Purpose
Reovirus propagates with high efficiency in
KRAS
mutated colorectal cancer (CRC). About 45–50% of CRC patients possess a
KRAS
mutation. Oncolytic reovirus treatment in combination with chemotherapy was tested in patients possessing
KRAS
mutated metastatic CRC. This study evaluates the biological responses to reovirus treatment by determining the gene expression patterns in RAS-related signaling pathways.
Methods
Reovirus was administered as a 60-min intravenous infusion for 5 consecutive days every 28 days, at a tissue culture infective dose (TCID
50
) of 3×10
10
. Peripheral blood mononuclear cells (PBMCs) were isolated from whole-blood pre- and post-reovirus administration at 48 hr, day-8, and day-15. Clariom_D_Human_Assay was used to determine the expression of vital genes compared to pre-reovirus treatment by RNA sequencing. Using exported sample signals, ΔΔCt method was used to analyze the fold changes of genes within seven gene pathways. Significance was calculated by students-two-tail-
t-
test. Hierarchical clustering dendrogram was constructed by calculating Pearson’s correlation coefficients.
Results
As compared to the control,
SOS1
[48 hr; 2.49X],
RRAS
[48 hr; 2.24X],
PIK3CB
[D8, D15; 2.27X, 3.16X],
MIR 16–2
[D15; 1.70X],
CHORDC1
[48 hr, D15; 1.89X, 4.54X],
RTN4
[48 hr; 4.66X],
FAM96A
[48 hr; 4.54X],
NFKB
[D8, D15; 19.0X, 1.42X],
CASP8
[D8, D15; 2.11X, 1.77X], and
CASP9
[D8; 1.45X] are upregulated post-reovirus.
NOS3
[D15; 0.61X],
SYNE1
[D8, D15; 0.78X, 0.71X],
ANGPT1
[D8; 0.62X],
VEGFB
[48 hr, D8, D15; 0.44X, 0.28X, 0.28X],
JUN
[D15; 0.69X], and
IGF2
[D8; 0.73X] are downregulated post-reovirus. Fold change values were significant [p<0.05].
Conclusion
This study highlights reovirus as a novel treatment option for
KRAS
mutated CRC and showcases its effect on the expression of crucial genes.