Synthetic super-enhancers enable precision viral immunotherapy

Nature. 2026 May;653(8113):232-241. doi: 10.1038/s41586-026-10329-6. Epub 2026 Apr 8.

Abstract

Cell-type-specific promoters are used in gene therapy to restrict expression of the therapeutic payload. However, these promoters often have suboptimal strength, selectivity and size. Here, leveraging recent insights into the function of enhancers, we developed synthetic super-enhancers (SSEs) by assembling functionally validated enhancer fragments into multipart arrays. Focusing on the core SOX2-driven and SOX9-driven transcriptional regulatory network in glioblastoma stem cells (GSCs)1, we engineered SSEs with robust activity and high selectivity. Single-cell profiling, biochemical analyses and genome-binding data indicated that SSEs integrate neurodevelopmental and signalling-state transcription factors to trigger the formation of large multimeric complexes of transcription factors. Moreover, GSC-selective expression of a combination of cytotoxic (HSV-TK and ganciclovir) and immunomodulatory (IL-12) payloads, delivered using adeno-associated virus vectors, as a single treatment led to curative outcomes in a mouse model of aggressive glioblastoma. Notably, IL-12 induced an immunological memory that prevented tumour recurrence. The activity and selectivity of the adeno-associated virus and SSE were validated using primary human glioblastoma tissue and normal cortex samples. In summary, SSEs harness the unique core transcriptional programs that define the GSC phenotype and enable precision immune activation. This approach may have broader applications in other contexts when precise control of transgene expression in specific cell states is necessary.

MeSH terms

  • Animals
  • Cell Line, Tumor
  • Dependovirus* / genetics
  • Enhancer Elements, Genetic*
  • Female
  • Ganciclovir / therapeutic use
  • Gene Regulatory Networks / genetics
  • Genetic Therapy* / methods
  • Genetic Vectors
  • Glioblastoma* / genetics
  • Glioblastoma* / immunology
  • Glioblastoma* / pathology
  • Glioblastoma* / therapy
  • Humans
  • Immunotherapy* / methods
  • Interleukin-12 / genetics
  • Interleukin-12 / immunology
  • Interleukin-12 / therapeutic use
  • Male
  • Mice
  • Neoplastic Stem Cells / metabolism
  • Neoplastic Stem Cells / pathology
  • Precision Medicine* / methods
  • Promoter Regions, Genetic
  • SOX9 Transcription Factor / genetics
  • SOX9 Transcription Factor / metabolism
  • SOXB1 Transcription Factors / genetics
  • SOXB1 Transcription Factors / metabolism

Substances

  • Ganciclovir
  • Interleukin-12
  • SOX2 protein, human
  • SOX9 Transcription Factor
  • SOXB1 Transcription Factors