Department of Neurosurgery, Brain Tumor Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA.
Stem Cells Transl Med. 2012 Apr;1(4):322-32. doi: 10.5966/sctm.2011-0035. Epub 2012 Mar 21.
Glioblastoma (GBM), a fatal malignant brain tumor, contains abundant hypoxic regions that provide a "niche" to promote both the maintenance and enrichment of glioblastoma stem-like cells (GSCs) and confer resistance to chemo- and radiotherapy. Since GSCs, with an ability to resist conventional therapies, may be responsible for tumor recurrence, targeting GSCs located in such a hypoxic environment may be critical to improving the therapeutic outcome for GBM patients. Oncolytic viral therapies have been tested in the clinic as a promising therapeutic approach for GBM. In this study, we analyzed and compared the therapeutic effects of oncolytic herpes simplex virus (oHSV) type 1 G47Δ (γ34.5(-)ICP6(-)LacZ(+)α47(-)) in patient-derived GSCs under normoxia (21% oxygen) and hypoxia (1% oxygen). GSCs cultured in hypoxia showed an increased ability to form neurospheres and expressed higher levels of the putative stem cell marker CD133 compared with GSCs cultured in normoxia. G47Δ exhibited a comparable ability to infect, replicate, and kill GSCs in normoxia and hypoxia in vitro. Importantly, G47Δ could counteract hypoxia-mediated enhancement of the stem-like properties of GSCs, inhibiting their self-renewal and stem cell marker expression. Using orthotopic human GSC xenografts in mice, we demonstrated that intratumoral injection of G47ΔUs11fluc, a newly developed G47Δ derivative that expresses firefly luciferase driven by a true late viral promoter, led to an equivalent frequency of viral infection and replication in hypoxic and nonhypoxic tumor areas. These findings suggest that oHSV G47Δ represents a promising therapeutic strategy to target and kill GSCs, not only in normoxic areas of GBM but also within the hypoxic niche.
胶质母细胞瘤(GBM)是一种致命的恶性脑肿瘤,富含缺氧区域,为促进胶质母细胞瘤干细胞样细胞(GSCs)的维持和富集提供了“龛位”,并赋予其对化疗和放疗的抗性。由于具有抵抗常规疗法的能力,GSCs 可能是肿瘤复发的原因,因此靶向位于这种缺氧环境中的 GSCs 可能对改善 GBM 患者的治疗效果至关重要。溶瘤病毒疗法已在临床上作为治疗 GBM 的一种有前途的治疗方法进行了测试。在这项研究中,我们在常氧(21%氧气)和缺氧(1%氧气)条件下分析和比较了溶瘤单纯疱疹病毒 1 型 G47Δ(γ34.5(-)ICP6(-)LacZ(+)α47(-))对患者来源的 GSCs 的治疗效果。与在常氧条件下培养的 GSCs 相比,在缺氧条件下培养的 GSCs 形成神经球的能力增强,并且表达更高水平的假定干细胞标记物 CD133。G47Δ 在体外对 GSCs 的感染、复制和杀伤能力在常氧和缺氧条件下相当。重要的是,G47Δ 可以对抗缺氧对 GSCs 干性特性的增强作用,抑制其自我更新和干细胞标记物的表达。在小鼠的原位人 GSC 异种移植模型中,我们证明了 G47ΔUs11fluc(一种新开发的 G47Δ 衍生物,表达由真实晚期病毒启动子驱动的萤火虫荧光素酶)的瘤内注射导致在缺氧和非缺氧肿瘤区域中病毒感染和复制的频率相等。这些发现表明,溶瘤单纯疱疹病毒 1 型 G47Δ 代表了一种有前途的治疗策略,不仅可以靶向和杀死 GBM 中的常氧区域,还可以靶向和杀死缺氧龛位中的 GSCs。
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