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在侵袭性胶质母细胞瘤模型中,放疗联合溶瘤痘苗病毒可提供显著的抗肿瘤疗效并诱导免疫保护。

Radiation combined with oncolytic vaccinia virus provides pronounced antitumor efficacy and induces immune protection in an aggressive glioblastoma model.

作者信息

Storozynsky Quinn T, Agopsowicz Kate C, Noyce Ryan S, Bukhari Amirali B, Han Xuefei, Snyder Natalie, Umer Brittany A, Gamper Armin M, Godbout Roseline, Evans David H, Hitt Mary M

机构信息

Department of Oncology, University of Alberta, Edmonton, AB, Canada; Li Ka Shing Institute of Virology, University of Alberta, Edmonton, AB, Canada; Cancer Research Institute of Northern Alberta (CRINA), University of Alberta, Edmonton, AB, Canada.

Department of Oncology, University of Alberta, Edmonton, AB, Canada.

出版信息

Cancer Lett. 2023 May 28;562:216169. doi: 10.1016/j.canlet.2023.216169. Epub 2023 Apr 14.

Abstract

Glioblastoma (GB) is a malignant and immune-suppressed brain cancer that remains incurable despite the current standard of care. Radiotherapy is a mainstay of GB treatment, however invasive cancer cells outside the irradiated field and radioresistance preclude complete eradication of GB cells. Oncolytic virus therapy harnesses tumor-selective viruses to spread through and destroy tumors while stimulating antitumor immune responses, and thus has potential for use following radiotherapy. We demonstrate that oncolytic ΔF4LΔJ2R vaccinia virus (VACV) replicates in and induces cytotoxicity of irradiated brain tumor initiating cells in vitro. Importantly, a single 10 Gy dose of radiation combined with ΔF4LΔJ2R VACV produced considerably superior anticancer effects relative to either monotherapy when treating immune-competent orthotopic CT2A-luc mouse models-significantly extending survival and curing the majority of mice. Mice cured by the combination displayed significantly increased survival relative to naïve age-matched controls following intracranial tumor challenge, with some complete rejections. Further, the combination therapy was associated with an increased ratio of CD8 effector T cells to regulatory T cells compared to either monotherapy. This study validates the use of radiation with an oncolytic ΔF4LΔJ2R VACV to improve treatment of this malignant brain cancer.

摘要

胶质母细胞瘤(GB)是一种恶性且具有免疫抑制性的脑癌,尽管有当前的标准治疗方法,但仍然无法治愈。放射治疗是GB治疗的主要手段,然而,照射区域外的侵袭性癌细胞和放射抗性使得无法完全根除GB细胞。溶瘤病毒疗法利用肿瘤选择性病毒在扩散并破坏肿瘤的同时刺激抗肿瘤免疫反应,因此在放射治疗后具有应用潜力。我们证明,溶瘤性ΔF4LΔJ2R痘苗病毒(VACV)在体外可在受照射的脑肿瘤起始细胞中复制并诱导其细胞毒性。重要的是,在治疗具有免疫活性的原位CT2A-luc小鼠模型时,单次10 Gy剂量的辐射与ΔF4LΔJ2R VACV联合使用产生的抗癌效果明显优于单一疗法,显著延长了生存期并治愈了大多数小鼠。联合治疗治愈的小鼠在颅内肿瘤攻击后相对于未处理的年龄匹配对照显示出显著延长的生存期,有些实现了完全排斥。此外,与单一疗法相比,联合治疗与CD8效应T细胞与调节性T细胞的比例增加有关。这项研究验证了使用放射治疗与溶瘤性ΔF4LΔJ2R VACV联合使用可改善这种恶性脑癌的治疗效果。

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