Department of Obstetrics and Gynecology, School of Medicine, Ehime University , Shitsukawa, Toon, Ehime Japan.
Division of Infectious Disease Control, International Center for Medical Research and Treatment, Faculty of Medicine, Kobe University Graduate School of Medicine , Kusunoki, Chuo-ku, Kobe, Hyogo, Japan.
Mol Ther Methods Clin Dev. 2014 May 28;1:14019. doi: 10.1038/mtm.2014.19. eCollection 2014.
The use of carrier cells infected with oncolytic viruses in cancer gene therapy is an attractive method because it can overcome viral immunogenicity and induce tumor immunity and significant antitumor activity. To enable human clinical trials of this treatment, acute and chronic toxicity tests must first be performed to ensure safety. IAI.3B promoter, oncolytic adenovirus AdE3-IAI.3B introduced by IAI.3B promoter, and A549 carrier cells infected with AdE3-IAI.3B were highly active in cancer cells but not in normal cells. Freeze-thawing increased the antitumor effect of A549 carrier cells by promoting the translocation of oncolytic adenovirus particles from the nucleus to the cytoplasm following the rupture of the nuclear membranes. No deaths or abnormal blood test data resulted from acute toxicity tests conducted in nude mice after a single dose. In chronic toxicity tests in rabbits, there were no serious side effects after eight doses of 1.25 × 10(7) cells/kg or less for 4 weeks; a significant immune response is known to elicit increased numbers of antiadenovirus antibodies and enlarge the spleen. From these results, it could be concluded that cancer gene therapy of recurrent solid tumors using carrier cells can be safely trialed in humans.
利用携带感染溶瘤病毒的载体细胞进行癌症基因治疗是一种很有吸引力的方法,因为它可以克服病毒的免疫原性,诱导肿瘤免疫和显著的抗肿瘤活性。为了能够在人体上进行这种治疗的临床试验,必须首先进行急性和慢性毒性测试,以确保安全性。IAI.3B 启动子、IAI.3B 启动子引入的溶瘤腺病毒 AdE3-IAI.3B 以及感染 AdE3-IAI.3B 的 A549 载体细胞在癌细胞中非常活跃,但在正常细胞中不活跃。冻融通过促进溶瘤腺病毒颗粒从核到细胞质的易位,增加了 A549 载体细胞的抗肿瘤作用,因为核膜破裂。在单次给药后,裸鼠进行的急性毒性试验没有导致死亡或异常的血液测试数据。在兔子的慢性毒性试验中,连续 4 周给予 1.25×10(7)个细胞/公斤或更少的 8 个剂量没有严重的副作用;已知这种免疫反应会引起抗腺病毒抗体数量的增加,并使脾脏增大。从这些结果可以得出结论,使用载体细胞进行复发性实体瘤的癌症基因治疗可以安全地在人体上进行试验。