Lund Stem Cell Center, Lund University, Lund, Sweden.
Mol Ther. 2010 Jun;18(6):1067-75. doi: 10.1038/mt.2010.58. Epub 2010 Apr 20.
Gene therapy of solid cancers has been severely restricted by the limited distribution of vectors within tumors. However, cellular vectors have emerged as an effective migratory system for gene delivery to invasive cancers. Implanted and injected multipotent mesenchymal stromal cells (MSCs) have shown tropism for several types of primary tumors and metastases. This capacity of MSCs forms the basis for their use as a gene vector system in neoplasms. Here, we review the tumor-directed migratory potential of MSCs, mechanisms of the migration, and the choice of therapeutic transgenes, with a focus on malignant gliomas as a model system for invasive and highly vascularized tumors. We examine recent findings demonstrating that MSCs share many characteristics with pericytes and that implanted MSCs localize primarily to perivascular niches within tumors, which might have therapeutic implications. The use of MSC vectors in cancer gene therapy raises concerns, however, including a possible MSC contribution to tumor stroma and vasculature, MSC-mediated antitumor immune suppression, and the potential malignant transformation of cultured MSCs. Nonetheless, we highlight the novel prospects of MSC-based tumor therapy, which appears to be a promising approach.
实体瘤的基因治疗受到载体在肿瘤内分布有限的严重限制。然而,细胞载体已成为将基因递送至侵袭性癌症的有效迁移系统。植入和注射的多能间充质基质细胞(MSC)对几种原发性肿瘤和转移瘤具有趋化性。MSC 的这种能力为其在肿瘤中作为基因载体系统的应用奠定了基础。在这里,我们回顾了 MSCs 的肿瘤定向迁移潜力、迁移机制以及治疗性转基因的选择,重点关注恶性神经胶质瘤作为侵袭性和高度血管化肿瘤的模型系统。我们研究了最近的发现,表明 MSC 与周细胞具有许多共同特征,并且植入的 MSC 主要定位于肿瘤内的血管周龛,这可能具有治疗意义。然而,MSC 载体在癌症基因治疗中的应用引起了人们的关注,包括 MSC 可能对肿瘤基质和血管的贡献、MSC 介导的抗肿瘤免疫抑制以及培养 MSC 的潜在恶性转化。尽管如此,我们强调了基于 MSC 的肿瘤治疗的新前景,这似乎是一种很有前途的方法。
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