Persson Annette, Fan Xiaolong, Salford Leif G, Widegren Bengt, Englund Elisabet
Department of Clinical Science, Lund, Division V, Pathology, University Hospital, SE-221 85 Lund, Sweden.
Neuropathology. 2007 Jun;27(3):233-6. doi: 10.1111/j.1440-1789.2007.00767.x.
Adenoviral vector-mediated treatment is a potential therapy for tumors of the central nervous system. To obtain a significant therapeutic effect by adenoviral vectors, a sufficient infection is required, the power of which depends predominantly on the level of Coxsackie adenovirus receptors. We stained surgical biopsies of central nervous system tumors and neuroblastomas for Coxsackie adenovirus receptors. For gliomas, the level of the receptor was low and markedly variable among individual tumors. By contrast, neuroblastomas and medulloblastomas exhibited a higher degree of Coxsackie adenovirus receptor expression than gliomas and other brain tumors. We conclude that neuroblastomas and medulloblastomas could be suitable for adenovirus-mediated gene therapy. Adverse effects of the treatment, however, must be considered because neurons and reactive astrocytes also express a significant amount of the receptor.
腺病毒载体介导的治疗是中枢神经系统肿瘤的一种潜在疗法。为了通过腺病毒载体获得显著的治疗效果,需要足够的感染,其效力主要取决于柯萨奇腺病毒受体的水平。我们对中枢神经系统肿瘤和神经母细胞瘤的手术活检样本进行了柯萨奇腺病毒受体染色。对于胶质瘤,受体水平较低,且在各个肿瘤之间存在明显差异。相比之下,神经母细胞瘤和髓母细胞瘤比胶质瘤及其他脑肿瘤表现出更高程度的柯萨奇腺病毒受体表达。我们得出结论,神经母细胞瘤和髓母细胞瘤可能适合腺病毒介导的基因治疗。然而,必须考虑治疗的不良反应,因为神经元和反应性星形胶质细胞也表达大量的该受体。