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经重定向的溶瘤单纯疱疹病毒免疫病毒疗法根除神经胶质瘤的临床前模型研究。

Eradication of glioblastoma by immuno-virotherapy with a retargeted oncolytic HSV in a preclinical model.

机构信息

Department of Experimental Medicine, University of Genoa, Genoa, Italy.

Department of Pharmacy and Biotechnology, University of Bologna, Bologna, Italy.

出版信息

Oncogene. 2019 Jun;38(23):4467-4479. doi: 10.1038/s41388-019-0737-2. Epub 2019 Feb 12.

Abstract

Oncolytic herpes simplex viruses are proving to be effective in clinical trials against a number of cancers. Here, R-115, an oncolytic herpes simplex virus retargeted to human erbB-2, fully virulent in its target cells, and armed with murine interleukin-12 was evaluated in a murine model of glioblastoma. We show that a single R-115 injection in established tumors resulted, in about 30% of animals, in the complete eradication of the tumor, otherwise invariably lethal. The treatment also induced a significant improvement in the overall median survival time of mice and a resistance to recurrence from the same neoplasia. Such a high degree of protection was unprecedented; it was not observed before following treatments with the commonly used, mutated/attenuated oncolytic viruses. This is the first study providing the evidence of benefits offered by a fully virulent, retargeted, and armed herpes simplex virus in the treatment of glioblastoma and paves the way for clinical translation.

摘要

溶瘤单纯疱疹病毒在针对多种癌症的临床试验中已被证明是有效的。在这里,R-115 是一种针对人类 erbB-2 的溶瘤单纯疱疹病毒,在其靶细胞中完全具有毒力,并携带小鼠白细胞介素-12,在胶质母细胞瘤的小鼠模型中进行了评估。我们发现,在已建立的肿瘤中单次注射 R-115,约有 30%的动物完全消除了肿瘤,否则肿瘤总是致命的。该治疗还显著提高了小鼠的总体中位生存时间,并对同一肿瘤的复发具有抵抗力。这种高度的保护是前所未有的;在使用常用的突变/减毒溶瘤病毒进行治疗之前,从未观察到这种情况。这是第一项提供充分毒力、靶向和武装单纯疱疹病毒在治疗胶质母细胞瘤方面优势证据的研究,为临床转化铺平了道路。

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