Department of Medical Research, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan.
Department of Microbiology and Immunology, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Stem Cells Transl Med. 2024 Aug 16;13(8):738-749. doi: 10.1093/stcltm/szae039.
Oncolytic adenoviruses have emerged as a promising therapeutic approach for cancer therapy. However, systemic delivery of the viruses to metastatic tumors remains a major challenge. Mesenchymal stem cells (MSCs) possess tumor tropism property and can be used as cellular vehicles for delivering oncolytic adenoviruses to tumor sites. Since telomerase activity is found in ~90% of human carcinomas, but undetected in normal adult cells, the human telomerase reverse transcriptase gene (TERT) promoter can be exploited for regulating the replication of oncolytic adenoviruses. Here, we evaluated the antitumor effects of syngeneic murine MSCs loaded with the luciferase-expressing, telomerase-dependent oncolytic adenovirus Ad.GS2 (MSC-Ad.GS2) and Ad.GS2 alone on metastatic MBT-2 bladder tumors. MSCs supported a low degree of Ad.GS2 replication, which could be augmented by coculture with MBT-2 cells or tumor-conditioned medium (TCM), suggesting that viral replication is increased when MSC-Ad.GS2 migrates to tumor sites. MBT-2 cells and TCM enhanced viral replication in Ad.GS2-infected MSCs. SDF-1 is a stem cell homing factor. Our results suggest that the SDF-1/STAT3/TERT signaling axis in MSCs in response to the tumor microenvironment may contribute to the enhanced replication of Ad.GS2 carried by MSCs. Notably, we demonstrate the potent therapeutic efficacy of systemically delivered MSC-Ad.GS2 in pleural disseminated tumor and experimental metastasis models using intrapleural and tail vein injection of MBT-2 cells, respectively. Treatment with MSC-Ad.GS2 significantly reduced tumor growth and prolonged the survival of mice bearing metastatic bladder tumors. Since telomerase is expressed in a broad spectrum of cancers, this therapeutic strategy may be broadly applicable.
溶瘤腺病毒已成为癌症治疗的一种很有前途的治疗方法。然而,将病毒全身递送到转移性肿瘤仍然是一个主要挑战。间充质干细胞(MSCs)具有肿瘤趋向性,可作为将溶瘤腺病毒递送到肿瘤部位的细胞载体。由于端粒酶活性存在于约 90%的人类癌中,但在正常成人细胞中未检测到,因此可以利用人端粒酶逆转录酶基因(TERT)启动子来调节溶瘤腺病毒的复制。在这里,我们评估了负载表达荧光素酶的、依赖端粒酶的溶瘤腺病毒 Ad.GS2(MSC-Ad.GS2)和单独的 Ad.GS2 的同基因鼠 MSCs 对转移性 MBT-2 膀胱肿瘤的抗肿瘤作用。MSCs 支持 Ad.GS2 的低程度复制,当与 MBT-2 细胞或肿瘤条件培养基(TCM)共培养时,这种复制可以增强,这表明当 MSC-Ad.GS2 迁移到肿瘤部位时,病毒复制会增加。MBT-2 细胞和 TCM 增强了感染 Ad.GS2 的 MSC 中的病毒复制。SDF-1 是一种干细胞归巢因子。我们的结果表明,MSCs 中对肿瘤微环境的 SDF-1/STAT3/TERT 信号轴可能有助于增强由 MSCs 携带的 Ad.GS2 的复制。值得注意的是,我们分别通过胸腔内和尾静脉注射 MBT-2 细胞,在胸腔播散性肿瘤和实验性转移模型中证明了系统递送的 MSC-Ad.GS2 的强大治疗效果。用 MSC-Ad.GS2 治疗显著降低了荷有转移性膀胱肿瘤的小鼠的肿瘤生长并延长了其生存时间。由于端粒酶在广泛的癌症中表达,因此这种治疗策略可能具有广泛的适用性。
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