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一种溶瘤性单纯疱疹病毒1型可选择性地破坏结肠癌的弥漫性肝转移灶。

An oncolytic herpes simplex virus type 1 selectively destroys diffuse liver metastases from colon carcinoma.

作者信息

Yoon S S, Nakamura H, Carroll N M, Bode B P, Chiocca E A, Tanabe K K

机构信息

Division of Surgical Oncology, Department of Surgery, and. Neurosurgery Service, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.

出版信息

FASEB J. 2000 Feb;14(2):301-11.

Abstract

Viruses used for gene therapy are usually genetically modified to deliver therapeutic transgenes and prevent viral replication. In contrast, replication-competent viruses may be used for cancer therapy because replication of some viruses within cancer cells can result in their destruction (oncolysis). Viral ribonucleotide reductase expression is defective in the HSV1 mutant hrR3. Cellular ribonucleotide reductase, which is scarce in normal liver and abundant in liver metastases, can substitute for its viral counterpart to allow hrR3 replication in infected cells. Two or three log orders more of hrR3 virions are produced from infection of colon carcinoma cells than from infection of normal hepatocytes in viral replication assays. This viral replication is oncolytic. A single intravascular administration of hrR3 into immune-competent mice bearing diffuse liver metastases dramatically reduces tumor burden. hrR3-mediated tumor inhibition is equivalent in immune-competent and immune-incompetent mice, suggesting that viral oncolysis and not the host immune response is the primary mechanism of tumor destruction. HSV1-mediated oncolysis of diffuse liver metastases is effective in mice preimmunized against HSV1. These results indicate that replication-competent HSV1 mutants hold significant promise as cancer therapeutic agents. Yoon, S. S., Nakamura, H., Carroll, N. M., Bode, B. P., Chiocca, E. A., Tanabe, K. K. An oncolytic herpes simplex virus type 1 selectively destroys diffuse liver metastases from colon carcinoma.

摘要

用于基因治疗的病毒通常经过基因改造,以递送治疗性转基因并防止病毒复制。相比之下,具有复制能力的病毒可用于癌症治疗,因为某些病毒在癌细胞内的复制可导致癌细胞被破坏(溶瘤作用)。单纯疱疹病毒1型(HSV1)突变体hrR3的病毒核糖核苷酸还原酶表达存在缺陷。细胞核糖核苷酸还原酶在正常肝脏中稀缺,而在肝转移灶中丰富,它可以替代病毒核糖核苷酸还原酶,使hrR3在受感染细胞中复制。在病毒复制试验中,结肠癌细胞感染产生的hrR3病毒粒子比正常肝细胞感染产生的多两到三个数量级。这种病毒复制具有溶瘤作用。对患有弥漫性肝转移的免疫健全小鼠进行单次血管内注射hrR3可显著减轻肿瘤负担。hrR3介导的肿瘤抑制在免疫健全和免疫缺陷小鼠中效果相当,这表明病毒溶瘤作用而非宿主免疫反应是肿瘤破坏的主要机制。HSV1介导的弥漫性肝转移灶溶瘤作用在预先接种HSV1疫苗的小鼠中有效。这些结果表明,具有复制能力的HSV1突变体作为癌症治疗药物具有巨大潜力。尹,S.S.,中村,H.,卡罗尔,N.M.,博德,B.P.,乔卡,E.A.,田边,K.K.一种溶瘤性单纯疱疹病毒1型选择性破坏结肠癌的弥漫性肝转移灶。

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