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Regulation of herpes simplex virus 1 replication using tumor-associated promoters

John T Mullen1, Hideki Kasuya, Sam S Yoon

  • 1Division of Surgical Oncology, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA.

Annals of Surgery
|October 9, 2002
PubMed
Abstract

Insights

This study engineered herpes simplex virus-1 (HSV-1) to replicate specifically in cancer cells using tumor-associated antigen promoters. This targeted replication strategy shows promise for novel cancer therapies by enhancing oncolytic virus efficacy.

Area of Science:

  • Oncolytic virotherapy
  • Molecular oncology
  • Viral gene therapy

Background:

  • Replicating viruses offer a dual cancer treatment approach: direct tumor cell lysis and infection of adjacent cancer cells.
  • Effective oncolytic virotherapy necessitates viral replication targeted to neoplastic cells while sparing healthy tissues.

Purpose of the Study:

  • To engineer herpes simplex virus-1 (HSV-1) for preferential replication in tumor cells overexpressing specific tumor-associated antigens.
  • To utilize transcriptional regulatory elements (promoters) from tumor-associated antigens to control HSV-1 gene expression and viral replication.

Main Methods:

  • Characterized and cloned promoters for human carcinoembryonic antigen (CEA) and MUC1/DF3 tumor-associated antigens.
  • Engineered HSV-1 mutants where viral genes (ICP4, gamma(1) 34.5) are regulated by these tumor-specific promoters.
  • Assessed viral replication, tumor cell cytotoxicity in vitro, and antineoplastic efficacy in a pancreatic carcinoma xenograft model.

Main Results:

  • CEA and MUC1/DF3 promoters were cloned and characterized; MUC1/DF3 promoter regulated gamma(1) 34.5 expression in an HSV-1 mutant.
  • HSV-1 mutants exhibited modulated replication, with preferential replication in cells overexpressing the corresponding tumor-associated antigen.
  • An HSV-1 mutant utilizing the MUC1/DF3 promoter demonstrated significant antineoplastic activity in MUC1-positive pancreatic xenografts.

Conclusions:

  • Tumor-associated antigen promoters can be integrated into the HSV-1 genome to control viral replication for cancer therapy.
  • The selection of the HSV-1 gene and the tumor-associated promoter are critical for therapeutic success.
  • An HSV-1 mutant regulated by the MUC1/DF3 promoter warrants further investigation as a novel oncolytic agent due to its tumor-specific replication.

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