条件性复制腺病毒作为恶性外周神经鞘瘤的一种治疗方法。

Conditionally replicative adenovirus as a therapy for malignant peripheral nerve sheath tumors.

作者信息

Nikrad Julia A, Galvin Robert T, Sheehy Mackenzie M, Novacek Ethan L, Jacobsen Kari L, Corbière Stanislas M A S, Beckmann Pauline J, Jubenville Tyler A, Yamamoto Masato, Largaespada David A

机构信息

Department of Pediatrics, Medical School, University of Minnesota, 420 Delaware Street SE, Mayo Mail Code 484, Minneapolis, MN 55455, USA.

Department of Surgery, University of Minnesota, 516 Delaware Street SE, Minneapolis, MN 55455, USA.

出版信息

Mol Ther Oncol. 2024 Feb 28;32(2):200783. doi: 10.1016/j.omton.2024.200783. eCollection 2024 Jun 20.

Abstract

Oncolytic adenoviruses (Ads) stand out as a promising strategy for the targeted infection and lysis of tumor cells, with well-established clinical utility across various malignancies. This study delves into the therapeutic potential of oncolytic Ads in the context of neurofibromatosis type 1 (NF1)-associated malignant peripheral nerve sheath tumors (MPNSTs). Specifically, we evaluate conditionally replicative adenoviruses (CRAds) driven by the cyclooxygenase 2 (COX2) promoter, as selective agents against MPNSTs, demonstrating their preferential targeting of MPNST cells compared with non-malignant Schwann cell control. COX2-driven CRAds, particularly those with modified fiber-knobs exhibit superior binding affinity toward MPNST cells and demonstrate efficient and preferential replication and lysis of MPNST cells, with minimal impact on non-malignant control cells. experiments involving intratumoral CRAd injections in immunocompromised mice with human MPNST xenografts significantly extend survival and reduce tumor growth rate compared with controls. Moreover, in immunocompetent mouse models with MPNST-like allografts, CRAd injections induce a robust infiltration of CD8+ T cells into the tumor microenvironment (TME), indicating the potential to promote a pro-inflammatory response. These findings underscore oncolytic Ads as promising, selective, and minimally toxic agents for MPNST therapy, warranting further exploration.

摘要

溶瘤腺病毒作为一种有前景的策略,可用于肿瘤细胞的靶向感染和裂解,在各种恶性肿瘤中具有成熟的临床应用价值。本研究深入探讨了溶瘤腺病毒在1型神经纤维瘤病(NF1)相关恶性外周神经鞘瘤(MPNST)中的治疗潜力。具体而言,我们评估了由环氧合酶2(COX2)启动子驱动的条件性复制腺病毒(CRAds),作为针对MPNST的选择性药物,证明它们与非恶性雪旺细胞对照相比,对MPNST细胞具有优先靶向性。COX2驱动的CRAds,特别是那些具有修饰纤维旋钮的CRAds,对MPNST细胞表现出更高的结合亲和力,并证明对MPNST细胞具有高效且优先的复制和裂解能力,对非恶性对照细胞的影响最小。在免疫缺陷小鼠中用人MPNST异种移植瘤进行瘤内CRAd注射的实验表明,与对照组相比,可显著延长生存期并降低肿瘤生长速率。此外,在具有MPNST样同种异体移植的免疫活性小鼠模型中,CRAd注射可诱导CD8 + T细胞大量浸润到肿瘤微环境(TME)中,表明具有促进促炎反应的潜力。这些发现强调了溶瘤腺病毒作为MPNST治疗中有前景、选择性且毒性最小的药物,值得进一步探索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6509/10959710/fc9b557990f9/fx1.jpg

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