Jiang Shan, Chai Hui-Hui, Fang Xian-Long, Xu Hou-Shi, Li Tian-Wen, Tang Qi-Sheng, Gu Jin-Fa, Zhang Kang-Jian, Liu Xin-Yuan, Shi Zhi-Feng, Cao Xue-Ping, Wu Zan-Yi, Zhou Liang-Fu
National Center for Neurological Disorders, Shanghai, China.
Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Neurooncol Adv. 2023 Sep 28;5(1):vdad117. doi: 10.1093/noajnl/vdad117. eCollection 2023 Jan-Dec.
The development of new therapies for malignant gliomas has been stagnant for decades. Through the promising outcomes in clinical trials of oncolytic virotherapy, there is now a glimmer of hope in addressing this situation. To further enhance the antitumor immune response of oncolytic viruses, we have equipped a modified oncolytic adenovirus (oAds) with a recombinant interferon-like gene (YSCH-01) and conducted a comprehensive evaluation of the safety and efficacy of this modification compared to existing treatments.
To assess the safety of YSCH-01, we administered the oAds intracranially to Syrian hamsters, which are susceptible to adenovirus. The efficacy of YSCH-01 in targeting glioma was evaluated through in vitro and in vivo experiments utilizing various human glioma cell lines. Furthermore, we employed a patient-derived xenograft model of recurrent glioblastoma to test the effectiveness of YSCH-01 against temozolomide.
By modifying the E1A and adding survivin promoter, the oAds have demonstrated remarkable safety and an impressive ability to selectively target tumor cells. In animal models, YSCH-01 exhibited potent therapeutic efficacy, particularly in terms of its distant effects. Additionally, YSCH-01 remains effective in inhibiting the recurrent GBM patient-derived xenograft model.
Our initial findings confirm that a double-modified oncolytic adenovirus armed with a recombinant interferon-like gene is both safe and effective in the treatment of malignant glioma. Furthermore, when utilized in combination with a targeted therapy gene strategy, these oAds exhibit a more profound effect in tumor therapy and an enhanced ability to inhibit tumor growth at remote sites.
几十年来,恶性胶质瘤新疗法的发展一直停滞不前。溶瘤病毒疗法的临床试验取得了令人鼓舞的成果,为解决这一状况带来了一线希望。为了进一步增强溶瘤病毒的抗肿瘤免疫反应,我们为一种改良的溶瘤腺病毒(oAds)配备了一种重组干扰素样基因(YSCH-01),并与现有治疗方法相比,对这种改良的安全性和有效性进行了全面评估。
为了评估YSCH-01的安全性,我们将oAds颅内注射给易感染腺病毒的叙利亚仓鼠。通过利用各种人类胶质瘤细胞系进行体外和体内实验,评估了YSCH-01靶向胶质瘤的疗效。此外,我们采用复发性胶质母细胞瘤患者来源的异种移植模型来测试YSCH-01对替莫唑胺的有效性。
通过修饰E1A并添加生存素启动子,oAds已显示出卓越的安全性和令人印象深刻的选择性靶向肿瘤细胞的能力。在动物模型中,YSCH-01表现出强大的治疗效果,特别是在其远距离效应方面。此外,YSCH-01在抑制复发性胶质母细胞瘤患者来源的异种移植模型方面仍然有效。
我们的初步研究结果证实,携带重组干扰素样基因的双重修饰溶瘤腺病毒在治疗恶性胶质瘤方面既安全又有效。此外,当与靶向治疗基因策略联合使用时,这些oAds在肿瘤治疗中表现出更显著的效果,并增强了抑制远处肿瘤生长的能力。