title: Efficacy of repeated adenoviral suicide gene therapy in a localized murine tumor model.
abstract: BACKGROUND
  Gene therapy using adenovirus to deliver herpes simplex virus thymidine kinase (Ad.HSVtk) followed by the administration of the prodrug ganciclovir has been an effective anticancer therapy in models of localized tumor (including malignant mesothelioma) and is currently being evaluated in clinical trials. To optimize this approach, we studied the effects of repeated injections of Ad.HSVtk in an animal model of localized tumor in both naive and immunized mice.
  
  
  METHODS
  Immunocompetent animals with established abdominal tumor were treated with either one or three (given weekly) intraperitoneal injections of Ad.HSVtk (10(9) plaque-forming units) followed by daily ganciclovir and monitored for survival. Survival studies were also performed in mice previously immunized with adenovirus.
  
  
  RESULTS
  Animals treated with multiple courses of Ad.HSVtk showed significantly improved survival versus singly injected animals and control animals with some long-term survivors in the multiple injected group. Preexisting neutralizing immunity did not diminish this survival advantage.
  
  
  CONCLUSIONS
  Multiple treatments using an adenoviral vector to deliver HSVtk significantly improves survival in a murine intraperitoneal tumor model. The presence of preexisting neutralizing antibodies does not blunt this effect. Repeat Ad.HSVtk is a feasible approach and may be a useful strategy in human cancer gene therapy.
authors.affiliation: Thoracic Oncology Research Laboratory, University of Pennsylvania Medical Center, Philadelphia, USA.
authors.forename: E S
authors.initials: ES
authors.lastname: Lambright
authors.forename: S D
authors.initials: SD
authors.lastname: Force
authors.forename: M E
authors.initials: ME
authors.lastname: Lanuti
authors.forename: D S
authors.initials: DS
authors.lastname: Wasfi
authors.forename: K M
authors.initials: KM
authors.lastname: Amin
authors.forename: S M
authors.initials: SM
authors.lastname: Albelda
authors.forename: L R
authors.initials: LR
authors.lastname: Kaiser
mesh_terms: D000256:Adenoviridae / Q000235:genetics*; D000818:Animals; D002461:Cell Line, Transformed; D005240:Feasibility Studies; D005260:Female; D015774:Ganciclovir / Q000494:pharmacology*; D015316:Genetic Therapy; D006801:Humans; D008654:Mesothelioma / Q000473:pathology*; D051379:Mice; D008807:Mice, Inbred BALB C; D009368:Neoplasm Transplantation; D010997:Pleural Neoplasms / Q000473:pathology*; D018139:Simplexvirus / Q000235:genetics*; D013937:Thymidine Kinase / Q000235:genetics*; D014162:Transfection; D014407:Tumor Cells, Cultured
chemical_list: D013937:Thymidine Kinase; D015774:Ganciclovir