Image-guided radiovirotherapy for multiple myeloma using a recombinant measles virus expressing the thyroidal sodium

David Dingli1, Kah-Whye Peng, Mary E Harvey

  • 1Molecular Medicine Program, Mayo Clinic and Foundation, Rochester, MN 55905, USA.

Blood
|November 8, 2003
PubMed

Insights

Researchers engineered a measles virus (MV-NIS) to target tumors and track their spread using radioiodine. This novel radiovirotherapy shows promise for treating multiple myeloma and other radiosensitive cancers.

Area of Science:

  • Oncolytic virotherapy
  • Radiotherapy
  • Molecular imaging
  • Cancer treatment

Background:

  • Measles virus (MV-Edm) shows selective oncolytic activity against tumor cells but has variable efficacy in vivo.
  • Tracking virus distribution in tumors noninvasively remains a challenge for MV-Edm therapy.
  • Enhancing MV-Edm's potency and enabling imaging are crucial for improving its therapeutic application.

Purpose of the Study:

  • To enhance the oncolytic potency of MV-Edm against radiosensitive malignancies.
  • To develop a method for noninvasive imaging of virus-infected tissues in vivo.
  • To evaluate a novel radiovirotherapy approach for cancer treatment.

Main Methods:

  • A recombinant measles virus encoding the human thyroidal iodide symporter (MV-NIS) was generated.
  • MV-NIS replication and radioiodine uptake in human tumor cells were assessed.
  • Intratumoral spread and therapeutic efficacy of MV-NIS were evaluated in myeloma xenograft models using gamma-camera imaging of iodine-123 (123I) and iodine-131 (131I).

Main Results:

  • MV-NIS replicated efficiently and enabled tumor cells to concentrate radioiodine.
  • Noninvasive imaging of MV-NIS spread was achieved via 123I uptake.
  • MV-NIS combined with 131I (radiovirotherapy) led to complete regression of both MV-sensitive and MV-resistant myeloma xenografts.

Conclusions:

  • Image-guided radiovirotherapy using MV-NIS is a promising strategy for treating multiple myeloma.
  • This approach facilitates noninvasive monitoring of virus distribution and therapeutic response.
  • Further investigation into potential hematopoietic toxicity and testing in other radiosensitive cancers are warranted.

Related Concept Videos