Recent progress in the research of suicide gene therapy for malignant glioma

Ryota Tamura1, Hiroyuki Miyoshi2, Kazunari Yoshida1

  • 1Department of Neurosurgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.

Neurosurgical Review
|November 30, 2019
PubMed

Insights

Suicide gene therapy offers new hope for malignant glioma treatment. Stem cells and novel viral vectors show promise for delivering therapeutic genes to brain tumors, improving patient outcomes.

Area of Science:

  • Neuro-oncology
  • Gene Therapy
  • Stem Cell Biology

Background:

  • Malignant glioma is an aggressive brain tumor with poor prognosis and limited treatment options.
  • Traditional therapies struggle to address diffuse tumor infiltration.
  • Suicide gene therapy has re-emerged as a promising treatment strategy.

Purpose of the Study:

  • To review the concept of suicide gene therapy for malignant glioma.
  • To discuss recent advancements in preclinical and clinical applications.
  • To explore novel delivery vehicles for gene therapy.

Main Methods:

  • Review of existing literature on suicide gene therapy for glioma.
  • Analysis of viral vector-based gene delivery systems.
  • Evaluation of stem cell-based delivery vehicles, including neural stem cells (NSCs), embryonic stem cells, induced pluripotent stem cells, and mesenchymal stem cells.
  • Examination of replicating viral vectors for gene transduction.

Main Results:

  • Viral vectors have limitations in covering extensive glioma infiltration.
  • Stem cells, particularly NSCs, demonstrate tumor-tropic migration for targeted delivery.
  • Clinical trials show safety and efficacy of NSC-based therapy for recurrent high-grade glioma.
  • Novel replicating viral vectors also show efficacy in clinical trials.
  • Alternative stem cell sources and advanced viral vectors are being investigated.

Conclusions:

  • Suicide gene therapy, utilizing stem cells or advanced viral vectors, presents a viable strategy for malignant glioma.
  • Targeted delivery systems are crucial for overcoming treatment challenges.
  • Ongoing research focuses on optimizing delivery vehicles and therapeutic efficacy.