In Vivo Gene Therapy of Ovarian Cancer by Adenovirus-Mediated Thymidine Kinase Gene Transduction and Ganciclovir Administration

Author: Tong X.-.W.   Block A.   Chen S.-.H.   Contant C.F.   Agoulnik I.   Blankenburg K.   Kaufman R.H.   Woo S.L.C.   Kieback D.G.  

Publisher: Academic Press

ISSN: 0090-8258

Source: Gynecologic Oncology, Vol.61, Iss.2, 1996-05, pp. : 175-179

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Abstract

Efficacy and toxicity of adenovirus-mediated transfer of the herpes simplex virus thymidine kinase gene followed by administration of ganciclovir were studied in vivo. A human epithelial ovarian cancer animal model was established in nude mice using the serous ovarian adenocarcinoma cell line Ov-ca-2774. Intraperitoneal (ip) injection of 1 x 10 8 Ov-ca-2774 cells resulted in tumor growth and formation of malignant ascites in all 15 animals. In a prospective randomized experimental design mice were treated 1, 3, or 7 days after ip injection of 1 x 10 8 cells with ip injection of 2 x 10 8 , 6.7 x 10 8 , or 2 x 10 9 pfu ADV.RSV-TK followed by administration of ganciclovir (10 mug/ml, ip, bid) for 6 consecutive days. End points were survival and toxicity. Mice treated with GCV or HSV-TK alone died from 14.4 ± 1.7 to 19.5 ± 3.5 days after treatment as did untreated controls. No toxicity of ADV.RSV-TK was found up to 2 x 10 9 pfu (2 x 10 11 particles). The mice with the highest tumor burden treated with the lowest viral dose lived significantly longer than controls ( P < 0.05). Median survival in all other groups of mice treated with ADV.RSV-TK plus GCV was even longer ( P < 0.01). Treatment benefit was dependent on ADV/RSV-TK dose and tumor burden. Adenovirus-mediated thymidine kinase gene therapy is a realistic approach to ovarian cancer treatment that warrants investigation in the clinical setting.

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