存活素驱动且纤维修饰的溶瘤腺病毒在已形成的颅内胶质瘤中展现出强大的抗肿瘤活性。

Survivin-driven and fiber-modified oncolytic adenovirus exhibits potent antitumor activity in established intracranial glioma.

作者信息

Ulasov Ilya V, Zhu Zeng B, Tyler Matthew A, Han Yu, Rivera Angel A, Khramtsov Andrey, Curiel David T, Lesniak Maciej S

机构信息

Division of Neurosurgery, Department of Surgery, University of Chicago, Chicago, IL 60637, USA.

出版信息

Hum Gene Ther. 2007 Jul;18(7):589-602. doi: 10.1089/hum.2007.002.

Abstract

The poor prognosis of patients with malignant gliomas necessitates the development of novel therapies. Virotherapy, using genetically engineered adenovectors that selectively replicate in and kill neoplastic cells, represents one such strategy. In this study, we examined several oncolytic vectors with modified transcriptional and transductional control of viral replication. First, we incorporated the survivin promoter (S) to drive E1A gene expression. We then modified the adenovirus serotype 5 (Ad5) fiber protein via genetic knob switching or incorporation of peptide ligands to target the following glioma-associated receptors: the Ad3 attachment protein, or CD46, alpha(v) beta(3)/alpha(v)beta(5) integrins, or heparan sulfate proteoglycans. The three conditionally replicative adenoviruses, CRAd-S-5/3, CRAd-S-RGD, and CRAd-S-pk7, were then examined in vitro with respect to transduction efficiency and tissue specificity. The most promising virus was then tested in vivo for evidence of tumor growth inhibition. CRAd-S-pk7 provided the highest level of viral replication and tumor oncolysis in glioma cell lines. At the same time, we observed minimal viral replication and toxicity in normal human brain. Injection of CRAd-S-pk7 inhibited xenograft tumor growth by more than 300% (p < 0.001). Sixty-seven percent of treated mice with intracranial tumors were long-term survivors (>110 days; p < 0.005). Analysis of tumor tissue indicated increased adenoviral infectivity, decreased mitotic activity, and enhanced tumor apoptosis. These findings demonstrate the effectiveness of CRAd-S-pk7 and provide the rationale for further development of this novel oncolytic virus for glioma gene therapy.

摘要

恶性胶质瘤患者预后较差,因此需要开发新的治疗方法。病毒疗法是其中一种策略,它利用经过基因工程改造的腺病毒载体,使其在肿瘤细胞中选择性复制并杀死肿瘤细胞。在本研究中,我们检测了几种对病毒复制具有转录和转导控制修饰的溶瘤载体。首先,我们引入生存素启动子(S)来驱动E1A基因表达。然后,我们通过基因旋钮切换或掺入肽配体来修饰腺病毒5型(Ad5)纤维蛋白,以靶向以下胶质瘤相关受体:Ad3附着蛋白、CD46、α(v)β(3)/α(v)β(5)整合素或硫酸乙酰肝素蛋白聚糖。然后,对三种条件性复制腺病毒CRAd-S-5/3、CRAd-S-RGD和CRAd-S-pk7进行了体外转导效率和组织特异性检测。然后在体内测试了最有前景的病毒对肿瘤生长抑制的证据。CRAd-S-pk7在胶质瘤细胞系中提供了最高水平的病毒复制和肿瘤溶瘤作用。同时,我们观察到在正常人类大脑中病毒复制和毒性极小。注射CRAd-S-pk7可使异种移植肿瘤生长抑制超过300%(p<0.001)。67%的颅内肿瘤治疗小鼠为长期存活者(>110天;p<0.005)。肿瘤组织分析表明腺病毒感染性增加、有丝分裂活性降低和肿瘤凋亡增强。这些发现证明了CRAd-S-pk7的有效性,并为进一步开发这种新型溶瘤病毒用于胶质瘤基因治疗提供了理论依据。

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