Wu Zhiwen, Ichinose Toru, Naoe Yoshinori, Matsumura Shigeru, Villalobos Itzel Bustos, Eissa Ibrahim Ragab, Yamada Suguru, Miyajima Noriyuki, Morimoto Daishi, Mukoyama Nobuaki, Nishikawa Yoko, Koide Yusuke, Kodera Yasuhiro, Tanaka Maki, Kasuya Hideki
Department of Surgery II, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Aichi, Japan.
Cancer Immune Therapy Research Center, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Aichi, Japan.
Mol Ther Oncolytics. 2019 May 13;13:107-115. doi: 10.1016/j.omto.2019.04.004. eCollection 2019 Jun 28.
The naturally occurring oncolytic herpes simplex virus canerpaturev (C-REV), formerly HF10, proved its therapeutic efficacy and safety in multiple clinical trials against melanoma, pancreatic, breast, and head and neck cancers. Meanwhile, patients with colorectal cancer, which has increased in prevalence in recent decades, continue to have poor prognosis and morbidity. Combination therapy has better response rates than monotherapy. Hence, we investigated the antitumor efficacy of cetuximab, a widely used anti-epidermal growth factor receptor (EGFR) monoclonal antibody, and C-REV, either alone or in combination, and in an human colorectal xenograft model. In human colorectal cancer cell lines with different levels of EGFR expression (HT-29, WiDr, and CW2), C-REV exhibited cytotoxic effects in a time- and dose-dependent manner, irrespective of EGFR expression. Moreover, cetuximab had no effect on viral replication . Combining cetuximab and C-REV induced a synergistic antitumor effect in HT-29 tumor xenograft models by promoting the distribution of C-REV throughout the tumor and suppressing angiogenesis. Application of cetuximab prior to C-REV yielded better tumor regression than administration of the drug after the virus. Thus, cetuximab represents an ideal virus-associated agent for antitumor therapy, and combination therapy represents a promising antitumor strategy for human colorectal cancer.
天然存在的溶瘤单纯疱疹病毒卡纳培妥病毒(C-REV),原名HF10,在针对黑色素瘤、胰腺癌、乳腺癌和头颈癌的多项临床试验中证明了其治疗效果和安全性。与此同时,近几十年来发病率不断上升的结直肠癌患者的预后和发病率仍然很差。联合治疗的有效率比单一疗法更高。因此,我们在人结直肠癌异种移植模型中研究了广泛使用的抗表皮生长因子受体(EGFR)单克隆抗体西妥昔单抗和C-REV单独或联合使用的抗肿瘤疗效。在具有不同EGFR表达水平的人结直肠癌细胞系(HT-29、WiDr和CW2)中,C-REV呈现出时间和剂量依赖性的细胞毒性作用,与EGFR表达无关。此外,西妥昔单抗对病毒复制没有影响。在HT-29肿瘤异种移植模型中,联合使用西妥昔单抗和C-REV通过促进C-REV在整个肿瘤中的分布并抑制血管生成,诱导了协同抗肿瘤作用。在C-REV之前应用西妥昔单抗比在病毒给药后应用该药物产生更好的肿瘤消退效果。因此,西妥昔单抗是一种理想的抗肿瘤治疗病毒相关药物,联合治疗是一种有前景的人结直肠癌抗肿瘤策略。
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