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Updated: Apr 5, 2026

Ex Vivo Organoid Model of Adenovirus-Cre Mediated Gene Deletions in Mouse Urothelial Cells
Published on: May 5, 2022
Conditionally replicating adenovirus prevents pluripotent stem cell-derived teratoma by specifically eliminating
Kaoru Mitsui1, Kanako Ide2, Akiko Takayama2
1Department of Gene Therapy and Regenerative Medicine, Kagoshima University Graduate School of Medical and Dental Sciences , Kagoshima, Japan ; Center for Innovative Therapy Research and Application, Kagoshima University Graduate School of Medical and Dental Sciences , Kagoshima, Japan.
Abstract:
Incomplete abolition of tumorigenicity creates potential safety concerns in clinical trials of regenerative medicine based on human pluripotent stem cells (hPSCs). Here, we demonstrate that conditionally replicating adenoviruses that specifically target cancers using multiple factors (m-CRAs), originally developed as anticancer drugs, may also be useful as novel antitumorigenic agents in hPSC-based therapy. The survivin promoter was more active in undifferentiated hPSCs than the telomerase reverse transcriptase (TERT) promoter, whereas both promoters were minimally active in differentiated normal cells. Accordingly, survivin-responsive m-CRA (Surv.m-CRA) killed undifferentiated hPSCs more efficiently than TERT-responsive m-CRAs (Tert.m-CRA); both m-CRAs exhibited efficient viral replication and cytotoxicity in undifferentiated hPSCs, but not in cocultured differentiated normal cells. Pre-infection of hPSCs with Surv.m-CRA or Tert.m-CRA abolished in vivo teratoma formation in a dose-dependent manner following hPSC implantation into mice. Thus, m-CRAs, and in particular Surv.m-CRAs, represent novel antitumorigenic agents that could facilitate safe clinical applications of hPSC-based regenerative medicine.
Insights
Multifactor conditionally replicating adenoviruses (m-CRAs) effectively eliminate undifferentiated human pluripotent stem cells (hPSCs), preventing tumor formation. This discovery offers a novel strategy for enhancing the safety of hPSC-based regenerative medicine therapies.
Area of Science:
- Regenerative Medicine
- Oncolytic Virology
- Stem Cell Biology
Background:
- Tumorigenicity of human pluripotent stem cells (hPSCs) poses safety risks in regenerative medicine.
- Anticancer agents, specifically oncolytic viruses, may offer solutions for stem cell safety.
Purpose of the Study:
- To evaluate the potential of multifactor conditionally replicating adenoviruses (m-CRAs) as antitumorigenic agents in hPSC therapy.
- To compare the efficacy of survivin-promoter-driven (Surv.m-CRA) versus TERT-promoter-driven (Tert.m-CRA) m-CRAs against hPSCs.
Main Methods:
- Utilized survivin and TERT promoters to control m-CRA replication in hPSCs and differentiated cells.
- Assessed viral replication, cytotoxicity, and antitumorigenic effects of m-CRAs in vitro and in vivo (teratoma formation).
Main Results:
- Survivin promoter showed higher activity in undifferentiated hPSCs than TERT promoter.
- Surv.m-CRA demonstrated superior killing of undifferentiated hPSCs compared to Tert.m-CRA.
- Pre-treatment with m-CRAs dose-dependently abolished in vivo teratoma formation from hPSC implantation.
Conclusions:
- m-CRAs, particularly Surv.m-CRAs, are effective antitumorigenic agents against hPSCs.
- m-CRAs can significantly mitigate the tumorigenicity risk associated with hPSC-based therapies.
- This approach holds promise for advancing the clinical application of hPSC-based regenerative medicine.
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