Distinct Effects of the Extracellular Matrix on Tumor Organization and Response to Cancer Virotherapy

Distinct Effects of the Extracellular Matrix on Tumor Organization and Response to Cancer Virotherapy

Abstract

Abstract
Extracellular matrix (ECM) regulates tumor architecture and immune accessibility, but its impact on virus-based anticancer therapies is not well understood. In particular, ECM modulation leads to both enhanced and impaired therapeutic outcomes in vivo, reflecting the complexity of matrix-immune-virus interactions. Here, we combine computational modeling with empirical 3D tumor spheroid-immune in vitro co-cultures to examine how ECM composition and abundance shape an Alphavirus replicon-based therapy. We show that ECM-induced changes in tumor spheroid architecture vary by cell-adhesion phenotype but higher matrix abundance consistently reduces cellular density. Notably, increasing abundance of basement membrane extract or Collagen-I reduced tumor spheroid cell density, which generally enhanced viral infection, T cell activation, and IFN{gamma} production. However, reduced immune accessibility in collagen-rich environments suppressed immune responses despite improved infection, highlighting matrix-specific effects. Our findings provide insights into ECM's role in virus-based therapies and propose a bottom-up framework for systematically evaluating its influence on therapeutic efficacy.
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