Figova K, Hrabeta J, Eckschlager T
Department of Pediatric Hematology and Oncology, 2nd Medical School, Charles University, University Hospital Motol, Prague, Czech Republic.
Neoplasma. 2006;53(6):457-62.
Oncolytic viruses infect, replicate in, and eventually lyse tumor cells but spare normal ones. In addition to direct lysis, a result of viral replicative cycle, viruses also mediate tumor cell destruction by inducing nonspecific and specific antitumor immunity. Some viruses express proteins that are cytotoxic to tumor cells. Viruses recognized as oncolytic agents can therefore be divided into three categories: 1/ naturally occurring viruses (e.g. Newcastle disease virus, vesicular stomatitis virus, autonomous parvoviruses, some measles virus strains, reovirus) that selectively replicate in tumor cells, in some instances owing to their relative resistance to interferon action; 2/ virus mutants in which some genes essential for replication in normal cells but evitable in cancer cells have been deleted (e.g.adenovirus ONYX 015 that replicates only in cells with defected p53 or herpes virus G207 which exacts the presence of ribonucleotide reductase); 3/ virus mutants modified by the introduction of tissue-specific transcriptional elements that drive viral genes (e.g.adenovirus CV706 that has PSA restricted expression of E1A and E1B and adenovirus adMycTK that binds selectively on myc protein). Reovirus is prevalent in the human population but not associated with any known human disease. Studies have shown that reovirus multiplicate preferentially in tumor cells with activated gene of ras family or ras-signaling pathway while sparing normal cells. Activated ras or its pathway could be found in as many as 60-80% of human malignancies. In our studies we used cell lines that demonstrably express activated ras. We showed the cytopathic effect of reovirus (serotype 3 strain Dearing) on medulloblastoma cell lines and compared it with its acting on normal human fibroblasts. Oncolytics Biotech Inc. is currently guiding three Phase I or Phase I/II Reolysin studies, and has completed two clinical studies and concluded enrolment in a third one.
溶瘤病毒能够感染肿瘤细胞,在其中复制,并最终裂解肿瘤细胞,而不会对正常细胞造成影响。除了作为病毒复制周期结果的直接裂解作用外,病毒还通过诱导非特异性和特异性抗肿瘤免疫来介导肿瘤细胞的破坏。一些病毒表达对肿瘤细胞具有细胞毒性的蛋白质。因此,被视为溶瘤剂的病毒可分为三类:1/天然存在的病毒(如新城疫病毒、水疱性口炎病毒、自主细小病毒、一些麻疹病毒株、呼肠孤病毒),它们在肿瘤细胞中选择性复制,在某些情况下是由于它们对干扰素作用具有相对抗性;2/病毒突变体,其中一些在正常细胞中复制所必需但在癌细胞中可避免的基因已被删除(如仅在p53缺陷细胞中复制的腺病毒ONYX 015或需要核糖核苷酸还原酶存在的疱疹病毒G207);3/通过引入驱动病毒基因的组织特异性转录元件而修饰的病毒突变体(如具有PSA限制的E1A和E1B表达的腺病毒CV706以及选择性结合myc蛋白的腺病毒adMycTK)。呼肠孤病毒在人群中普遍存在,但与任何已知的人类疾病均无关联。研究表明,呼肠孤病毒在具有ras家族激活基因或ras信号通路的肿瘤细胞中优先增殖,而不会影响正常细胞。在多达60-80%的人类恶性肿瘤中可发现激活的ras或其信号通路。在我们的研究中,我们使用了明显表达激活的ras的细胞系。我们展示了呼肠孤病毒(3型迪尔林株)对髓母细胞瘤细胞系的细胞病变效应,并将其与对正常人成纤维细胞的作用进行了比较。Oncolytics Biotech公司目前正在指导三项I期或I/II期Reolysin研究,并且已经完成了两项临床研究,并结束了第三项研究的入组工作。