Sa. Castleden et al., A FAMILY OF BICISTRONIC VECTORS TO ENHANCE BOTH LOCAL AND SYSTEMIC ANTITUMOR EFFECTS OF HSVTK OR CYTOKINE EXPRESSION IN A MURINE MELANOMA MODEL, Human gene therapy, 8(17), 1997, pp. 2087-2102
The herpes simplex virus-thymidine kinase/ganciclovir (HSVtk/GCV) syst
em produces both direct and immune-mediated tumor cell killing. Here,
we compare the efficacy of HSVtk/GCV with cytokines, alone and in comb
ination, on the tumorigenicity and immunogenicity of B16 cells. With r
espect to single gene modifications, only HSVtk/GCV, or high-level int
erleukin-2 (IL-2) secretion, completely prevented tumor growth, wherea
s granulocyte-macrophage colony-stimulating factor (GM-GSF) generated
the best levels of long-term systemic protection. To augment both loca
l killing and immune activation, we constructed bicistronic constructs
that express HSVtk and a cytokine within the same cell. Go-expression
of HSVtk with IL-2 or GM-CSF enhanced the local antitumor activity of
any gene alone. In a tumor-prevention model, HSVtk killing, in an env
ironment preprimed with GM-CSF, generated the best long-term immune pr
otection. However, in a short-term therapy model, continued IL-2 expre
ssion was most effective against 3-day established tumors. This probab
ly reflects differences in the activities of IL-2 and GM-GSF in genera
ting short-term, nonspecific immune stimulation compared to long-term
immunological memory, respectively. As a prelude to in vivo delivery e
xperiments, we also demonstrated that these bicistronic cassettes can
be packaged normally into retroviral (5 x 10(5) virus/ml from pooled p
opulations) and adenoviral vectors (5 x 10(9) virus/ml) and function a
s predicted within virally infected cells. This family of bicistronic
vectors can be used to stimulate synergy between suicide and cytokine
genes, overcomes the problems of delivering two genes on separate vect
ors, and should allow easier preparation of vectors for the delivery o
f multiple genes to patients' tumor cells.