Unidad de Biotecnología Celular, ISCIII, Madrid, Spain.
Veterinary Hospital, Alfonso X University, Madrid, Spain.
Cancer Res. 2018 Sep 1;78(17):4891-4901. doi: 10.1158/0008-5472.CAN-17-3754. Epub 2018 Jul 10.
Dogs with spontaneous tumors treated in veterinary hospitals offer an excellent opportunity for studying immunotherapies, including oncolytic viruses. Oncolytic viruses have advanced into the clinic as an intratumorally administered therapeutic; however, intravenous delivery has been hindered by neutralization in the blood. To circumvent this hurdle, mesenchymal stem cells have been used as a "Trojan horse." Here, we present the treatment of 27 canine patients with cancer with canine mesenchymal stem cells infected with ICOCAV17, a canine oncolytic adenovirus. No significant adverse effects were found. The response rate was 74%, with 14.8% showing complete responses, including total remissions of lung metastasis. We detected virus infection, stromal degeneration, and immune cell infiltration in tumor biopsies after 4 weeks of treatment. The increased presence of antiadenoviral antibodies in the peripheral blood of treated dogs did not appear to prevent the clinical benefit of this therapy. These data indicate that oncolytic viruses loaded in mesenchymal stem cells represent an effective cancer immunotherapy. The classical clinical limitations of antitumoral viroimmunotherapy can be overcome by use of mesenchymal stem cells. http://cancerres.aacrjournals.org/content/canres/78/17/4891/F1.large.jpg .
在兽医医院接受治疗的自发性肿瘤犬为研究免疫疗法,包括溶瘤病毒提供了极好的机会。溶瘤病毒已作为一种瘤内给予的治疗方法进入临床;然而,静脉内给药由于血液中的中和作用而受到阻碍。为了克服这一障碍,间充质干细胞已被用作“特洛伊木马”。在这里,我们用 ICOCAV17(一种犬溶瘤腺病毒)感染犬间充质干细胞,治疗了 27 例癌症犬患者。未发现明显的不良反应。应答率为 74%,14.8%的患者完全缓解,包括肺转移的完全消退。在治疗 4 周后,我们在肿瘤活检中检测到病毒感染、基质退化和免疫细胞浸润。治疗犬外周血中抗腺病毒抗体的增加似乎并未阻止这种治疗的临床获益。这些数据表明,负载在间充质干细胞中的溶瘤病毒代表了一种有效的癌症免疫疗法。使用间充质干细胞可以克服抗肿瘤病毒免疫疗法的经典临床局限性。http://cancerres.aacrjournals.org/content/canres/78/17/4891/F1.large.jpg 。