Assessment of bystander killing-mediated therapy of malignant brain tumors using a multimodal imaging approach

Cindy Leten1,2, Jesse Trekker3,4, Tom Struys5,6

  • 1Biomedical MRI, Department of Imaging and Pathology, KU Leuven, 3000, Leuven, Belgium. cindy.leten@gmail.com.

Abstract

Insights

Adult stem cell suicide gene therapy effectively reduced glioblastoma tumor size in mice. This approach, using mouse Oct4(-) bone marrow multipotent adult progenitor cells (mOct4(-) BM-MAPCs) and ganciclovir, showed promise for glioblastoma treatment.

Area of Science:

  • Oncology
  • Stem Cell Therapy
  • Gene Therapy

Background:

  • Glioblastoma multiforme (GBM) is an aggressive brain tumor with limited treatment options.
  • Adult stem cells offer potential as targeted delivery vehicles for cancer therapies.
  • Suicide gene therapy aims to eliminate cancer cells by introducing genes that induce cell death upon activation.

Purpose of the Study:

  • To evaluate the efficacy of adult stem cell-based suicide gene therapy in eliminating glioblastoma cells in vivo.
  • To investigate the therapeutic potential of mouse Oct4(-) bone marrow multipotent adult progenitor cells (mOct4(-) BM-MAPCs) in a preclinical glioblastoma model.
  • To utilize multimodal in vivo imaging for guiding and monitoring the therapeutic process.

Main Methods:

  • Mouse glioblastoma (GL261) model established in syngeneic animals.
  • Transplantation of enhanced green fluorescent protein-firefly luciferase-herpes simplex virus thymidine kinase (eGFP-fLuc-HSV-TK) expressing and nanoparticle-labeled mOct4(-) BM-MAPCs.
  • Treatment with ganciclovir (GCV) and monitoring via magnetic resonance imaging (MRI) and bioluminescence imaging (BLI).

Main Results:

  • GCV treatment significantly reduced tumor size and improved mOct4(-) BM-MAPC viability in most treated animals compared to controls.
  • Non-GCV treated animals showed some tumor reduction, potentially due to immune-modulatory effects of stem cells.
  • Multimodal imaging successfully tracked stem cell location and tumor response throughout the study.

Conclusions:

  • Suicide gene therapy utilizing mOct4(-) BM-MAPCs as cellular carriers is effective in reducing glioblastoma tumor size and improving progression-free survival.
  • Noninvasive MRI and BLI are valuable tools for real-time monitoring and validation of stem cell-based therapies for glioblastoma.
  • This approach offers a promising strategy for optimizing glioblastoma treatment and improving patient outcomes.

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