Samoto Ken, Ehtesham Moneeb, Perng Guey-Chuen, Hashizume Kazuhiro, Wechsler Steven L, Nesburn Anthony B, Black Keith L, Yu John S
Maxine Dunitz Neurosurgical Institute, Burns and Allen Research Institute, Cedars Sinai Medical Center, Los Angeles, California 90048, USA.
Neurosurgery. 2002 Mar;50(3):599-605; discussion 605-6. doi: 10.1097/00006123-200203000-00031.
We previously constructed a novel recombinant herpes simplex virus with deletions in the gamma 34.5 and LAT genes. LAT was replaced by the gene for green fluorescent protein, to allow monitoring of viral transduction in vitro and in vivo. We previously confirmed that this virus, designated DM33, retains its oncolytic properties in vitro and is inhibited with respect to spontaneous reactivation. The objective of this study was to demonstrate the therapeutic efficiency of this virus in the treatment of human gliomas in nude mice.
Thirty BALB/c nude mice underwent stereotactic implantation of U-87 MG gliomas in the right corpus striatum. Subsequently, mice received intratumoral inoculations of either DM33 (n = 20) or virus-free medium (n = 10). Ten mice given injections of DM33 were also treated intraperitoneally with ganciclovir.
Intratumoral administration of DM33 to nude mice bearing intracranial U-87 MG human gliomas prolonged survival times, compared with saline-treated control animals (P < 0.05). Histological analyses of treated tumors demonstrated decreased tumor size and tumor cell lysis. Control tumors averaged 7.05 +/- 0.83 mm(2) (mean +/- standard error), whereas the average for the DM33 group was 4.61 +/- 1.57 mm(2) and that for the DM33 plus ganciclovir group was 2.49 +/- 1.32 mm(2). The difference in tumor sizes between the control group and the DM33 plus ganciclovir group was statistically significant (P = 0.044). Viral infection was limited to the tumors, and replication was not observed in normal neurons or glia.
The efficacy of this virus in the treatment of experimental gliomas, its safety (as confirmed by its inability to reactivate), and its attenuated neurovirulence make DM33 a promising oncolytic agent for glioma therapy.
我们之前构建了一种新型重组单纯疱疹病毒,其γ34.5和LAT基因缺失。LAT被绿色荧光蛋白基因取代,以便在体外和体内监测病毒转导。我们之前证实,这种名为DM33的病毒在体外保留其溶瘤特性,且自发再激活受到抑制。本研究的目的是证明该病毒在裸鼠体内治疗人类胶质瘤的疗效。
30只BALB/c裸鼠在右侧纹状体进行U - 87 MG胶质瘤的立体定向植入。随后,小鼠接受瘤内接种DM33(n = 20)或无病毒培养基(n = 10)。10只接种DM33的小鼠还接受了更昔洛韦腹腔注射治疗。
与生理盐水处理的对照动物相比,向患有颅内U - 87 MG人类胶质瘤的裸鼠瘤内注射DM33可延长生存时间(P < 0.05)。对治疗后肿瘤的组织学分析显示肿瘤大小减小且肿瘤细胞溶解。对照肿瘤平均为7.05±0.83平方毫米(均值±标准误),而DM33组平均为4.61±1.57平方毫米,DM33加更昔洛韦组平均为2.49±1.32平方毫米。对照组与DM33加更昔洛韦组之间的肿瘤大小差异具有统计学意义(P = 0.044)。病毒感染局限于肿瘤,在正常神经元或神经胶质细胞中未观察到复制。
该病毒在治疗实验性胶质瘤方面的疗效、其安全性(因其无法再激活得到证实)以及其减弱的神经毒力使DM33成为一种有前景的用于胶质瘤治疗的溶瘤剂。