrf2 augments vesicular stomatitis virus Δ51 (VSVΔ51) replication and sensitizes cancer cells to viral oncolysis. Activation of Nrf2 signaling by the antioxidant compound sulforaphane (SFN) leads to enhanced VSVΔ51 spread in OV-resistant cancer cells and improves the therapeutic outcome in different murine syngeneic and xenograft tumor models. Chemoresistant A549 lung cancer cells that display constitutive dominant hyperactivation of Nrf2 signaling are particularly vulnerable to VSVΔ51 oncolysis. Mechanistically, enhanced Nrf2 signaling stimulated viral replication in cancer cells and disrupted the type I IFN response via increased autophagy. This study reveals a previously unappreciated role for Nrf2 in the regulation of autophagy and the innate antiviral response that complements the therapeutic potential of VSV-directed oncolysis against multiple types of OV-resistant or chemoresistant cancer.

Keywords: Nrf2; VSV; autophagy; cancer; innate antiviral response; interferon; oncolysis.

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology
  • Antioxidants / pharmacology
  • Autophagy* / drug effects
  • Cell Line
  • Combined Modality Therapy
  • Disease Models, Animal
  • Host-Pathogen Interactions / immunology
  • Humans
  • Immunity / drug effects
  • Immunity, Innate / drug effects
  • Isothiocyanates / pharmacology
  • Mice
  • Mice, Knockout
  • NF-E2-Related Factor 2 / genetics
  • NF-E2-Related Factor 2 / metabolism*
  • Neoplasms / metabolism
  • Neoplasms / mortality
  • Neoplasms / pathology
  • Neoplasms / therapy
  • Oncolytic Virotherapy
  • Oncolytic Viruses / physiology*
  • Sequence Deletion
  • Signal Transduction* / drug effects
  • Sulfoxides
  • Vesicular Stomatitis / immunology
  • Vesicular Stomatitis / metabolism*
  • Vesicular Stomatitis / virology*
  • Vesicular stomatitis Indiana virus / drug effects
  • Vesicular stomatitis Indiana virus / physiology*
  • Viral Matrix Proteins / genetics
  • Virus Replication / drug effects

Substances

  • Antineoplastic Agents
  • Antioxidants
  • Isothiocyanates
  • NF-E2-Related Factor 2
  • Sulfoxides
  • Viral Matrix Proteins
  • sulforaphane