The thymidine kinase/ganciclovir-mediated "suicide" effect is variable in different tumor cells
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Updated: Nov 5, 2026

Dual Bioluminescence Imaging of Tumor Progression and Angiogenesis
Published on: August 1, 2019
1Robert-Rössle Klinik, Virchow Klinikum der Medizinichen Fakultät der Humboldt Universität Berlin, Germany.
Abstract:
The herpes simplex virus thymidine kinase (HSV-TK) converts ganciclovir (GCV) into a toxic product and allows selective elimination of TK+ cells in vitro and in vivo. It is currently being used in clinical gene therapy trials as a therapeutic gene or as a safety marker. We have analyzed the susceptibility of different tumor cell lines to the TK/GCV-mediated "suicide" effect. Therefore, tumor cells TSA, J558L, EB, and ESB and, as a control, NIH-3T3 cells were infected with a retrovirus containing a hygromycin/TK fusion gene. All cell lines were sensitive to GCV in vitro; however, the concentration of GCV and the time needed to eliminate tumor cells completely considerably varied between different tumor cell lines. TSA-TK cells were completely eliminated within 10 days in 1 microg/ml GCV, whereas ESB-TK cells required 22 days in 10 microg/ml GCV. When two cell lines were examined, the differing sensitivity to GCV in vitro correlated with the ability to eradicate TK+ tumors in vivo. TSA-TK tumors could be eliminated in almost all animals by systemic GCV administration, whereas ESB-TK tumors were completely resistant. Different sensitivity to GCV was not due to different TK expression levels because the cells were similarly resistant to hygromycin, and Western blot analysis with an anti-TK antiserum revealed similar protein amounts in TSA/TK and ESB-TK cells. Together, the results demonstrate that tumor cells are highly different concerning the susceptibility to the TK/GCV effect, which, however, may be tested for in vitro.
Insights
The herpes simplex virus thymidine kinase (HSV-TK) suicide gene therapy shows variable tumor cell sensitivity to ganciclovir (GCV). In vitro testing can predict in vivo efficacy for HSV-TK/GCV cancer treatment.
Area of Science:
- Molecular Biology
- Cancer Therapy
- Gene Therapy
Background:
- The herpes simplex virus thymidine kinase (HSV-TK) gene converts ganciclovir (GCV) into a toxic product, enabling selective elimination of TK-expressing cells.
- HSV-TK is utilized in clinical gene therapy trials as both a therapeutic gene and a safety marker.
Purpose of the Study:
- To investigate the susceptibility of various tumor cell lines to the HSV-TK/GCV-mediated "suicide" effect.
- To determine if in vitro sensitivity correlates with in vivo tumor eradication efficacy.
Main Methods:
- Tumor cell lines (TSA, J558L, EB, ESB) and control NIH-3T3 cells were infected with a retrovirus encoding a hygromycin/TK fusion gene.
- Cells were exposed to varying concentrations and durations of ganciclovir (GCV) to assess in vitro sensitivity.
- In vivo studies evaluated the eradication of TK-expressing tumors following systemic GCV administration.
Main Results:
- All tested cell lines demonstrated sensitivity to GCV in vitro, but the required concentration and time for complete elimination varied significantly.
- TSA-TK cells were eliminated within 10 days using 1 microg/ml GCV, while ESB-TK cells required 22 days with 10 microg/ml GCV.
- In vivo, TSA-TK tumors were effectively eradicated by systemic GCV, whereas ESB-TK tumors were resistant, correlating with in vitro findings. Differences in sensitivity were not attributed to TK expression levels.
Conclusions:
- Tumor cells exhibit significant variability in their susceptibility to the HSV-TK/GCV suicide effect.
- In vitro susceptibility testing is a reliable predictor of in vivo therapeutic efficacy for HSV-TK/GCV gene therapy.
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