Qiao J, Moreno J, Sanchez-Perez L, Kottke T, Thompson J, Caruso M, Diaz R M, Vile R
Molecular Medicine Program, Mayo Clinic, Rochester, MN 55902, USA.
Gene Ther. 2006 Oct;13(20):1457-70. doi: 10.1038/sj.gt.3302782. Epub 2006 May 25.
Low levels of gene delivery in vivo using replication-defective retroviral vectors have severely limited their application for clinical protocols. To overcome this problem, we describe here a semi-replication-competent retrovirus (s-RCR) in which the gag-pol and envelope (VSV-G, vesicular stomatitis virus G protein) genes were split into two vectors. This system offers potential advantages over both replication-defective vectors, in terms of efficiency of in vivo spread through a tumor, and all-in-one replication-competent vectors in terms of the payload of therapeutic genes that can be carried. We achieved a viral titer of s-RCR viruses approximately 70-fold higher than VSV-G pseudotyped, replication-defective vectors. In addition, s-RCR vectors induced tumor killing by the cytotoxicity of VSV-G during viral spread. Inclusion of the herpes simplex virus thymidine kinase (HSVtk30) gene into vectors significantly improved tumor killing activity followed by ganciclovir (GCV) treatment in vitro under conditions of low-level viral replication. However, at high levels of viral spread, VSV-G-mediated cytotoxicity predominated. Xenografts of human fibrosarcoma HT1080 cells, preinfected by semi-replicative green fluorescent protein vectors (semi-GFP), were completely non-tumorigenic in nude mice. Implantation of cells preinfected by semi-replicative TK30 vectors (semi-TK30) mixed with parental HT1080 cells at a ratio of 1:1 efficiently prevented tumor growth in mice treated by GCV. Direct intratumoral injection of HT1080 tumors growing in nude mice, or B16 murine melanoma in immunocompetent mice, with semi-TK30 viruses significantly prolonged survival. Injection of autologous cells (B16) producing semi-TK30 vector into B16 tumors prolonged survival only in mice treated with GCV but not with phosphate-buffered saline (PBS). In contrast, when xenogeneic cells (293T) producing semi-TK30 vectors were injected into B16 tumors, an optimal survival advantage was obtained in mice treated with PBS rather than GCV. These data indicate that complex interactions exist between direct cytotoxicity of VSV-G and HSVtk expression when placed in the context of additional immune parameters, which combine to determine the efficacy of the therapy. Taken together, our data suggest that s-RCR vectors have some potential advantages for development to deliver genes into tumors for cancer treatment but that a combination of factors will impact on the decision as to whether the s-RCR strategy is worth developing to full clinical trials.
使用复制缺陷型逆转录病毒载体在体内进行的低水平基因递送严重限制了它们在临床方案中的应用。为了克服这个问题,我们在此描述一种半复制能力的逆转录病毒(s-RCR),其中gag-pol和包膜(水泡性口炎病毒G蛋白,VSV-G)基因被分成两个载体。该系统相对于复制缺陷型载体在通过肿瘤进行体内传播的效率方面,以及相对于一体化复制能力载体在可携带的治疗基因的负载量方面都具有潜在优势。我们获得的s-RCR病毒的病毒滴度比VSV-G假型化的复制缺陷型载体高出约70倍。此外,s-RCR载体在病毒传播过程中通过VSV-G的细胞毒性诱导肿瘤杀伤。在低水平病毒复制条件下,将单纯疱疹病毒胸苷激酶(HSVtk30)基因纳入载体并随后用更昔洛韦(GCV)处理可显著提高体外肿瘤杀伤活性。然而,在高水平病毒传播时,VSV-G介导的细胞毒性占主导。预先用半复制绿色荧光蛋白载体(semi-GFP)感染的人纤维肉瘤HT1080细胞的异种移植瘤在裸鼠中完全不具有致瘤性。将预先用半复制TK30载体(semi-TK30)感染的细胞与亲本HT1080细胞以1:1的比例混合植入,可有效防止接受GCV治疗的小鼠体内肿瘤生长。直接向裸鼠体内生长的HT1080肿瘤或免疫活性小鼠体内的B16鼠黑色素瘤瘤内注射半TK30病毒可显著延长生存期。将产生半TK30载体的自体细胞(B16)注射到B16肿瘤中仅在接受GCV而非磷酸盐缓冲盐水(PBS)治疗的小鼠中延长了生存期。相反,当将产生半TK30载体的异种细胞(293T)注射到B16肿瘤中时,在接受PBS而非GCV治疗的小鼠中获得了最佳的生存优势。这些数据表明,当置于其他免疫参数的背景下时,VSV-G的直接细胞毒性与HSVtk表达之间存在复杂的相互作用,这些相互作用共同决定了治疗的疗效。综上所述,我们的数据表明,s-RCR载体在开发用于将基因递送至肿瘤以进行癌症治疗方面具有一些潜在优势,但多种因素将影响关于s-RCR策略是否值得发展至全面临床试验的决策。