Abstract
Resistance to radiotherapy is a significant challenge in the clinical management of non-small cell lung cancer (NSCLC). This study investigates a novel multimodal therapeutic strategy that combines oncolytic Newcastle disease virus (NDV) with an anti-VEGFR2 single-chain variable fragment (NDV-anti-VEGFR2) to enhance radiosensitivity in NSCLC. We engineered NDV-anti-VEGFR2 and assessed its efficacy in sensitizing Calu-1 cells to radiation. In vitro results demonstrated that NDV-anti-VEGFR2 significantly inhibited tumor cell proliferation when combined with radiotherapy. In vivo experiments revealed that NDV-anti-VEGFR2, combined with radiation, achieved a tumor growth inhibition rate of 86.48%, surpassing the effects of NDV or radiation alone. Mechanistic investigations indicated that NDV-anti-VEGFR2 mitigated hypoxia by downregulating HIF-1α and impaired DNA repair pathways, as evidenced by reduced levels of RAD51 and γ-H2AX. These findings suggest that NDV-anti-VEGFR2 not only normalizes tumor vasculature but also enhances the cytotoxic effects of radiation by compromising DNA repair mechanisms. Collectively, our results support the clinical potential of NDV-anti-VEGFR2 combined with radiotherapy as a promising strategy to overcome radiotherapy resistance in NSCLC. Future studies in immunocompetent models are warranted to elucidate the immune-mediated effects of this innovative therapeutic approach.
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The data that support the findings of the study are available from the corresponding author upon reasonable request.
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Acknowledgements
The work was supported by Science and Technology Project of Jiangsu Province (Category of social development) (No.BE2022769); Jiangsu Kanion Pharmaceutical Co., Ltd., a grant from 2022 Huaguoshan Innovation and Entrepreneurship Program of Lianyungang City and 2022 Innovation and Entrepreneurship Program of Jiangsu Province (JSSCRC2022452).
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Liang Liu, Zhihang Liu, Liying Song, Tianyan Liu, Deshan Li and Xiaodong Jiang designed the study. Liang Liu, Liying Song, Zhihang Liu wrote the manuscript. Liang Liu, Liying Song, Zhihang Liu and Tianyan Liu performed the main experiments and analyzed the data. Kaiyuan Hui, Chenxi Hu, Jiarui Yang, Xuelei Pi, Yuanyuan Yan, Shishi Liu, Yating Zhang, Hongna Chen, Yukai Cao, Lihua Zhou, Yun Qiao, Dan Yu, Chengkai Yin, Xu Li performed parts of the experiments. Liang Liu, Liying Song, Zhihang Liu and Deshan Li interpreted the results. Deshan Li, Chenfeng, Zhang, Zhenzhong Wang revised the manuscript and contributed to the discussion. All authors read and approved the final manuscript.
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Liu, L., Song, L., Liu, T. et al. Recombinant oncolytic virus NDV-anti-VEGFR2 enhances radiotherapy sensitivity in NSCLC by targeting VEGF signaling and impairing DNA repair. Gene Ther 32, 517–528 (2025). https://doi.org/10.1038/s41434-025-00540-x
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DOI: https://doi.org/10.1038/s41434-025-00540-x
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