Ungerechts Guy, Springfeld Christoph, Frenzke Marie E, Lampe Johanna, Parker William B, Sorscher Eric J, Cattaneo Roberto
Molecular Medicine Program and Virology and Gene Therapy Track, Mayo Clinic College of Medicine, Rochester, Minnesota 55902, USA.
Mol Ther. 2007 Nov;15(11):1991-7. doi: 10.1038/sj.mt.6300291. Epub 2007 Aug 21.
An immunocompetent model is required to test therapeutic regimens for clinical trials with the oncolytic measles virus (MV). Toward developing this model, a retargeted MV that enters murine colon adenocarcinoma cells forming tumors in syngeneic C57BL/6 mice was generated. Since MV infection tends to be less efficient in murine than in human cells, the targeted virus was also armed with the prodrug convertase, purine nucleoside phosphorylase (PNP), and named MV-PNP-antiCEA. We have shown before that in cultured cells, infection with this virus activated the prodrug, 6-methylpurine-2'-deoxyriboside (MeP-dR), causing extensive cytotoxicity. When injected intratumorally (IT), MV-PNP-antiCEA inhibited subcutaneous tumor growth marginally, but subsequent administration of the prodrug enhanced the oncolytic effect. Systemic delivery of MV-PNP-antiCEA alone had no substantial oncolytic effects, but in combination with the prodrug it was therapeutic, revealing synergistic effects between virus and prodrug. Immunosuppression with cyclophosphamide (CPA) retarded the appearance of MV neutralizing antibodies and enhanced oncolytic efficacy: survival was 100%, with 9 out of 10 animals going into complete remission. This immunocompetent murine model facilitates the testing of therapeutic regimens for clinical trials.
需要一种免疫健全的模型来测试溶瘤麻疹病毒(MV)用于临床试验的治疗方案。为了建立这种模型,构建了一种经过重新靶向设计的MV,它能够进入同基因C57BL/6小鼠体内形成肿瘤的鼠结肠腺癌细胞。由于MV在鼠细胞中的感染效率往往低于在人细胞中的感染效率,因此这种靶向病毒还携带了前药转化酶嘌呤核苷磷酸化酶(PNP),并命名为MV-PNP-抗CEA。我们之前已经表明,在培养细胞中,这种病毒感染可激活前药6-甲基嘌呤-2'-脱氧核糖苷(MeP-dR),从而引起广泛的细胞毒性。当瘤内注射(IT)MV-PNP-抗CEA时,对皮下肿瘤生长的抑制作用微弱,但随后给予前药可增强溶瘤效果。单独全身递送MV-PNP-抗CEA没有显著的溶瘤作用,但与前药联合使用时具有治疗效果,揭示了病毒和前药之间的协同作用。用环磷酰胺(CPA)进行免疫抑制可延缓MV中和抗体的出现并增强溶瘤疗效:生存率为100%,10只动物中有9只完全缓解。这种免疫健全的鼠模型有助于测试用于临床试验的治疗方案。