Gene-attenuated replication-competent adenoviruses are emerging as a promising new modality for the treatment of cancer. For the aim of improving adenoviral vectors for cancer gene therapy, we have constructed genetically attenuated replicating adenoviruses (Ads) with different combinations of E1A & E1B mutant genes and investigated the possibility of enhanced oncolytic and replication effects of these engineered replication-competent Ads. We show here that cytolytic potency of each gene attenuated replicating adenoviruses differed significantly depending on the presence or deletion of E1B55 kDa and E1B19 kDa function. More specifically, among the constructed (Ad-DE1B19, Ad-DE1B55, Ad-DE1B19/55, and Ad-wt), E1B19 kDa-inactivated adenovirus (Ad-DE1B19) was the most potent against all tumor cells tested, inducing the largest-sized plaques and marked CPE. As an additional effort to increase cancer cell-selectivity of replicating adenovirus, we have generated eleven E1A-mutant Ads (Ad-mt|[num]|1 |[sim]||[num]|11) with deletion or substitution in retinoblastoma (Rb) binding sites of E1A. Of these viruses, Ad-mt|[num]|7 demonstrated significantly improved CPE and viral replication in a cancer cell-specific manner. To further increase the cancer cell-specific cell killing effect of Ad-mt|[num]|7 adenovirus, both E1B19 kDa and E1B55 kDa gene was deleted, resulting in an Ad-|[Delta]|B7 Ad. As assessed using CPE assay, MTT assay, and Ad fiber immunoblot analysis, Ad-|[Delta]|B7 exerted markedly enhanced cancer cell-specific killing effect as well as viral replication in comparison to either Ad-mt|[num]|7 or Ad-|[Delta]|E1B19/55. Furthermore, the growth of established human cervical carcinoma in nude mice was significantly suppressed by intratumoral injection of Ad-DB7. In summary, we have developed replication competent adenoviruses with significantly improved therapeutic profiles for cancer treatment.
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