Metastatic liver cancer has a very poor prognosis and lacks effective therapy. We have previously demonstrated that intraportal injection of an adeno-associated-virus(AAV) vector led to long term and persistent expression of angiostatin and suppressed EL-4 tumors that metastasized to livers. In the present study, we seek strategies to improve the therapeutic efficacy of AAV mediated anti-angiogenic gene therapy in combating liver metastases. A recombinant adeno-associated-virus (AAV) vector encoding costimulator B7.1 was engineered. Incubation with AAV-B7.1 viruses resulted in rapid expression of B7.1 on the surface of 80% EL-4 cells. Transfected EL-4 cells vaccinated mice rejected the B7.1-engineered tumor cells, and resisted a secondary challenge with parental cells. Splenocytes from the vaccinated mice were highly cytotoxic towards parental EL-4 cells in vitro. However, the vaccinated mice failed to resist the challenge of a heavy burden of EL-4 cells. Combination of AAV-B7.1 vaccination and AAV-angiostatin therapy protected mice against the challenge of a heavy burden of EL-4 cells, and eradicated metastasized tumors that had disseminated to the liver. Furthermore, the combinational therapy promoted the survival rate of mice with advanced liver cancers. These encouraging results warrant future investigation of the use of AAV-mediated immunotherapy and anti-angiogenic gene therapy for targeting unresectable disseminated liver metastases.
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