Double suicide gene therapy augments the antitumor activity of a replication-competent lytic adenovirus through enhanced cytotoxicity and radiosensitization

Replication-competent adenoviruses may provide a highly efficient means of delivering therapeutic genes to tumors. Previously, we evaluated in vitro a replication-competent adenovirus (Ad5-CD/TKrep) containing a cytosine deaminase (CD)/herpes simplex type 1 thymidine kinase (HSV-1 TK) fusion gene th...

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Veröffentlicht in:Human gene therapy 2000, Vol.11 (1), p.67-76
Hauptverfasser: ROGULSKI, K. R, WING, M. S, PAIELLI, D. L, GILBERT, J. D, JAE HO KIM, FREYTAG, S. O
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container_issue 1
container_start_page 67
container_title Human gene therapy
container_volume 11
creator ROGULSKI, K. R
WING, M. S
PAIELLI, D. L
GILBERT, J. D
JAE HO KIM
FREYTAG, S. O
description Replication-competent adenoviruses may provide a highly efficient means of delivering therapeutic genes to tumors. Previously, we evaluated in vitro a replication-competent adenovirus (Ad5-CD/TKrep) containing a cytosine deaminase (CD)/herpes simplex type 1 thymidine kinase (HSV-1 TK) fusion gene that allows lytic viral therapy to be combined with double suicide gene therapy. Both the CD/5-FC and HSV-1 TK/GCV enzyme/prodrug systems enhanced the tumor cell-specific cytopathic effects of the Ad5-CD/TKrep virus in vitro and sensitized cells to radiation. To extend these in vitro findings in vivo, we evaluated the antitumor activity of the Ad5-CD/TKrep virus in combination with double prodrug therapy and radiation therapy. The Ad5-CD/TKrep virus independently demonstrated significant antitumor activity against C33A cervical carcinoma xenografts. Therapeutic outcome was dramatically improved with systemic administration of double, but not single, prodrug (5-FC + GCV) therapy. When used in a neoadjuvant setting, Ad5-CD/TKrep-mediated double suicide gene therapy dramatically potentiated the effectiveness of radiation therapy. The trimodal approach of Ad5-CD/TKrep viral, double suicide gene, and radiotherapies produced significant tumor regression and ultimately 100% tumor cure. The results demonstrate the high therapeutic potential of the trimodal approach and provide a solid foundation for future clinical trials.
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subjects Adenoviridae - enzymology
Adenoviridae - genetics
Adenoviridae - physiology
Adenovirus
Animals
Artificial Gene Fusion
Biological and medical sciences
Biotechnology
Cell Survival
Combined Modality Therapy
Cytosine Deaminase
Female
Fundamental and applied biological sciences. Psychology
Gene therapy
Genetic Therapy
Genetic Vectors
Health. Pharmaceutical industry
herpes simplex 1
Herpesvirus 1, Human - enzymology
Industrial applications and implications. Economical aspects
Injections, Intralesional
Mice
Mice, Nude
Neoplasm Transplantation
Neoplasms, Experimental - radiotherapy
Neoplasms, Experimental - therapy
Nucleoside Deaminases - genetics
Radiation Tolerance
Thymidine Kinase - genetics
Virus Replication
title Double suicide gene therapy augments the antitumor activity of a replication-competent lytic adenovirus through enhanced cytotoxicity and radiosensitization
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