Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA.
Gene Ther. 2009 Jun;16(6):796-804. doi: 10.1038/gt.2009.14. Epub 2009 Feb 26.
Despite the advances in cancer therapies in the past century, malignant melanoma continues to present a significant clinical challenge due to lack of chemotherapeutic response. Systemic therapy with immunostimulatory agents such as interferon and interleukin-2 (IL-2) has shown some promise, though each is associated with significant side effects. Over the past 50 years, oncolytic Newcastle disease virus (NDV) has emerged as an alternative candidate for cancer therapy. The establishment of reverse-genetics systems for the virus has allowed us to further manipulate the virus to enhance its oncolytic activity. Introduction of immunomodulatory molecules, especially IL-2, into the NDV genome was shown to enhance the oncolytic potential of the virus in a murine syngeneic colon carcinoma model. We hypothesize that a recombinant NDV expressing IL-2 would be an effective agent for therapy of malignant melanoma. We show that recombinant NDV possesses a strong cytolytic activity against multiple melanoma cell lines, and is effective in clearing established syngeneic melanoma tumors in mice. Moreover, introduction of murine IL-2 into NDV significantly enhanced its activity against syngeneic melanomas, resulting in increased overall animal survival and generation of antitumor immunity. These findings warrant further investigations of IL-2-expressing NDV as an antimelanoma agent in humans.
尽管在过去的一个世纪中癌症治疗取得了进展,但由于缺乏化疗反应,恶性黑色素瘤仍然是一个重大的临床挑战。免疫刺激剂如干扰素和白细胞介素-2(IL-2)的系统治疗显示出了一些希望,但每种治疗方法都伴随着明显的副作用。在过去的 50 年中,溶瘤性纽卡斯尔病病毒(NDV)已成为癌症治疗的另一种候选药物。该病毒反向遗传学系统的建立使我们能够进一步操纵病毒以增强其溶瘤活性。将免疫调节分子,特别是 IL-2,引入 NDV 基因组已被证明可以增强病毒在小鼠同源结肠癌细胞模型中的溶瘤潜力。我们假设表达 IL-2 的重组 NDV 将是治疗恶性黑色素瘤的有效药物。我们发现重组 NDV 对多种黑色素瘤细胞系具有很强的细胞溶解活性,并且能够有效清除小鼠中的同源性黑色素瘤肿瘤。此外,将鼠 IL-2 引入 NDV 中显著增强了其对同源性黑色素瘤的活性,从而提高了动物的总体存活率并产生了抗肿瘤免疫力。这些发现证明了表达 IL-2 的 NDV 作为人类抗黑色素瘤药物的进一步研究是合理的。