Oncolytic viral therapy for human ovarian cancer using a novel replication-competent herpes simplex virus type I

Akihiro Nawa1, Naoki Nozawa, Fumi Goshima

  • 1Department of Gynecology, Aichi Cancer Center Hospital, 1-1 kanokoden, Chikusa-ku, Nagoya, 464-8681, Japan. nawa2000@aichi-cc.jp

Gynecologic Oncology
|October 8, 2003
PubMed
Abstract

Insights

Herpes simplex virus-1 (HSV-1) mutant HR522 combined with ganciclovir (GCV) shows significant therapeutic potential for ovarian cancer treatment. This viral therapy offers a novel approach to reduce ovarian cancer spread.

Area of Science:

  • Oncolytic virotherapy
  • Gene therapy
  • Herpes Simplex Virus (HSV) research

Background:

  • Attenuated herpes simplex virus (HSV) strains are effective in treating malignant brain tumors.
  • HSV-1's ability to infect and lyse various cell types suggests potential for treating other cancers.
  • Ovarian cancer remains a significant health concern, necessitating novel therapeutic strategies.

Purpose of the Study:

  • To evaluate the feasibility of using HSV-1 mutant-mediated gene therapy for ovarian cancer.
  • To compare the efficacy of two attenuated HSV-1 mutant strains (hrR3 and HR522) against human ovarian cancer xenografts.
  • To assess the impact of ganciclovir (GCV) on the therapeutic outcomes of HSV-1 treatment.

Main Methods:

  • Two attenuated HSV-1 mutant strains were prepared: hrR3 (ribonucleotide reductase gene replaced with lacZ) and HR522 (replication-competent, expressing lacZ).
  • Efficacy was compared in nude mice with human ovarian cancer xenografts, using HR522, hrR3, and paclitaxel (Taxol).
  • The effect of ganciclovir (GCV) on HSV-mediated treatment was examined, with survival analyzed using Kaplan-Meier and log-rank tests.

Main Results:

  • Mice treated with high-titer hrR3 showed significantly prolonged survival compared to paclitaxel (P < 0.0001).
  • High-titer HR522 alone did not significantly prolong survival compared to paclitaxel (P = 0.212).
  • Ganciclovir (GCV) markedly enhanced the efficacy of HR522, significantly improving survival compared to paclitaxel (P < 0.005).
  • LacZ expression was detected in HR522-treated tumors, correlating with apoptotic changes.

Conclusions:

  • The combination of HR522 and GCV demonstrates significant therapeutic potential for ovarian cancer.
  • This oncolytic viral therapy presents a novel strategy for reducing ovarian cancer dissemination.
  • Further research into HSV-based therapies for ovarian cancer is warranted.