Lyons R M, Forry-Schaudies S, Otto E, Wey C, Patil-Koota V, Kaloss M, McGarrity G J, Chiang Y L
Genetic Therapy, Inc, Gaithersburg, Maryland 20878, USA.
Cancer Gene Ther. 1995 Dec;2(4):273-80.
Brain tumors have been treated clinically by intratumoral injection of cells that produce retroviral vectors encoding the herpes simplex virus thymidine kinase (HSV-TK) gene followed by systemic administration of the antiviral drug ganciclovir. In vitro and in vivo comparisons of two different HSV-TK vector producer clones, which were made using standard transfection and transinfection techniques, were conducted. The two clones, PA317/G1TkSvNa.53 (TK.53) and PA317/G1Tk1SvNa.7 (TK1.7), both used in clinical trials, differ with respect to sequences 3' to the HSV-TK stop codon. The retroviral construct used to generate the TK.53 vector producer cell clone contains an open reading frame encoding a portion of the herpes simplex virus glycoprotein H (gH), a potential polyadenylation site and a putative splice site in this region. These sequences were removed from the retroviral construct used to create the TK1.7 vector producer cell clone. Supernatants obtained from TK1.7 vector producer cells had 100- to 1000-fold higher titers (G418 or HAT) than did corresponding supernatants from TK.53 vector producer cells. A murine subcutaneous tumor model was used to assess transduction efficiency and antitumor activity of each vector producer cell clone. In vivo tumor cell transduction was 13- to 18-fold more efficient with TK1.7 cells as compared with TK.53 cells at equivalent doses. Complete tumor ablation was achieved using a 10-fold lower dose of TK1.7 cells as compared with TK.53 cells. These results suggest that TK1.7 cells combined with ganciclovir may provide a more potent antitumor response in humans.
临床上,脑肿瘤的治疗方法是向肿瘤内注射产生编码单纯疱疹病毒胸苷激酶(HSV-TK)基因的逆转录病毒载体的细胞,随后全身给予抗病毒药物更昔洛韦。使用标准转染和转导技术对两个不同的HSV-TK载体产生克隆进行了体外和体内比较。这两个克隆,PA317/G1TkSvNa.53(TK.53)和PA317/G1Tk1SvNa.7(TK1.7),都用于临床试验,在HSV-TK终止密码子下游的序列方面存在差异。用于产生TK.53载体产生细胞克隆的逆转录病毒构建体包含一个开放阅读框,编码单纯疱疹病毒糖蛋白H(gH)的一部分、一个潜在的聚腺苷酸化位点和该区域的一个假定剪接位点。这些序列从用于创建TK1.7载体产生细胞克隆的逆转录病毒构建体中去除。从TK1.7载体产生细胞获得的上清液的滴度(G418或HAT)比来自TK.53载体产生细胞的相应上清液高100至1000倍。使用小鼠皮下肿瘤模型评估每个载体产生细胞克隆的转导效率和抗肿瘤活性。在等效剂量下,与TK.53细胞相比,TK1.7细胞的体内肿瘤细胞转导效率高13至18倍。与TK.53细胞相比,使用低10倍剂量的TK1.7细胞即可实现完全肿瘤消融。这些结果表明,TK1.7细胞与更昔洛韦联合使用可能在人类中提供更有效的抗肿瘤反应。