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Published on: August 25, 2017
Mathematical modeling of herpes simplex virus distribution in solid tumors: implications for cancer gene therapy
Wilson Mok1, Triantafyllos Stylianopoulos, Yves Boucher
1Department of Radiation Oncology, Edwin L Steele Laboratory, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA.
Purpose:
Although oncolytic viral vectors show promise for the treatment of various cancers, ineffective initial distribution and propagation throughout the tumor mass often limit the therapeutic response. A mathematical model is developed to describe the spread of herpes simplex virus from the initial injection site.
Experimental Design:
The tumor is modeled as a sphere of radius R. The model incorporates reversible binding, interstitial diffusion, viral degradation, and internalization and physiologic parameters. Three species are considered as follows: free interstitial virus, virus bound to cell surfaces, and internalized virus.
Results:
This analysis reveals that both rapid binding and internalization as well as hindered diffusion contain the virus to the initial injection volume, with negligible spread to the surrounding tissue. Unfortunately, increasing the dose to saturate receptors and promote diffusion throughout the tumor is not a viable option: the concentration necessary would likely compromise safety. However, targeted modifications to the virus that decrease the binding affinity have the potential to increase the number of infected cells by 1.5-fold or more. An increase in the effective diffusion coefficient can result in similar gains.
Conclusions:
This analysis suggests criteria by which the potential response of a tumor to oncolytic herpes simplex virus therapy can be assessed. Furthermore, it reveals the potential of modifications to the vector delivery method, physicochemical properties of the virus, and tumor extracellular matrix composition to enhance efficacy.
Insights
Mathematical modeling of oncolytic herpes simplex virus (HSV) spread reveals that rapid binding and hindered diffusion limit tumor distribution. Modifications decreasing viral binding affinity can significantly enhance infected cell numbers for improved cancer therapy.
Area of Science:
- Oncolytic virotherapy
- Mathematical modeling of viral kinetics
- Cancer treatment strategies
Background:
- Oncolytic viral vectors offer a promising approach for cancer treatment.
- Limited tumor distribution and propagation of viruses often hinder therapeutic efficacy.
- Understanding viral spread dynamics is crucial for optimizing oncolytic virotherapy.
Purpose of the Study:
- To develop a mathematical model describing the spread of herpes simplex virus (HSV) within a tumor.
- To identify factors limiting viral distribution and propagation from the injection site.
- To explore strategies for enhancing the efficacy of oncolytic HSV therapy.
Main Methods:
- A mathematical model simulating viral spread in a spherical tumor.
- Incorporation of parameters: reversible binding, interstitial diffusion, viral degradation, and internalization.
- Consideration of three viral species: free interstitial, cell-surface bound, and internalized virus.
Main Results:
- Rapid viral binding, internalization, and hindered diffusion restrict virus spread to the injection site.
- Increasing viral dose to overcome these limitations is unsafe due to potential toxicity.
- Decreasing viral binding affinity or increasing diffusion coefficient can enhance infected cell numbers by over 1.5-fold.
Conclusions:
- The study provides criteria for assessing tumor response to oncolytic HSV therapy.
- Modifications to vector delivery, viral properties, and tumor microenvironment can improve therapeutic outcomes.
- Mathematical modeling is a valuable tool for optimizing oncolytic virus design and application.
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