TY - JOUR A1 - Bernstock, Joshua D. A1 - Vicario, Nunzio A1 - Rong, Li A1 - Valdes, Pablo A. A1 - Choi, Bryan D. A1 - Chen, Jason A. A1 - DiToro, Daniel A1 - Osorio, Diana S. A1 - Kachurak, Kara A1 - Geßler, Florian A1 - Johnston, James M. A1 - Atkinson, T. Prescott A1 - Whitley, Richard J. A1 - Bag, Asim K. A1 - Gillespie, G. Yancey A1 - Markert, James M. A1 - Maric, Dragan A1 - Friedman, Gregory K. T1 - A novel in situ multiplex immunofluorescence panel for the assessment of tumor immunopathology and response to virotherapy in pediatric glioblastoma reveals a role for checkpoint protein inhibition T2 - OncoImmunology N2 - Immunotherapy with oncolytic herpes simplex virus-1 therapy offers an innovative, targeted, less-toxic approach for treating brain tumors. However, a major obstacle in maximizing oncolytic virotherapy is a lack of comprehensive understanding of the underlying mechanisms that unfold in CNS tumors/associated microenvironments after infusion of virus. We demonstrate that our multiplex biomarker screening platform comprehensively informs changes in both topographical location and functional states of resident/infiltrating immune cells that play a role in neuropathology after treatment with HSV G207 in a pediatric Phase 1 patient. Using this approach, we identified robust infiltration of CD8+ T cells suggesting activation of the immune response following virotherapy; however there was a corresponding upregulation of checkpoint proteins PD-1, PD-L1, CTLA-4, and IDO revealing a potential role for checkpoint inhibitors. Such work may ultimately lead to an understanding of the governing pathobiology of tumors, thereby fostering development of novel therapeutics tailored to produce optimal responses. KW - HSV KW - oncolytic virotherapy KW - glioma KW - multiplex immunofluorescence KW - checkpoint proteins Y1 - 2019 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/53421 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-534210 SN - 2162-402X SN - 2162-4011 N1 - This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. VL - 8 IS - 12, e1678921 SP - 1 EP - 14 PB - Taylor & Franics CY - Abingdon ER -