Division of Tumor Virology, Program Infection, Inflammation and Cancer, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 242, Heidelberg 69120, Germany.
Present address: Department of Pediatrics, Karlsruhe Municipal Hospital, Moltkestraße 90, 76133 Karlsruhe, Germany.
Viruses. 2018 Jun 3;10(6):302. doi: 10.3390/v10060302.
About 70% of all Ewing sarcoma (EWS) patients are diagnosed under the age of 20 years. Over the last decades little progress has been made towards finding effective treatment approaches for primarily metastasized or refractory Ewing sarcoma in young patients. Here, in the context of the search for novel therapeutic options, the potential of oncolytic protoparvovirus H-1 (H-1PV) to treat Ewing sarcoma was evaluated, its safety having been proven previously tested in adult cancer patients and its oncolytic efficacy demonstrated on osteosarcoma cell cultures. The effects of viral infection were tested in vitro on four human Ewing sarcoma cell lines. Notably evaluated were effects of the virus on the cell cycle and its replication efficiency. Within 24 h after infection, the synthesis of viral proteins was induced. Efficient H-1PV replication was confirmed in all four Ewing sarcoma cell lines. The cytotoxicity of the virus was determined on the basis of cytopathic effects, cell viability, and cell lysis. These in vitro experiments revealed efficient killing of Ewing sarcoma cells by H-1PV at a multiplicity of infection between 0.1 and 5 plaque forming units (PFU)/cell. In two of the four tested cell lines, significant induction of apoptosis by H-1PV was observed. H-1PV thus meets all the in vitro criteria for a virus to be oncolytic towards Ewing sarcoma. In the first xenograft experiments, however, although an antiproliferative effect of intratumoral H-1PV injection was observed, no significant improvement of animal survival was noted. Future projects aiming to validate parvovirotherapy for the treatment of pediatric Ewing sarcoma should focus on combinatorial treatments and will require the use of patient-derived xenografts and immunocompetent syngeneic animal models.
约 70%的尤因肉瘤(EWS)患者在 20 岁以下被诊断出。在过去的几十年里,对于年轻患者的主要转移性或难治性尤因肉瘤,几乎没有取得进展来寻找有效的治疗方法。在这里,在寻找新的治疗选择的背景下,评估了溶瘤性原细小病毒 H-1(H-1PV)治疗尤因肉瘤的潜力,之前已在成年癌症患者中进行了安全性测试,并且在骨肉瘤细胞培养物中证明了其溶瘤疗效。在体外对四种人尤因肉瘤细胞系测试了病毒感染的影响。特别评估了病毒对细胞周期的影响及其复制效率。感染后 24 小时内,诱导了病毒蛋白的合成。在所有四种尤因肉瘤细胞系中均证实了有效的 H-1PV 复制。根据细胞病变效应、细胞活力和细胞裂解来确定病毒的细胞毒性。这些体外实验表明,H-1PV 在感染复数(MOI)为 0.1 至 5 噬菌斑形成单位(PFU)/细胞时对尤因肉瘤细胞具有高效的杀伤作用。在四种测试细胞系中的两种中,观察到 H-1PV 诱导明显的细胞凋亡。因此,H-1PV 符合作为溶瘤病毒针对尤因肉瘤的所有体外标准。然而,在首例异种移植实验中,尽管观察到肿瘤内注射 H-1PV 的抗增殖作用,但动物存活率没有显著提高。未来旨在验证细小病毒疗法治疗儿科尤因肉瘤的项目应侧重于联合治疗,并将需要使用患者来源的异种移植和免疫活性同基因动物模型。