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Cyclophosphamide enhances glioma virotherapy by inhibiting innate immune responses.


ABSTRACT: Clinical trials are testing oncolytic viruses (OVs) as therapies for cancer. We have shown that animals that have brain tumors and are treated with a herpes simplex virus (HSV)-derived OV live significantly longer when cyclophosphamide (CPA) is preadministered. Here, we explore the mechanisms behind this finding. In a syngeneic rat glioma model, intratumoral HSV administration is associated with rapid increase of natural killer cells, microglia/macrophages (CD68+ and CD163+), and IFN-gamma. Pretreatment with CPA enhances HSV replication and oncolysis and reduces an HSV-mediated increase in CD68+ and CD163+ cells and intratumoral IFN-gamma. Molecular imaging shows CPA pretreatment to inhibit HSV-induced infiltration of tumor-associated phagocytic cells. Our results reveal molecular and cellular mechanisms that inhibit intratumoral spread of HSV and suggest a therapeutic path for improving the efficacy of virotherapy as a treatment for cancer.

SUBMITTER: Fulci G 

PROVIDER: S-EPMC1568940 | biostudies-literature | 2006 Aug

REPOSITORIES: biostudies-literature

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Cyclophosphamide enhances glioma virotherapy by inhibiting innate immune responses.

Fulci Giulia G   Breymann Laura L   Gianni Davide D   Kurozomi Kazuhiko K   Rhee Sarah S SS   Yu Jianhua J   Kaur Balveen B   Louis David N DN   Weissleder Ralph R   Caligiuri Michael A MA   Chiocca E Antonio EA  

Proceedings of the National Academy of Sciences of the United States of America 20060814 34


Clinical trials are testing oncolytic viruses (OVs) as therapies for cancer. We have shown that animals that have brain tumors and are treated with a herpes simplex virus (HSV)-derived OV live significantly longer when cyclophosphamide (CPA) is preadministered. Here, we explore the mechanisms behind this finding. In a syngeneic rat glioma model, intratumoral HSV administration is associated with rapid increase of natural killer cells, microglia/macrophages (CD68+ and CD163+), and IFN-gamma. Pret  ...[more]

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