Sj. Beer et al., EXTENDED-RELEASE OF ADENOVIRUS FROM POLYMER MICROSPHERES - POTENTIAL USE IN GENE-THERAPY FOR BRAIN-TUMORS, Advanced drug delivery reviews, 27(1), 1997, pp. 59-66
Current protocols for the treatment of intracerebral glioma are inadeq
uate, with limited reduction in morbidity or mortality. As such gene t
herapy paradigms have been developed. Initial progress in rodent model
s using in situ introduction of retroviral vector producer cells to tr
ansfer a cytotoxic gene product led to phase I clinical trials with li
mited success, due in part to immune responses to murine producer cell
s along with low level gene transfer. We and others have initiated stu
dies to determine the effectiveness of adenoviral vectors to deliver c
ytotoxic and/or immune-stimulatory gene products directly to tumor. Ad
enoviral vectors can be purified to high titers, are relatively stable
upon formulation and storage, and can infect both dividing and non-di
viding tumor cells. Also, they can be introduced in situ without helpe
r virus or producer cells. However, gene transfer to glioma tissue wit
h recombinant adenoviruses is not efficient, with multiplicities of in
fection greater than 50 infectious units/cell required for efficacy. A
t these doses the virus induces a potent immune response that further
reduces gene transfer following re-administration. The inflammatory re
sponse to low doses of recombinant adenoviral vectors is less robust a
nd does not preclude re-administration. Thus, strategies to increase e
fficiency coupled to low dose administration are desirable. To accompl
ish low dose administration we have developed a method to formulate re
combinant adenoviral vectors in biodegradable microspheres. Poly (lact
ic-glycolic) acid (PLGA) microspheres containing recombinant adenoviru
s were prepared using a double emulsion technique, and viable virus re
leased for greater than 10 days. (C) 1997 Elsevier Science B.V.