Evaluation and optimization of the administration of a selectively replicating herpes simplex viral vector to the

E White1, A Bienemann, L Megraw

  • 1Department of Neurosurgery, Frenchay Hospital, Bristol, UK.

Cancer Gene Therapy
|March 5, 2011
PubMed

Insights

Directly infusing herpes simplex virus-1 (HSV-1) vectors into the brain caused damage and poor cell transduction. Pre-treating brain tissue with an albumin solution improved HSV-1 distribution and transduction, especially in white matter.

Area of Science:

  • Neuro-oncology
  • Virology
  • Biomedical Engineering

Background:

  • Convection-enhanced delivery (CED) is a promising strategy for malignant glioma treatment using oncolytic viral vectors.
  • The feasibility of administering large oncolytic viruses like herpes simplex virus-1 (HSV-1) via CED has not been systematically studied in animal models.

Purpose of the Study:

  • To evaluate the safety and efficacy of direct intraparenchymal administration of HSV-1 viral vectors using CED in rat and pig models.
  • To investigate methods for improving vector distribution and transduction in brain tissue.

Main Methods:

  • HSV-1 viral vectors were administered via CED into rat and pig brains at varying infusion rates.
  • Techniques explored included co-infusion with heparin and pre-infusion with an isotonic albumin solution.
  • Tissue damage, vector distribution, and cell transduction (e.g., enhanced green fluorescent protein expression) were assessed.

Main Results:

  • High-flow infusions of HSV-1 vectors in rats caused significant tissue damage and minimal cell transduction.
  • Co-infusion with heparin resulted in extensive hemorrhage.
  • Pre-infusion with an isotonic albumin solution enhanced vector distribution and transduction in white matter of rats and in astrocytes and microglia in pigs.
  • Enhanced green fluorescent protein expression peaked at 48 hours post-administration in rats, accompanied by an immune response.

Conclusions:

  • Direct CED infusion of HSV-1 vectors into the brain results in limited distribution, negligible transduction, and considerable tissue damage.
  • Pre-infusion of brain tissue with an isotonic solution is an effective method to achieve widespread HSV-1 distribution and transduction, particularly in white matter.

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