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使用两种多突变单纯疱疹溶瘤病毒有效治疗胰腺肿瘤。

Effective treatment of pancreatic tumors with two multimutated herpes simplex oncolytic viruses.

作者信息

McAuliffe P F, Jarnagin W R, Johnson P, Delman K A, Federoff H, Fong Y

机构信息

Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.

出版信息

J Gastrointest Surg. 2000 Nov-Dec;4(6):580-8. doi: 10.1016/s1091-255x(00)80106-7.

Abstract

Pancreatic cancer is an aggressive, rapidly fatal disease against which current nonsurgical therapy has minimal impact. This study evaluates the efficacy of two novel, replication-competent, multimutated herpes viruses (G207 and NV1020) in an experimental model of pancreatic cancer. Four human pancreatic carcinoma cell lines were exposed to G207 or NV1020, and cell survival and viral progeny production were determined. Flank tumors in athymic mice were subjected to single or multiple injections of 1 x 10(7) G207 or NV1020, and tumor volume was evaluated over time. For all of the cell lines, G207 and NV1020 produced infection, viral replication, and cell lysis (P < 0.05). NV1020 resulted in a higher production of viral progeny compared to G207. The efficacy of viral tumor cell kill was greatest in those cells with the shortest in vitro doubling time. For flank tumors derived from hs766t, single or multiple injections of both viruses were equally effective and significantly reduced flank tumor burden (P < 0.05). Complete hs766t flank tumor eradication was achieved in 25% (5 of 20) of animals treated with G207 and 40% (8 of 20) of animals treated with NV1020. In vivo efficacy correlated with in vivo tumor doubling time. There were no adverse effects related to viral administration observed in any animal. NV1020 and G207 effectively infect and kill human pancreatic cancer cells in vitro and in vivo. Given the lack of effective nonoperative treatments for pancreatic cancer, oncolytic herpes viruses should be considered for clinical evaluation.

摘要

胰腺癌是一种侵袭性强、致死率高的疾病,目前的非手术治疗对此疗效甚微。本研究在胰腺癌实验模型中评估了两种新型、具有复制能力的多突变疱疹病毒(G207和NV1020)的疗效。将四种人胰腺癌细胞系暴露于G207或NV1020,测定细胞存活率和病毒子代产生情况。对无胸腺小鼠胁腹肿瘤进行单次或多次注射1×10⁷的G207或NV1020,并随时间评估肿瘤体积。对于所有细胞系,G207和NV1020均产生感染、病毒复制和细胞裂解(P<0.05)。与G207相比,NV1020产生的病毒子代更多。病毒杀伤肿瘤细胞的效果在体外倍增时间最短的细胞中最为显著。对于源自hs766t的胁腹肿瘤,两种病毒的单次或多次注射效果相同,均显著减轻了胁腹肿瘤负担(P<0.05)。接受G207治疗的动物中有25%(20只中的5只)实现了hs766t胁腹肿瘤的完全根除,接受NV1020治疗的动物中有40%(20只中的8只)实现了根除。体内疗效与体内肿瘤倍增时间相关。在任何动物中均未观察到与病毒给药相关的不良反应。NV1020和G207可在体外和体内有效感染并杀死人胰腺癌细胞。鉴于胰腺癌缺乏有效的非手术治疗方法,应考虑对溶瘤性疱疹病毒进行临床评估。

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