Use of local immune suppression to enhance oncolytic viral therapy
An oncolytic virus and immunosuppression technology, applied in the field of local immunosuppression, can solve the problem that the treatment effectiveness is not optimal.
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Embodiment 1
[0087] Example 1. In vitro and in vivo radiation increases reovirus cytotoxicity
[0088] The Ras signaling pathway determines the radiosensitivity of tumor cells. Ras activation promotes tumor cell survival after exposure to radiation. Ras activation is associated with increased radiation resistance in vitro and in vivo. To determine whether reoviruses enhance reovirus cytotoxicity in vitro, cells were plated and either treated with 5 Gy or sham. After 4 hours, serotype 3 reovirus (Dearing strain) was administered to the cells. Cell viability was quantified using crystal violet. figure 1 It was shown that radiation of only 5 Gy enhanced reovirus cytotoxicity.
[0089] To determine radiation and reovirus effects in vivo, fractionated radiation therapy and reovirus (intrathecal administration) were administered to mice with HCT116 xenograft tumors ( Figure 2A ) or B16 syngeneic tumors ( Figure 2B )middle. Figure 2 shows that administration of radiation and reovirus is...
Embodiment 2
[0091] Example 2. Effects of Reovirus and Radiation Therapy on Humans
[0092] The study design to determine the effects of reovirus and radiotherapy in humans is shown in Table 1.
[0093] Table 1. Study Design
[0094] stage patient x group Dosage of Reolysin
(TCID50) RT(Gy) viral
Dosing day Ia 3 1 x 10 8 20Gy, 5F 2 2,4 Ia 3 1 x 10 9 20Gy, 5F 2 2,4
[0095] Patients were included on the basis of measurable disease (target lesion), indicated palliative RT, PS (ECOG) ≤ 2, adequate hematology, renal and hepatic function. Patients with irradiated lesions or patients receiving immunosuppressive therapy or known HIV, Hep B or C infection were excluded.
[0096] The amount of Reolysin depends on the target volume of the lesion. Tumor volumes were calculated from measurements of three orthogonal diameters (D1, D2 and D3) and using the equation V=π / 6 x D1 x D2 x D3. Tumors received injection volumes ranging fr...
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