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Published on: November 24, 2014
Oncolytic vaccinia virus disrupts tumor-associated vasculature in humans
Caroline J Breitbach1, Rozanne Arulanandam, Naomi De Silva
1Jennerex Inc., 450 Sansome, San Francisco, CA 94111, USA.
Abstract:
Efforts to selectively target and disrupt established tumor vasculature have largely failed to date. We hypothesized that a vaccinia virus engineered to target cells with activation of the ras/MAPK signaling pathway (JX-594) could specifically infect and express transgenes (hGM-CSF, β-galactosidase) in tumor-associated vascular endothelial cells in humans. Efficient replication and transgene expression in normal human endothelial cells in vitro required either VEGF or FGF-2 stimulation. Intravenous infusion in mice resulted in virus replication in tumor-associated endothelial cells, disruption of tumor blood flow, and hypoxia within 48 hours; massive tumor necrosis ensued within 5 days. Normal vessels were not affected. In patients treated with intravenous JX-594 in a phase I clinical trial, we showed dose-dependent endothelial cell infection and transgene expression in tumor biopsies of diverse histologies. Finally, patients with advanced hepatocellular carcinoma, a hypervascular and VEGF-rich tumor type, were treated with JX-594 on phase II clinical trials. JX-594 treatment caused disruption of tumor perfusion as early as 5 days in both VEGF receptor inhibitor-naïve and -refractory patients. Toxicities to normal blood vessels or to wound healing were not evident clinically or on MRI scans. This platform technology opens up the possibility of multifunctional engineered vaccinia products that selectively target and infect tumor-associated endothelial cells, as well as cancer cells, resulting in transgene expression, vasculature disruption, and tumor destruction in humans systemically.
Insights
Engineered vaccinia virus JX-594 targets tumor vasculature, disrupting blood flow and causing tumor necrosis. This novel oncolytic virus shows promise for cancer treatment by selectively infecting tumor endothelial cells.
Area of Science:
- Oncolytic virology
- Cancer biology
- Vascular biology
Background:
- Targeting tumor vasculature is a key strategy in cancer therapy.
- Previous attempts to disrupt tumor blood vessels have faced limitations.
- The ras/MAPK signaling pathway is often activated in cancer cells.
Purpose of the Study:
- To engineer a vaccinia virus (JX-594) to selectively target and infect tumor-associated endothelial cells.
- To evaluate the efficacy of JX-594 in disrupting tumor vasculature and inducing tumor destruction.
- To assess the safety and therapeutic potential of JX-594 in preclinical models and human clinical trials.
Main Methods:
- Engineering vaccinia virus (JX-594) to target activated ras/MAPK signaling.
- In vitro studies on human endothelial cells with VEGF or FGF-2 stimulation.
- In vivo studies in mice involving intravenous infusion of JX-594.
- Phase I and II clinical trials in patients with various cancer types, including hepatocellular carcinoma.
Main Results:
- JX-594 efficiently replicated and expressed transgenes in tumor-associated endothelial cells in mice and humans.
- Intravenous JX-594 administration led to rapid disruption of tumor blood flow, hypoxia, and necrosis in mice.
- Clinical trials demonstrated dose-dependent endothelial cell infection and transgene expression in human tumors.
- JX-594 treatment in hepatocellular carcinoma patients disrupted tumor perfusion without significant toxicity to normal vessels or wound healing.
Conclusions:
- Engineered vaccinia virus JX-594 selectively targets and infects tumor-associated endothelial cells.
- JX-594 effectively disrupts tumor vasculature, leading to tumor destruction.
- This platform technology offers a promising approach for multifunctional oncolytic virotherapy against various cancers.
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