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Assessing and Overcoming Resistance Phenomena against a Genetically Modified Vaccinia Virus in Selected Cancer Cell
Susanne Berchtold1,2, Julia Beil1,2,3, Christian Raff1
1Department of Internal Medicine VIII, University Hospital Tübingen, D-72076 Tübingen, Germany.
Abstract:
Genetically modified vaccinia viruses (VACVs) have been shown to possess profound oncolytic capabilities. However, tumor cell resistance to VACVs may endanger broad clinical success. Using cell mass assays, viral replication studies, and fluorescence microscopy, we investigated primary resistance phenomena of cell lines of the NCI-60 tumor cell panel to GLV-1h94, a derivative of the Lister strain of VACV, which encodes the enzyme super cytosine deaminase (SCD) that converts the prodrug 5-fluorocytosine (5-FC) into the chemotherapeutic compound 5-fluorouracil (5-FU). After treatment with GLV-1h94 alone, only half of the cell lines were defined as highly susceptible to GLV-1h94-induced oncolysis. When adding 5-FC, 85% of the cell lines became highly susceptible to combinatorial treatment; none of the tested tumor cell lines exhibited a "high-grade resistance" pattern. Detailed investigation of the SCD prodrug system suggested that the cytotoxic effect of converted 5-FU is directed either against the cells or against the virus particles, depending on the balance between cell line-specific susceptibility to GLV-1h94-induced oncolysis and 5-FU sensitivity. The data provided by this work underline that cellular resistance against VACV-based virotherapy can be overcome by virus-encoded prodrug systems. Phase I/II clinical trials are recommended to further elucidate the enormous potential of this combination therapy.
Insights
Genetically modified vaccinia viruses (VACVs) show oncolytic potential. Combining VACVs with a prodrug system effectively overcomes tumor cell resistance, enhancing cancer virotherapy efficacy.
Area of Science:
- Oncology
- Virology
- Genetics
Background:
- Genetically modified vaccinia viruses (VACVs) exhibit significant oncolytic properties for cancer treatment.
- Tumor cell resistance to VACVs poses a challenge to their widespread clinical application.
- Novel strategies are needed to enhance the efficacy of VACV-based virotherapy.
Purpose of the Study:
- To investigate primary resistance mechanisms of NCI-60 tumor cell lines to the oncolytic vaccinia virus GLV-1h94.
- To evaluate the efficacy of a combination therapy involving GLV-1h94 and the prodrug 5-fluorocytosine (5-FC).
- To understand the role of the virus-encoded super cytosine deaminase (SCD) enzyme in overcoming tumor resistance.
Main Methods:
- Utilized cell mass assays, viral replication studies, and fluorescence microscopy.
- Tested susceptibility of NCI-60 cell lines to GLV-1h94 alone and in combination with 5-FC.
- Analyzed the interaction between GLV-1h94, SCD, 5-FC, and tumor cell sensitivity.
Main Results:
- GLV-1h94 alone resulted in high susceptibility in only 50% of tested cell lines.
- Combination therapy with 5-FC increased susceptibility to 85% of cell lines, with no high-grade resistance observed.
- The cytotoxic effect of 5-fluorouracil (5-FU) depended on the balance between viral oncolysis susceptibility and 5-FU sensitivity.
Conclusions:
- Virus-encoded prodrug systems, like SCD converting 5-FC to 5-FU, can effectively overcome cellular resistance to VACV virotherapy.
- Combination therapy demonstrates broad potential for treating various tumor types.
- Further clinical trials (Phase I/II) are recommended to explore the therapeutic potential of this approach.
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