Reduction of liver metastasis of intraocular melanoma by interferon-beta gene transfer

Hassan Alizadeh1, Kevin Howard, Jessee Mellon

  • 1Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9057, USA.

Abstract

Insights

Adenovirus-mediated transfer of the murine interferon-beta gene significantly reduced liver metastases from intraocular melanomas in mice. This therapeutic strategy activates natural killer (NK) cell function, offering a potential approach for treating uveal melanoma hepatic metastases.

Area of Science:

  • Ophthalmology
  • Oncology
  • Gene Therapy

Background:

  • Intraocular melanomas can metastasize to the liver, posing a significant clinical challenge.
  • Current treatments for uveal melanoma hepatic metastases are limited, necessitating novel therapeutic strategies.

Purpose of the Study:

  • To determine if adenovirus-mediated transfer of the murine interferon-beta (AdCMVIFN-beta) gene can prevent liver metastases from intraocular melanomas in a mouse model.
  • To investigate the mechanism by which AdCMVIFN-beta exerts its antimetastatic effects.

Main Methods:

  • Replication-deficient adenovirus vector (AdCMVIFN-beta) used for in vivo gene transfer into intraocular melanoma-bearing mice.
  • Intravenous or intratumoral injections of AdCMVIFN-beta administered.
  • Liver metastases assessed via histopathology and serum liver enzyme levels (AST, ALT).
  • Natural killer (NK) cell activity evaluated in vivo and in vitro; NK cell depletion used to test mechanism.

Main Results:

  • Two intratumoral AdCMVIFN-beta injections reduced liver lesions by 68% (P=0.016) and liver enzymes by 51% (P=0.02).
  • Intravenous AdCMVIFN-beta reduced liver metastases by 86% (P=0.014) and serum AST by 61% (P=0.015).
  • AdCMVIFN-beta treatment significantly increased NK cell activity, and NK cell depletion abrogated the antimetastatic effect.

Conclusions:

  • Adenovirus-mediated interferon-beta gene transfer is a feasible strategy for reducing hepatic metastases of intraocular melanomas.
  • Activation of NK cell function is a key mechanism underlying the antimetastatic efficacy of this gene therapy.
  • This approach holds promise as a potential therapeutic strategy for uveal melanoma patients with liver metastases.