Li Lei-qing, Shen Fang, Xu Xiao-yan, Zhang Hong, Yang Xiao-feng, Liu Wei-guo
Department of Intensive Care Unit, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China.
ScientificWorldJournal. 2013;2013:951343. doi: 10.1155/2013/951343. Epub 2013 Mar 3.
Although the combination of herpes simplex virus type 1 (HSV-1) thymidine kinase (TK) with ganciclovir (GCV) has been shown as a promising suicide gene treatment strategy for glioma, the almost immunodepressive dose of GCV required for its adequate in vivo efficacy has hampered its further clinical application. Therefore, In order to reduce the GCV dose required, we aim to compare the therapeutic efficacy of HSV1-sr39TK, an HSV1-TK mutant with increased GCV prodrug catalytic activity, with wildtype TK in C6 glioma cells. Accordingly, rat C6 glioma cells were first transfected with pCDNA-TK and pCDNA-sr39TK, respectively, and the gene transfection efficacy was verified by immunocytochemistry and western blot analysis. Then the in vivo sensitivity of these transfected C6-TK and C6-sr39TK cells to GCV was determined by 3-(4,5)-dimethylthiahiazo-(-z-y1)-3,5-di-phenytetrazoliumromide (MTT) colorimetric assay and Hoechst-propidium iodide (PI) staining. Finally, a subcutaneously C6 xenograft tumor model was established in the nude mice to test the in vitro efficacy of TK/GCV gene therapy. Our results showed that, as compared with wildtype TK, HSV1-sr39TK/GCV demonstrated a stronger therapeutic efficacy against C6 glioma both in vitro and in vivo, which, by reducing the required GCV dose, might warrant its future use in the treatment of glioma under clinical setting.
尽管单纯疱疹病毒1型(HSV-1)胸苷激酶(TK)与更昔洛韦(GCV)联合使用已被证明是一种有前景的神经胶质瘤自杀基因治疗策略,但为了获得足够的体内疗效所需的几乎具有免疫抑制作用剂量的GCV阻碍了其进一步的临床应用。因此,为了降低所需的GCV剂量,我们旨在比较HSV1-sr39TK(一种具有增强的GCV前药催化活性的HSV1-TK突变体)与野生型TK在C6神经胶质瘤细胞中的治疗效果。相应地,首先分别用pCDNA-TK和pCDNA-sr39TK转染大鼠C6神经胶质瘤细胞,并通过免疫细胞化学和蛋白质印迹分析验证基因转染效果。然后通过3-(4,5)-二甲基噻唑-(-z-y1)-3,5-二苯基四氮唑溴盐(MTT)比色法和Hoechst-碘化丙啶(PI)染色来确定这些转染的C6-TK和C6-sr39TK细胞对GCV的体内敏感性。最后,在裸鼠中建立皮下C6异种移植肿瘤模型以测试TK/GCV基因治疗的体外疗效。我们的结果表明,与野生型TK相比,HSV1-sr39TK/GCV在体外和体内对C6神经胶质瘤均表现出更强的治疗效果,通过降低所需的GCV剂量,这可能保证其未来在临床环境下用于神经胶质瘤治疗。