Chattanooga Times Free Press

Zika virus could treat childhood cancer, say Nemours researcher­s

- BY CAROLINE CATHERMAN

Zika, a virus made infamous in Florida nine years ago through countless South America travel advisories about its potential dangers, may actually do some good.

A recent Nemours’ Children’s Health study on mice found the virus has the potential to shrink tumors from a rare and deadly form of childhood cancer called neuroblast­oma. The cancer develops in nerve tissue, typically in the adrenal glands.

Each year, neuroblast­oma accounts for only 6% of childhood cancer diagnoses, but high-risk neuroblast­oma causes 15% of childhood cancer deaths. Fewer than half of neuroblast­oma patients respond to traditiona­l treatments such as chemothera­py and radiation, and families are desperate for an alternativ­e.

In the study, published Jan. 9 in the journal Cancer Research Communicat­ions, Nemours scientists injected Zika virus into human neuroblast­oma tumors grown in mice. The tumors shrank and, in mice given the highest dose of the virus, went away completely. The tumors didn’t grow back during four weeks of follow-up monitoring.

More research is underway to see if the treatment could be effective and safe on humans. The finding is a hopeful step forward, said the study’s senior author Dr. Tamarah Westmorela­nd, a pediatric surgeon and associate professor of surgery at Nemours Children’s Health in Orlando.

“When you sit with families and talk with them and their children about cancer and surgery, it can all be very scary,” Westmorela­nd said. “It’s research like this that … gives families hope.”

The study builds off several others that have explored Zika’s potential to treat cancer, including a 2018 Nemours study that found Zika could destroy neuroblast­oma cells in a lab.

Neuroblast­oma tumors appear to be vulnerable to the Zika virus in part because of their associatio­n with a protein called CD24, which has been connected to other cancers, too.

Washington University neuro-oncologist Dr. Milan G. Chheda, who was not involved in the study, praised its findings. Chheda has done research on Zika’s potential to treat a highly aggressive brain cancer, glioblasto­ma. His current work involves working on ways to geneticall­y modify the virus to make it safer.

“The most exciting thing is it shows the relevance of the Zika virus across different types of cancers,” Chheda said.

Chheda and other experts cautioned that much more research is needed before it could be considered a viable treatment.

The mosquito-borne virus doesn’t typically cause symptoms in children and adults but can cause devastatin­g deformitie­s in developing fetuses. A major outbreak in 2015 and 2016 across the Americas and Caribbean infected millions and was responsibl­e for at least 2,500 cases of a life-threatenin­g brain deformity known as Zika associated microcepha­ly, according to the World Health Organizati­on.

The virus eventually spread to the U.S., but there have been no locally acquired U.S. cases since 2017.

Though that particular outbreak is over, there are still tens of thousands of cases recorded each year worldwide and pregnant people are told not to travel to areas experienci­ng active outbreaks.

“It’s still to be seen whether or not this can be safely used in humans,” Chheda said.

 ?? FILE PHOTO CONTRIBUTE­D BY NEMOURS CHILDREN’S HEALTH/TNS ?? Pediatric surgeon Dr. Tamarah Westmorela­nd, left, and research scientist Joseph Mazar are studying whether the Zika virus can shrink neuroblast­oma tumors at Nemours Children’s Health in Orlando.
FILE PHOTO CONTRIBUTE­D BY NEMOURS CHILDREN’S HEALTH/TNS Pediatric surgeon Dr. Tamarah Westmorela­nd, left, and research scientist Joseph Mazar are studying whether the Zika virus can shrink neuroblast­oma tumors at Nemours Children’s Health in Orlando.

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