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Updated: Jun 12, 2026

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Vaccination against a hit-and-run viral cancer
Philip G Stevenson1, Janet S May, Viv Connor
1Department of Pathology, University of Cambridge, UK. pgs27@cam.ac.uk
Abstract:
Cancers with viral aetiologies can potentially be prevented by antiviral vaccines. Therefore, it is important to understand how viral infections and cancers might be linked. Some cancers frequently carry gammaherpesvirus genomes. However, they generally express the same viral genes as non-transformed cells, and differ mainly in also carrying oncogenic host mutations. Infection, therefore, seems to play a triggering or accessory role in disease. The hit-and-run hypothesis proposes that cumulative host mutations can allow viral genomes to be lost entirely, such that cancers remaining virus-positive represent only a fraction of those to which infection contributes. This would have considerable implications for disease control. However, the hit-and-run hypothesis has so far lacked experimental support. Here, we tested it by using Cre-lox recombination to trigger transforming mutations in virus-infected cells. Thus, 'floxed' oncogene mice were infected with Cre recombinase-positive murid herpesvirus-4 (MuHV-4). The emerging cancers showed the expected genetic changes but, by the time of presentation, almost all lacked viral genomes. Vaccination with a non-persistent MuHV-4 mutant nonetheless conferred complete protection. Equivalent human gammaherpesvirus vaccines could therefore potentially prevent not only viral genome-positive cancers, but possibly also some cancers less suspected of a viral origin because of viral genome loss.
Insights
The hit-and-run hypothesis suggests viral infections can trigger cancer, even after viral DNA is lost. This study provides experimental support, showing vaccines protect against cancers where the virus is no longer detectable.
Area of Science:
- Oncology
- Virology
- Immunology
Background:
- Some cancers are linked to viral infections, particularly gammaherpesviruses.
- The role of viruses in cancer development is complex, with infection potentially acting as a trigger rather than a persistent cause.
- The 'hit-and-run' hypothesis posits that viruses initiate cancer but are later eliminated from the host cells.
Purpose of the Study:
- To experimentally validate the 'hit-and-run' hypothesis regarding viral-induced cancers.
- To investigate the potential for antiviral vaccines in preventing cancers where the viral genome is lost post-initiation.
Main Methods:
- Utilized Cre-lox recombination in 'floxed' oncogene mice to induce transforming mutations in virus-infected cells.
- Infected mice with Cre recombinase-positive murid herpesvirus-4 (MuHV-4).
- Assessed viral genome presence in emerging cancers and evaluated vaccine efficacy using a non-persistent MuHV-4 mutant.
Main Results:
- Cancers developed in infected mice exhibited the expected genetic changes.
- The vast majority of emerging cancers had lost the viral genomes by the time they were detected.
- Vaccination with a non-persistent MuHV-4 mutant provided complete protection against cancer development.
Conclusions:
- The study provides the first experimental evidence supporting the 'hit-and-run' hypothesis for viral carcinogenesis.
- Antiviral vaccines may prevent a broader range of cancers than currently assumed, including those where the initiating virus is no longer present.
- Findings have significant implications for cancer prevention strategies, particularly for gammaherpesvirus-associated malignancies.
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