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用人单纯疱疹病毒条件性复制载体G207对人前列腺腺癌进行局部和全身治疗。

Local and systemic therapy of human prostate adenocarcinoma with the conditionally replicating herpes simplex virus vector G207.

作者信息

Walker J R, McGeagh K G, Sundaresan P, Jorgensen T J, Rabkin S D, Martuza R L

机构信息

Department of Surgery, Georgetown University Medical Center, Washington, DC 20007, USA.

出版信息

Hum Gene Ther. 1999 Sep 1;10(13):2237-43. doi: 10.1089/10430349950017211.

Abstract

Prostate adenocarcinoma is the most common nonskin malignancy in males and the second most common cause of cancer death in the United States (Landis et al., 1998). Initial treatments of surgery or radiotherapy may cause impotence and/or incontinence from neural damage (Eastham and Scardino, 1998; Porter et al., 1998). When extraprostatic or metastatic disease develops, castration or pharmaceutical androgen ablation is utilized (Catalona, 1994). Androgen-resistant recurrence indicates a poor prognosis and justifies experimental chemotherapy (Oh and Kantoff, 1998). G207 (Mineta et al., 1995; Yazaki et al., 1995) is a multimutated herpes simplex virus 1 (HSV) vector that replicates within cancer cells, causing cellular death; however, replication is limited in normal cells, including those of the nervous system. In vitro, G207 at a low multiplicity of infection (MOI of 0.01) is oncolytic for multiple human prostate cancer cells. In athymic mice, a single intraneoplastic inoculation of G207 completely eradicates >22% of established subcutaneous human prostate cancer tumors irrespective of hormonal responsiveness. Two intraneoplastic inoculations of G207 completely eradicated two of three recurrent previously irradiated tumors and two intravenous administration of G207 induced tumor regression in distant subcutaneous tumors and completely eradicated one-fourth of the tumors.

摘要

前列腺腺癌是男性最常见的非皮肤恶性肿瘤,也是美国癌症死亡的第二大常见原因(兰迪斯等人,1998年)。手术或放疗等初始治疗可能因神经损伤导致阳痿和/或尿失禁(伊斯特姆和斯卡迪诺,1998年;波特等人,1998年)。当发生前列腺外或转移性疾病时,会采用去势或药物性雄激素消融治疗(卡塔洛纳,1994年)。雄激素抵抗性复发预示预后不良,是进行实验性化疗的合理依据(吴和坎托夫,1998年)。G207(米内塔等人,1995年;矢崎等人,1995年)是一种多突变的单纯疱疹病毒1(HSV)载体,可在癌细胞内复制,导致细胞死亡;然而,其在包括神经系统细胞在内的正常细胞中的复制受到限制。在体外,低感染复数(感染复数为0.01)的G207对多种人前列腺癌细胞具有溶瘤作用。在无胸腺小鼠中,瘤内单次接种G207可完全根除超过22%已形成的皮下人前列腺癌肿瘤,而不论其激素反应性如何。瘤内两次接种G207可完全根除三个先前接受过放疗的复发性肿瘤中的两个,两次静脉注射G207可使远处皮下肿瘤发生消退,并完全根除四分之一的肿瘤。

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