CN111850126A - Application of oncolytic virus in treatment of uveal melanoma, marker of treatment effect and detection reagent thereof - Google Patents

Application of oncolytic virus in treatment of uveal melanoma, marker of treatment effect and detection reagent thereof Download PDF

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CN111850126A
CN111850126A CN202010784288.1A CN202010784288A CN111850126A CN 111850126 A CN111850126 A CN 111850126A CN 202010784288 A CN202010784288 A CN 202010784288A CN 111850126 A CN111850126 A CN 111850126A
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CN111850126B (en
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刘福生
刘思思
张俊文
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Beijing Neurosurgical Institute
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Abstract

The invention discloses a preparation for treating, preventing and/or slowing uveal melanoma, which comprises oncolytic type 1 herpes simplex virus capable of expressing cytosine deaminase gene and 5-fluorocytosine, and the combined use of the oncolytic type 1 herpes simplex virus and the 5-fluorocytosine can obviously reduce the volume of the uveal melanoma and improve the survival period of a subject. The invention also discloses a marker for evaluating the treatment effect of the uveal melanoma through the preparation, wherein the marker is selected from markers capable of representing the epithelial-mesenchymal transition degree and mainly comprises IL-6, DPD, TWIST1, ZEB1, CD44 and CDH 1.

Description

Application of oncolytic virus in treatment of uveal melanoma, marker of treatment effect and detection reagent thereof
Technical Field
The invention belongs to the field of medicines, relates to a marker for evaluating the treatment effect of uveal melanoma and a detection preparation thereof, and particularly relates to a marker for evaluating the treatment effect of oncolytic herpes simplex virus containing cytosine deaminase gene combined with 5-FC on the treatment of uveal melanoma, a detection preparation thereof and a corresponding kit containing the marker or the detection preparation.
Background
Oncolytic virus is an emerging and important tumor treatment method, and can selectively kill and destroy tumor cells. A variety of oncolytic RNA and DNA viruses that selectively replicate and cause direct lysis of tumor cells have been widely reported[1,2]. Most clinical studies have focused on adenoviruses, poxviruses, herpes simplex virus type 1 (oHSV-1), measles and reoviruses.
Uveal Melanoma (UM) is the most common primary intraocular malignancy among adults[3]. It can be used for 5-year survival rate of patients ranging from 25% to 66% by removing eyeball, radioactive application therapy and other treatments[4,5]. Because limited therapy is available to treat such chemoresistant tumors, metastasis occurs within 15 years and causes about 90% of patients to die[6]. However, no difference in mortality was observed between conservative and surgical treatments. Oncolytic adenoviral therapy for the treatment of UM has been reported in several studies[7]. Oncolytic adenoviruses, as a vector for DNA genomic sequences, are often combined with immunologically active genes to induce cell killing due to their insufficient anti-tumor efficacy. Therefore, there is an urgent need for a new therapeutic strategy to improve the survival rate of UM patients.
Reference documents:
[1]H.L.Kaufman,F.J.Kohlhapp,A.Zloza,Oncolytic viruses:a new class ofimmunotherapy drugs,Nat Rev Drug Discov,14(2015)642-662.
[2]J.Bell,G.McFadden,Viruses for tumor therapy,Cell Host Microbe,15(2014)260-265.
[3]M.J.Jager,C.L.Shields,C.M.Cebulla,M.H.Abdel-Rahman,H.E.Grossniklaus,M.H.Stern,R.D.Carvajal,R.N.Belfort,R.Jia,J.A.Shields,B.E.Damato,Uveal melanoma,Nat Rev Dis Primers,6(2020)24.
[4]A.D.Singh,M.E.Turell,A.K.Topham,Uveal melanoma:trends inincidence,treatment,and survival,Ophthalmology,118(2011)1881-1885.
[5]J.M.Seddon,E.S.Gragoudas,K.M.Egan,R.J.Glynn,S.Howard,R.G.Fante,D.M.Albert,Relative survival rates after alternative therapies for uvealmelanoma,Ophthalmology,97(1990)769-777.
[6]D.B.Johnson,A.B.Daniels,Continued Poor Survival in MetastaticUveal Melanoma:Implications for Molecular Prognostication,SurveillanceImaging,Adjuvant Therapy,and Clinical Trials,JAMA Ophthalmol,136(2018)986-988.
[7]M.Garcia,R.Moreno,M.Gil-Martin,M.Cascallo,M.O.de Olza,C.Cuadra,J.M.Piulats,V.Navarro,M.Domenech,R.Alemany,R.Salazar,A Phase 1Trial ofOncolytic Adenovirus ICOVIR-5Administered Intravenously to Cutaneous andUveal Melanoma Patients,Hum Gene Ther,30(2019)352-364.
disclosure of Invention
In order to overcome the disadvantages of the prior art, the first aspect of the present invention provides a marker for evaluating the effect of a uveal melanoma treatment by administering an oncolytic herpes simplex virus to the tumor cells or tumor tissue of an individual having uveal melanoma, to uveal melanoma tissue in vitro, or to uveal melanoma cells in vitro, the marker being selected from the group consisting of markers capable of characterizing the degree of epithelial-to-mesenchymal transition.
In some embodiments, the oncolytic herpes simplex virus is an oncolytic herpes simplex virus type 1.
In some embodiments, the in vitro uveal melanoma cell is selected from the group consisting of a MUM2B cell line, a 92.1 cell line, and an MP41 cell line.
In some embodiments, the uveal melanoma individual is a xenograft tumor animal, or a human or animal having uveal melanoma.
In some embodiments, the xenograft tumor animal is a xenograft tumor animal formed in a mouse transplanted with human uveal melanoma cells.
In some embodiments, in the treatment, a tumor chemotherapeutic prodrug, 5-fluorocytosine, is administered to the tumor cells or tumor tissue of the uveal melanoma individual, the uveal melanoma tissue in vitro, or the uveal melanoma cells in vitro.
In some embodiments, the oncolytic herpes simplex virus contains a gene encoding cytosine deaminase that is capable of converting the tumor chemotherapeutic prodrug 5-fluorocytosine to a tumor chemotherapeutic.
In some embodiments, the oncolytic herpes simplex virus is gamma134.5 (i.e. ICP34.5) deletion, ICP47 deletion and the presence of glycoprotein US11, and the gene encoding cytosine deaminase was inserted γ1A recombinant oncolytic herpes simplex 1 virus at position 34.5.
In some embodiments, the gene encoding cytosine deaminase is an escherichia coli cytosine deaminase gene.
In some embodiments, the cytosine deaminase gene encodes an amino acid sequence as set forth in SEQ ID No. 14.
In some embodiments, the nucleic acid sequence of the cytosine deaminase gene is as set forth in SEQ ID No. 13.
In some embodiments, the marker is a marker of the IL-6 signaling pathway, a marker of the STAT3 signaling pathway, and/or a marker of the TGF beta signaling pathway.
In some embodiments, the marker is selected from the group consisting of: 1-10 of DPD, TWIST1, ZEB1, CD44, CDH1, IL-6, TS, p-STAT3, CDH2 and vimentin.
The method for evaluating the effect of the treatment of uveal melanoma using the marker of the present invention comprises: before the oncolytic herpes simplex virus or the virus is used with 5-fluorocytosine for treatment, the concentration of any one or more of IL-6, DPD, TWIST1, ZEB1, CD44, TS, p-STAT3, vimentin CDH1 and TS in the plasma of a treated object or primary tumor pathological tissues is detected, after treatment, the concentration or the expression amount of one or more of the substances in the plasma or the primary tumor pathological tissues is detected again, and if the concentration or the expression amount of any 1-7 of IL-6, DPD, IST1, ZEB1, CD44, TS, p-STAT3 and vimentin is remarkably reduced and/or the concentration or the expression amount of CDH1 and/or TS is remarkably increased, the curative effect of the oncolytic herpes simplex virus or the virus used with 5-fluorocytosine is remarkable.
In a second aspect, the present invention provides a reagent for detecting the marker of the first aspect, wherein the reagent is a reagent for detecting the expression level of mRNA of the marker and/or a reagent for detecting the expression level of protein of the marker.
In some embodiments, the reagent for detecting the mRNA expression level of the marker includes a reagent for detecting the expression level of the marker using a quantitative PCR method, a reagent for detecting the expression level of the marker using a gene chip method, or a reagent for detecting the expression level of the marker using a high throughput sequencing method.
In some embodiments, the reagent for detecting the expression level of the marker using a quantitative PCR method comprises a quantitative PCR primer pair for detecting the marker.
In some embodiments, the quantitative PCR primer pair for detecting the marker is selected from any 1-10 of a quantitative PCR primer pair for detecting DPD, a quantitative PCR primer pair for detecting TWIST1, a quantitative PCR primer pair for detecting ZEB1, a quantitative PCR primer pair for detecting CD44, a quantitative PCR primer pair for detecting CDH1, a quantitative PCR primer pair for detecting IL-6, a quantitative PCR primer pair for detecting TS, a quantitative PCR primer pair for detecting p-STAT3, a quantitative PCR primer pair for detecting CDH2, and a quantitative PCR primer pair for detecting vimentin.
In some embodiments, the specific sequence of the quantitative PCR primer pair for detecting DPD is shown as SEQ ID No.1 and SEQ ID No. 2;
the specific sequences of the quantitative PCR primer pair for detecting TWIST1 are shown as SEQ ID NO.3 and SEQ ID NO. 4;
the specific sequences of the quantitative PCR primer pair for detecting ZEB1 are shown in SEQ ID NO.5 and SEQ ID NO. 6;
the specific sequences of the quantitative PCR primer pair for detecting CD44 are shown as SEQ ID NO.7 and SEQ ID NO. 8; and/or
The specific sequences of the quantitative PCR primer pair for detecting CDH1 are shown as SEQ ID NO.9 and SEQ ID NO. 10.
In some embodiments, the reagent for detecting the mRNA expression level of the marker further comprises a reagent for detecting the expression level of an internal reference gene using a quantitative PCR method.
In some embodiments, the reference gene is selected from GAPDH, β -Actin, or a combination thereof.
In some embodiments, the reagent for detecting the expression level of the reference gene comprises a quantitative PCR primer pair for detecting the reference gene.
In some embodiments, the specific sequences of the quantitative PCR primer pair for detecting the reference gene are shown as SEQ ID NO.11 and SEQ ID NO. 12.
In some embodiments, the reagent for detecting the protein expression level of the marker comprises a reagent for detecting the expression level of the marker by using a western blot method, a reagent for detecting the expression level of the marker by using an ELISA method, or a reagent for detecting the expression level of the marker by using a mass spectrometry method.
In some embodiments, the reagent for detecting the expression level of the marker by using a western blotting method or the reagent for detecting the expression level of the marker by using an ELISA method is selected from any 1 to 10 of an antibody for detecting DPD, an antibody for detecting TWIST1, an antibody for detecting ZEB1, an antibody for detecting CD44, an antibody for detecting CDH1, an antibody for detecting IL-6, an antibody for detecting TS, an antibody for detecting p-STAT3, an antibody for detecting CDH2, and an antibody for detecting vimentin.
In some embodiments, the reagent for detecting the expression level of the marker using a western blotting method or the reagent for detecting the expression level of the marker using an ELISA method is selected from any 1 to 10 of a monoclonal antibody for detecting DPD, a monoclonal antibody for detecting TWIST1, a monoclonal antibody for detecting ZEB1, a monoclonal antibody for detecting CD44, a monoclonal antibody for detecting CDH1, a monoclonal antibody for detecting IL-6, a monoclonal antibody for detecting TS, a monoclonal antibody for detecting p-STAT3, a monoclonal antibody for detecting CDH2, and a monoclonal antibody for detecting vimentin.
In some embodiments, the reagent for detecting the protein expression level of the marker further comprises a reagent for detecting the expression level of an internal reference gene using a western blot method or using an ELISA method.
In some embodiments, the reference gene is selected from GAPDH, β -Actin, or a combination thereof.
In some embodiments, the reagent for detecting the expression level of the reference gene is an antibody for detecting the reference gene.
In some embodiments, the reagent for detecting the expression level of the reference gene is a monoclonal antibody for detecting the reference gene.
In a third aspect, the invention provides a kit comprising a reagent according to the second aspect of the invention.
The invention provides a preparation for treating, preventing and/or alleviating uveal melanoma, which comprises recombinant oncolytic herpes simplex virus and tumor chemotherapy drug precursor, wherein the recombinant oncolytic virus comprises a prodrug conversion gene with expression activity, and an expression product of the prodrug conversion gene is used for converting the tumor chemotherapy drug precursor into tumor chemotherapy drugs.
In some embodiments, the prodrug-converting gene is a cytosine deaminase gene and the tumor chemotherapeutic prodrug is 5-fluorocytosine.
In some embodiments, the cytosine deaminase gene is an escherichia coli cytosine deaminase gene.
In some embodiments, the amino acid sequence of the protein encoded by the cytosine deaminase gene is SEQ id No. 14.
In some embodiments, the nucleic acid sequence of the gene encoding the cytosine deaminase is SEQ ID No. 13.
In some embodiments, the recombinant oncolytic herpes simplex virus is gamma134.5 deletion, ICP47 deletion and the Presence of glycoprotein US11, and the Gene encoding cytosine deaminase inserted γ1A recombinant oncolytic herpes simplex 1 virus at position 34.5. .
The fifth aspect of the invention provides the application of the oncolytic herpes simplex virus in the preparation of the tumor drugs for treating abnormal high expression of any 1-7 of IL-6, DPD, TWIST1, ZEB1, CD44, TS, p-STAT3 and vimentin and/or abnormal low expression of CDH1 and/or TS.
Before determining the treatment means, the concentration or expression level of one or more substances of IL-6, DPD, TWIST1, ZEB1, CD44, TS, p-STAT3, vimentin, CDH1 and TS in the plasma of a tumor patient is detected, and if the concentration or expression level of IL-6, DPD, TWIST1, ZEB1, CD44, TS, p-STAT3 and vimentin is obviously higher than the normal level of a healthy person or the concentration or expression level of CDH1 and TS is obviously lower than the normal level of the healthy person, the tumor disease is determined to be suitable for treating by adopting the oncolytic herpes simplex virus.
In the use of the fifth aspect of the invention, as a preferred embodiment, the tumor comprises uveal melanoma.
In the use of the fifth aspect of the invention, as a preferred embodiment, the oncolytic herpes simplex virus is gamma134.5 deletion, ICP47 deletion and Presence of the 11 glycoprotein US11, and insertion of the Gene encoding cytosine deaminase Gamma1A recombinant oncolytic herpes simplex 1 virus at position 34.5.
The sixth aspect of the invention provides the application of oncolytic herpes simplex virus combined tumor chemotherapy prodrug 5-fluorocytosine in the preparation of tumor drugs for treating abnormal high expression of any 1-7 of IL-6, DPD, TWIST1, ZEB1, CD44, p-STAT3 and vimentin and/or abnormal low expression of CDH1 and/or TS.
In some embodiments, the tumor comprises uveal blackPlain tumor; the oncolytic herpes simplex virus is gamma134.5 deletion, ICP47 deletion and the Presence of glycoprotein US11, and the Gene encoding cytosine deaminase inserted γ1A recombinant oncolytic herpes simplex 1 virus at position 34.5.
Uveal Melanoma (UM) is the most common primary intraocular malignancy in adults, and this tumor possesses a high rate of distant metastasis. The methods of UM treatment include enucleation, radiation application therapy, local excision, etc., and studies have shown that existing therapies have less effect in improving patient survival. Therefore, the invention constructs a novel oncolytic herpes simplex virus type 1 (oHSV-1) which contains a suicide gene (CD) for coding Cytosine Deaminase. The invention detects the therapeutic effect of oHSV-1 encoding Escherichia coli CD. In vitro experiments suggest that binding of oHSV-1-CD to the prodrug 5-Fluorocytosine (5-FC) enhances the therapeutic efficacy of oncolytic viruses. In vivo experiments suggest that the life cycle of an OHSV-1-CD/5-FC treatment UM nude mouse xenograft animal model can be remarkably prolonged. The present invention demonstrates the therapeutic efficacy of reconstituted viruses and discusses the underlying molecular mechanisms of this therapeutic approach. The invention provides a reasonable basis for further exploring the use of the oncolytic virus in UM clinical treatment.
The present invention constructs an oHSV-1, recombinant oncolytic herpes simplex virus type 1 (oHSV-1-CD), containing a gene encoding the escherichia coli cytosine deaminase CD, which is capable of converting prodrug 5-fluorocytosine (5-FC) into cytotoxic 5-fluorouracil (5-FU) in virally infected cells, which virus selectively replicates and kills cancer cells. In vitro and in vivo experiments prove the killing efficacy of oHSV-1-CD/5-FC on UM cells. In the present invention, oHSV-1 has the ability to down-regulate IL-6 and inhibit the epithelial-mesenchymal transition (EMT) phenotype. Meanwhile, experiments prove that the rate-limiting enzyme dihydropyrimidine dehydrogenase (DPD, DPYD) is also down-regulated. Thus, the efficacy of oHSV-1-CD/5-FC is synergistically enhanced. By using in vitro and in vivo experiments of cell killing experiments and western blot determination, transmission electron microscope imaging, qPCR, ELISA, immunofluorescence staining and IVIS imaging, the invention provides experimental evidence for the mechanism of action of the novel oncolytic virus combined suicide gene in UM, verifies the curative effect and provides a new idea for UM treatment.
Uveal Melanoma (UM) is the most common intraocular primary malignancy in adults. The tumor has a high rate of distant metastasis, resulting in a high mortality rate for the patient, while the prognosis of the current therapy is poor. Therefore, there is an urgent need to develop new treatment regimens for UM patients. The invention constructs a novel oncolytic type 1 herpes simplex virus (oHSV-1), which comprises a gene (Cytosine Deaminase, CD) for coding escherichia coli Cytosine Deaminase, researches the action mechanism of the virus and evaluates the treatment effect of the virus in an UM nude mouse xenograft animal model.
The oHSV-1 vector can effectively kill human UM cells, down-regulate IL-6 expression in cells, and inhibit Epithelial-Mesenchymal Transition (EMT) phenotype. At the same time, virus-infected UM cells can down-regulate Dihydropyrimidine Dehydrogenase (DPD), the rate-limiting enzyme. The introduction of the CD gene into the viral backbone does not change the oncolytic properties of the virus, thereby enhancing the therapeutic effect of oHSV-1-CD/5-FC in vitro and in vivo. Oncolytic virus treatment of nude mouse orthotopic tumor implantation models can reduce tumor volume and improve mouse survival.
oHSV-1-CD/5-FC is effective in treating UM, inducing a persistent anti-tumor response, and CD expression converts 5-FC into 5-FU. The down-regulation of DPD decreases 5-FU metabolism and enhances the cell killing effect of the virus, whereas oncolytic viruses down-regulate IL-6 to reverse the EMT phenotype.
Drawings
FIG. 1 is a schematic diagram of the construction of oHSV-1-CD.
FIG. 2 shows the results of a human uveal melanoma cell line sensitivity test to oncolytic HSV-1 vector.
FIG. 3 shows photographs of oncolytic HSV-1 vectors resulting in the down-regulation of DPD and inhibition of the EMT phenotype.
FIG. 4 shows the therapeutic effect of oncolytic virus oHSV-1-CD/5-FC on the UM cell line.
FIG. 5 shows that oHSV-CD/5-FC inhibits EMT by downregulating IL-6 and downregulates DPD in vitro.
FIG. 6 shows that oHSV-CD/5-FC induces anti-tumor efficacy in a BALB/c nude mouse xenograft model.
Figure 7 shows that oncolytic viruses down-regulate IL-6 signaling and inhibit DPD expression in vivo.
FIG. 8 shows that 5-FU shows less sensitivity to human uveal melanoma cell lines.
Figure 9 shows that IL-6 and DPD are well expressed in tumor specimens from patients with uveal melanoma (n-9).
Figure 10 shows that DPD expression in UM samples is positively correlated with IL-6 and STAT3 (n-79).
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, embodiments of the present invention will be described in detail with reference to the accompanying drawings.
Materials and methods
1. Cell lines
In the present invention, the cell lines MUM2B (genotype: BRAF wild type), 92.1 (genotype: GNAQ mutant) and MP41 (genotype: GNA11 mutant) were used. Raw MUM2B and raw MP41 cells were obtained from the American type culture Collection (ATCC, Rockville, Md., USA) and cultured in DMEM medium containing 10 vol% fetal bovine serum. The original 92.1 cell line was awarded by professor Vavvas Demetrios and doctor efsithiou Nikolaos, general hospital, massachusetts. 92.1 cells were cultured in RPMI-1640 medium containing 10 vol% fetal bovine serum. All cell lines are transfected by CMV/firefly-Luciferase-neomycin lentivirus (Genechem, Shanghai, China, the carrier number is GV542, the element sequence is Ubi-MCS-fire _ Luciferase-SV40-neomycin), the transfection dose is MOI of 10, so that subsequent in vivo and in vitro experiments are carried out, IVIS imaging observation is carried out, the transfection does not influence the infection capacity and the biological activity of the oHSV-1, and MUM2B, 92.1 and MP41 cell lines used in the subsequent steps of the invention are transfected cell lines.
2. Oncolytic virus
In the present invention, the type of the oncolytic herpes simplex virus is not particularly limited, and any known oncolytic herpes simplex virus in the art may be used, but the herpes simplex virus is preferably a type I herpes simplex virus in order to better achieve stable expression of foreign nucleic acid and killing of tumor cells. The source of the herpes simplex virus of the present invention is not particularly limited, and the herpes simplex virus can be obtained by conventional commercial methods, can be obtained by self-isolation in a laboratory, and is preferably human herpes simplex virus. The oncolytic type 1 herpes simplex virus used in the present invention may be a wild-type oncolytic type 1 herpes simplex virus or a recombinant oncolytic type 1 herpes simplex virus, although not particularly limited thereto. The recombinant oncolytic 1-type herpes simplex virus is obtained by transforming wild-type oncolytic 1-type herpes simplex virus (HSV-1), and the construction method comprises the following steps:
the ICP34.5 gene and ICP47 gene of wild-type HSV-1 virus (GenBank accession No.: NC-001806, the same below for its gene sequence) were knocked out to generate an oncolytic HSV-1 vector (oHSV-1) according to the method described in the patent application No. 2004100064921, and then an exogenous nucleic acid sequence comprising the CD gene of Escherichia coli was inserted at the position where the ICP34.5 gene was knocked out (see FIG. 1). FIG. 1 is a schematic diagram of the insertion of the E.coli CD transgene (nucleic acid sequence shown in SEQ ID NO.13, protein sequence shown in SEQ ID NO.14) instead of gamma134.5, the inserted exogenous nucleic acid sequence also includes CMV and poly (A) promoters in order to make the inserted exogenous CD gene express smoothly. The methods for gene knockout and gene insertion of the present invention are conventional in the art, such as homologous recombination, and are not described herein. By deleting gamma134.5 genes and ICP47 genes, and is called oHSV-1-CD. Briefly, all viruses were grown and titrated in Vero cells, harvested by sonication and centrifugation at 1200 × g for 20 minutes. The virus was stored at-80 ℃ avoiding freeze-thaw cycling. The recombinant oncolytic herpes simplex virus is gamma134.5 deletion, ICP47 deletion and presence of the characteristic short 11 glycoprotein US11, and the cytosine deaminase-encoding gene was inserted γ1A recombinant oncolytic herpes simplex 1 virus at position 34.5.
The sequence of SEQ ID NO. 13:
ATGTCGAATAACGCTTTACAAACAATTATTAACGCCCGGTTACCAGGCGAAGAGGGGCTGTGGCAGATTCATCTGCAGGACGGAAAAATCAGCGCCATTGATGCGCAATCCGGCGTGATGCCCATAACTGAAAACAGCCTGGATGCCGAACAAGGTTTAGTTATACCGCCGTTTGTGGAGCCACATATTCACCTGGACACCACGCAAACCGCCGGACAACCGAACTGGAATCAGTCCGGCACGCTGTTTGAAGGCATTGAACGCTGGGCCGAGCGCAAAGCGTTATTAACCCATGACGATGTGAAACAACGCGCATGGCAAACGCTGAAATGGCAGATTGCCAACGGCATTCAGCATGTGCGTACCCATGTCGATGTTTCGGATGCAACGCTAACTGCGCTGAAAGCAATGCTGGAAGTGAAGCAGGAAGTCGCGCCGTGGATTGATCTGCAAATCGTCGCCTTCCCTCAGGAAGGGATTTTGTCGTATCCCAACGGTGAAGCGTTGCTGGAAGAGGCGTTACGCTTAGGGGCAGATGTAGTGGGGGCGATTCCGCATTTTGAATTTACCCGTGAATACGGCGTGGAGTCGCTGCATAAAACCTTCGCCCTGGCGCAAAAATACGACCGTCTCATCGACGTTCACTGTGATGAGATCGATGACGAGCAGTCGCGCTTTGTCGAAACCGTTGCTGCCCTGGCGCACCATGAAGGCATGGGCGCGCGAGTCACCGCCAGCCACACCACGGCAATGCACTCCTATAACGGGGCGTATACCTCACGCCTGTTCCGCTTGCTGAAAATGTCCGGTATTAACTTTGTCGCCAACCCGCTGGTCAATATTCATCTGCAAGGACGTTTCGATACGTATCCAAAACGTCGCGGCATCACGCGCGTTAAAGAGATGCTGGAGTCCGGCATTAACGTCTGCTTTGGTCACGATGATGTCTTCGATCCGTGGTATCCGCTGGGAACGGCGAATATGCTGCAAGTGCTGCATATGGGGCTGCATGTTTGCCAGTTGATGGGCTACGGGCAGATTAACGATGGCCTGAATTTAATCACCCACCACAGCGCAAGGACGTTGAATTTGCAGGATTACGGCATTGCCGCCGGAAACAGCGCCAACCTGATTATCCTGCCGGCTGAAAATGGGTTTGATGCGCTGCGCCGTCAGGTTCCGGTACGTTATTCGGTACGTGGCGGCAAGGTGATTGCCAGCACACAACCGGCACAAACCACCGTATATCTGGAGCAGCCAGAAGCCATCGATTACAAACGTTGA
SEQ ID No.14 sequence:
MSNNALQTIINARLPGEEGLWQIHLQDGKISAIDAQSGVMPITENSLDAEQGLVIPPFVEPHIHLDTTQTAGQPNWNQSGTLFEGIERWAERKALLTHDDVKQRAWQTLKWQIANGIQHVRTHVDVSDATLTALKAMLEVKQEVAPWIDLQIVAFPQEGILSYPNGEALLEEALRLGADVVGAIPHFEFTREYGVESLHKTFALAQKYDRLIDVHCDEIDDEQSRFVETVAALAHHEGMGARVTASHTTAMHSYNGAYTSRLFRLLKMSGINFVANPLVNIHLQGRFDTYPKRRGITRVKEMLESGINVCFGHDDVFDPWYPLGTANMLQVLHMGLHVCQLMGYGQINDGLNLITHHSARTLNLQDYGIAAGNSANLIILPAENGFDALRRQVPVRYSVRGGKVIASTQPAQTTVYLEQPEAIDYKR
3. cell survival assay
Cells were seeded in 96-well plates overnight at a density of 5,000 cells per well. Cells were incubated with virus at a defined multiplicity of infection (MOI), DMEM medium was used for MUM2B, MP41, and RPMI-1640 medium was used for 92.1, both at 37 degrees. For the oHSV-1-CD/5-FC test, after 24 hours of incubation, 100. mu.l of 5-FC (50. mu.g/mL) was added to each well of the oHSV-1-CD/5-FC group. Incubation was continued for 48 h. Cell viability was determined using cell counting kit-8 (CCK-8, Dojindo Molecular Technologies, Shanghai, China) according to the manufacturer's instructions. The absorbance of the sample was measured at 450nm using a Spectra Microplate Reader.
4. Western blot analysis
Before cell collection, MUM2B, 92.1 and MP41 cells were incubated for 48h with the virus oHSV-1-CD or oHSV-1-CD/5-FC in combination. The cells were then scraped into lysis buffer (Thermo Scientific, Carlsbad, CA, USA) containing protease inhibitors and phosphatase inhibitors. After incubation on ice for 45 minutes, the supernatant was collected and the protein concentration was determined. Proteins (32. mu.g per lane) were loaded onto gels for separation by SDS-PAGE. After separation, the proteins were transferred to nitrocellulose membranes and blocked with 1 × TBST (Tris buffered saline, 0.1 vol% Tween 20) containing 5 wt% skim milk powder for 30 minutes at room temperature. Membranes were washed with 1 × TBST and incubated with primary antibody overnight at 4 ℃. Table 1 lists the primary antibodies used in the present invention. After washing the membrane with 1 × TBST, the membrane was incubated with either horseradish peroxidase-labeled goat anti-rabbit IgG secondary antibody (Thermo Scientific, 31462, G-21040) or horseradish peroxidase-labeled goat anti-mouse IgG secondary antibody (Thermo, G-21040) for 1 hour at room temperature. The signal is detected using an ECL detection system. ImageJ was used to quantify western blot bands. Secondary antibody against immunofluorescence IF: goat anti-rabbit IgG (CST,4413S) labeled with fluorescence (Alexa Fluor555) or goat anti-rabbit IgG (CST,4412S) labeled with fluorescence (Alexa Fluor 488).
TABLE 1 list of antibodies (Primary antibodies) for Western blotting and immunofluorescence
Figure BDA0002621359430000101
5. Transmission Electron Microscope (TEM) imaging
MUM2B cells at 10cm2The culture dishes were incubated and treated with virus as described above. Virus was added at the desired MOI, cells were washed with PBS, and fixed in osmium tetroxide (OsO)4) In (1). After continuous dehydration in gradient ethanol, the sampleThe product is dyed by alkaline lead citrate and uranyl acetate. Images were taken by TEM at 80 kV.
6. Quantitative PCR
Total RNA was extracted from the virus-treated frozen cell pellet using TRIzol reagent (Thermo Scientific). cDNA synthesis was performed using a reverse transcription system kit (Promega A3500, Fitchburg, Wis., USA) according to the manufacturer's instructions. qPCR analysis was performed using SYBR-Green PCR Master Mix (Applied Biosystems, Waltham, MA, USA) on a QuantStaudio 6Flex system (Applied Biosystems) using routine procedures. Each target was replicated three times, GAPDH was used as an internal control. The results are expressed as 2-ΔΔCt. See table 2 for primer sequences.
TABLE 2 primer List used in qPCR
Figure BDA0002621359430000102
Figure BDA0002621359430000111
7.ELISA
Cytokines were measured using the ELISA kit shown in table 3 and summarized according to the manufacturer's instructions (table 3). The absorbance of the sample was measured at 450nm using a Spectra Microplate Reader.
TABLE 3 list of ELISA kits used in ELISA analysis
Cytokine Purchasing company Product goods number
IL-1β Abcam ab100562
IL-2 Abcam ab174444
IL-4 Abcam ab215089
IL-5 Abcam ab215536
IL-6 Abcam ab178013
IL-10 Abcam ab46034
IL-12p70 Abcam ab223592
IL-17A Abcam ab83688
IL-17F Abcam ab100557
IL-22 Abcam ab216170
TNFα Abcam ab181421
TNFβ Abcam ab119576
IFNγ Abcam ab46025
8. Immunofluorescence staining
MUM2B cells were cultured overnight in Lab-Tek laboratory (Nunc, Roskilde, Denmark). Virus (MOI ═ 1), 100 μ l of 5-FC (50 μ g/mL) and 100 μ l of IL-6(50ng/mL) were added to the different groups. The device was incubated from the time of cell inoculation until the drug was added. Each slide was seeded at a density of 10000 cells. Cells were fixed with 4% paraformaldehyde for 15 min at 37 ℃ and cleared with 0.3% TritonX-100 for 20 min at room temperature. Slides were then washed with PBS and blocked with goat IgG for 30 minutes. Primary antibody (table 1) was diluted and incubated overnight at 4 ℃. After washing with PBS, the slides were incubated with secondary antibodies, specifically fluorescent (Alexa Fluor555) labeled goat anti-rabbit IgG (CST,4413S) or fluorescent (Alexa Fluor488) labeled goat anti-rabbit IgG (CST,4412S), and washed with PBS. Finally, chamber slides were mounted with Prolong gold anti Reagent with DAPI (Invitrogen). Fluorescence images were captured using a Leica Aperio AT2 and Leica DM IRB instrument. Integrated Optical Density (IOD) was analyzed using ImageJ.
Tumor tissue sections were taken from animal specimens obtained two weeks after virus injection into the tumor. Immunofluorescent staining was performed as described previously. Briefly, samples were fixed in 4% paraformaldehyde and embedded in paraffin. Tissue slides were blocked with goat serum and incubated with primary antibody (table 1) overnight at 4 ℃. The next day, the samples were incubated with secondary antibodies labeled goat anti-rabbit IgG (CST,4413S) with FITC fluorescence (Alexa Fluor555) or Cy3 fluorescence (Alexa Fluor488) for 60 minutes at room temperature, and then stained with DAPI to visualize the nuclei. Mounting was performed using aqueous mounting medium (Thermo Scientific).
9. Construction of nude mouse heterogeneous tumor planting model
All in vivo experiments were performed according to the declaration of helsinki and guidelines for the storage and use of animals (published by DHEW, NIH 80-23). Male BALC/c nude mice six weeks old (n ═ 5 per group, and tolifa in beijing) were used. An animal model of subcutaneous xenograft tumor was established by injecting MUM2B cells into the right groin (2X 10) of mice at a time6Cells), virus (1X 10)5PFU/μ l, 50 μ l total) was injected once 10 days after cell implantation. In the case of the 5-FC injection, 5-FC was injected intraperitoneally every two days from the next day after virus injection. The injection amount was 500mg/kg mouse body weight, and the concentration of 5-FC for injection was 50. mu.g/mL.
Using MUM2B cells (1X 10)5Cells) an intraocular xenograft tumor animal model was established and implanted once in the right eye of the mouse as previously described. One injection of virus (1X 10) into the vitreous cavity 10 days after tumor cell implantation5PFU/. mu.l, 5. mu.l total). In the case of the 5-FC injection, 5-FC was injected intraperitoneally every two days from the next day after virus injection. The injection amount is 500mg/kg mouse body weight.
IVIS imaging
In vitro testing: biological luciferase images were obtained using IVIS spectroscopy. After incubating with the virus oHSV-1-CD or co-processing oHSV-1-CD/5-FC for 48 hours, an in vitro image can be obtained. The culture medium for incubation was 100. mu.L of DMEM medium containing 10 vol% fetal bovine serum containing 0.5mg/mL D-fluorescein.
The individual treatments were: imaging was carried out 72h after addition of oHSV-1-CD. The combination therapy is to add oHSV-1-CD for 24h, then add 5-FC, incubate for 48h, and then image.
Mouse in vivo test: biological luciferase images were obtained on day 0 (before virus injection), 7 days after virus injection, and 14 days after virus injection. Each mouse was given 100. mu.L of 15 mg/mL D-fluorescein intraperitoneally 5min prior to IVIS testing. The image is analyzed and ROI values are obtained.
The individual treatments were: imaging was performed 10 days after the addition of oHSV-1-CD. The combination therapy was achieved by adding 5-FC 10 days after the addition of oHSV-1-CD, incubating for an additional 48h, and imaging.
11. Tumor volume, animal body weight and survival
Tumor volume and animal body weight were measured every three days to day 24 post treatment and survival time was followed.
12. Statistical analysis
All data are expressed as mean ± standard deviation. Statistical analysis was performed using the Student's t test. Survival was analyzed using the Kaplan-Meier method and the log rank test. GraphPad Prism 7.0 was used to prepare all the graphs and to perform statistical analysis. P <0.05 was considered significant. Asterisks are used to indicate the importance of numbers. P < 0.05; p < 0.005; p < 0.0005; p is less than 0.0005. P < 0.00005; NS, no statistical significance.
Second, example
Example 1. human UM cell lines were tested for oHSV-1 backbone sensitivity.
Sensitivity of oHSV-1 to UM was tested in models of the human UM cell lines, MUM2B, 92.1 and MP41, described in section 1 of materials and methods, respectively. The three cell lines represent the major genotype of UM. The sensitivity of the oHSV-1 vector to UM cells was tested using the cell survival assay described in section 3 of materials and methods (figure 2). The results show that UM cells are sensitive to oHSV-1 in a dose-dependent manner. IC of each of these three cell lines500.1211MOI, 0.03897MOI and 0.01195MOI, respectively. These results indicate that UM cells are sensitive to the genetically engineered oHSV-1 virus.
After 24 hours of cell inoculation, the culture medium was replaced with diluted oHSV-1, the diluted oHSV-1 was added to complete medium, DMEM medium with 10% fetal bovine serum was used for the MUM2B and MP41 cells, RPMI-1640 medium with 10% fetal bovine serum was used for the 92.1 cell line, and the dilution and cell viability values are shown in fig. 2. After 48 hours incubation with virus, on 3 human grape membranesCell survival experiments were performed in melanoma cell lines. IC (integrated circuit)500.1211MOI, 0.03897MOI and 0.01195MOI, respectively. 0 As can be seen from FIG. 2, the cell viability of all three cell lines is reduced with the increase of the amount of oHSV-1, and the oHSV-1 is sensitive to UM and can effectively kill UM cells.
Example 2 Effect of oncolytic HSV-1 on MUM2B cell phenotype and Gene expression
To further test the tumor killing efficacy of oHSV-1, the ultrastructure of MUM2B cells (infection dose MOI 0.1, infection time 72h) after oHSV-1 infection was observed using electron microscope TEM (fig. 3A), according to the materials and methods of section 5. The virus was observed in the nucleus and cytoplasm (black arrows). Microvilli were reduced in infected cells compared to uninfected cells (white arrows). These data indicate that the EMT (epithelial-mesenchymal transition) process is inhibited by oHSV-1 infection.
Next, using MUM2B cells as a control, using oHSV-1 infection as a test group, and using the MOI of the infection dose to be 0.1, the invention further detects whether the oHSV-1 infection can inhibit EMT. The expression abundance of EMT marker genes, including mesenchymal marker genes, TWIST1, ZEB1, CD44 and DPD and epithelial marker genes, CDH1, GAPDH, were tested by conventional qPCR using the primers shown in table 2 as internal controls (fig. 3B). DPD expression is essential for EMT, where EMT is promoted by intracellular accumulation of dihydropyrimidines produced by DPD activation. Significant reductions in mesenchymal marker expression and increases in epithelial marker expression are observed with the present invention.
72h after viral infection, the relevant protein levels were detected using Western blotting using antibodies as shown in Table 1, according to the methods of section 4 of the materials and methods (FIG. 3C). The western blot results showed that after virus treatment, levels of DPD (-110 kDa) and TWIST1 (-26 kDa) decreased and CDH1 (-135 kDa) increased, with beta-Actin as an internal control. These results are consistent with the judgement of EMT inhibition after treatment with oHSV-1 based on the qPCR assay.
Next, the present invention examined whether the OHSV-1-CD virus reconstituted by the methods of section 2 of the materials and methods inhibits the EMT phenotype like the OHSV-1 backbone, in the same manner and procedure as described above for the OHSV-1. qPCR and Western blot analysis (FIGS. 3B and 3C) were performed, and gene and protein expression of oHSV-1-CD was similar to that of oHSV-1. These data indicate that the construction of oHSV-1-CD does not affect the function of oHSV-1. Based on these studies, the present invention further tested the efficacy of oHSV-1-CD/5-FC.
FIG. 3 shows that oncolytic HSV-1 vectors cause downregulation of PDP and inhibit EMT phenotype. A. TEM images of untreated MUM2B cells and oHSV-1 vector treated MUM2B cells. (black arrow: virus; white arrow: microvilli). Scale bar, 500 nm. B. The mRNA expression levels of DPD, TWIST1, ZEB1, CD44 and CDH1 in the non-virus-infected group (control), oHSV-1 vector-infected group and oHSV-1-CD-infected group were detected by qPCR analysis. GAPDH was used as an internal control. Statistical analysis of the data was performed using Student-t test, and values are expressed as mean ± standard deviation. P < 0.05; p < 0.005; p < 0.0005; p is less than 0.0005. P <0.00005, compared to data from control cells. C. Expression of DPD, TWIST1, CDH1 in the three cell species control groups, vector group oHSV-1 and oHSV-1-CD group was detected by Western blotting. Beta-actin is used as an internal control.
Example 3 detection of the effectiveness of oHSV-1-CD/5-FC on UM cell lines
OHSV-1-CD, constructed using the methods of materials and methods section 2, was tested in vitro against the OHSV-1-CD/5-FC model to determine whether the recombinant virus functioned in the UM cell line. The efficacy of treatment with oHSV-1-CD/5-FC was examined using three human UM cell lines, MUM2B, 92.1 and MP 41. Using materials and methods section 10, 5,000 cells were seeded from left to right in each plate at 0MOI, 0.001MOI, 0.01MOI, 0.1MOI, 1MOI, 10MOI, 5-FC concentration of 50 μ g/mL in the oHSV-1-CD/5-FC group, and three rows repeated. The gradation drop within each process is displayed by the IVIS image. The reduction in IVIS graying was significantly greater in cells receiving combination treatment compared to the group using oHSV-1-CD alone (fig. 4A). The ROI was measured to quantify the pixel intensity in IVIS images (fig. 4B). This indicates a significant decrease in cell viability following an increase in MOI, whereas combined treatment with 5-FC enhanced killing. Using the materials andmethods the cell survival experiments described in method section 3 were performed to confirm the results (fig. 4C). For the MUM2B cells: IC of oHSV-1-CD50IC at 0.08238MOI, oHSV-1-CD/5-FC500.07201 MOI; for 92.1 cells: IC of oHSV-1-CD50IC at 0.01693MOI, oHSV-1-CD/5-FC500.008233 MOI; for MP41 cells: IC of oHSV-1-CD50IC at 0.208MOI, oHSV-1-CD/5-FC500.08105 MOI; IC of combination therapy in all three cell lines50Lower than the oHSV-1-CD treatment alone. These results indicate that oHSV-1-CD is an effective UM therapy and that the combination with 5-FC improves efficacy.
Various 5-FC concentrations were tested to examine the effectiveness of the suicide gene in oncolytic viruses (FIG. 4D), using MUM2B cells using the cell survival assay described in section 3 of the materials and methods. At low MOI, the suicide gene is more significant in efficacy. In addition, increasing the 5-FC concentration to 50. mu.g/mL or more did not improve the therapeutic effect. Therefore, the optimum concentration of 5-FC in the treatment was 50. mu.g/mL. Cell viability was examined after different time periods (fig. 4E). Differences were observed at low MOI (MOI 0.01) with or without 5-FC. However, cell viability declined on day 3 post treatment and was considered time dependent. Around day 6, the viability of both the lowest and highest MOI tended to be consistent. These data demonstrate that this approach can be used to reflect in vivo therapeutic situations where the virus is most likely at a low MOI.
Western blot assays were used to assess CD expression following viral infection using the antibodies shown in table 1, according to the methods of materials and methods section 4, at an infectious dose of 0.1 MOI. Expression of CD (. about.48 kDa) was detected 24 hours post infection (FIG. 4F). Inhibition of thymidylate synthase (TS,. about.30 kDa) by 5-FU was indirectly assessed (FIG. 4G). The experimental results indicate that the up-regulation of TS in the combination treatment group may be due to the conversion of 5-FU.
FIG. 4 shows the therapeutic effect of oncolytic virus oHSV-1-CD/5-FC on the UM cell line. Ivis images showed a gray reduction within each treatment, which was more pronounced in the combination treatment group (containing 50 μ g/mL 5-FC). B. The quantified pixel intensities are measured in IVIS images. C. Cellular activity was measured in 3 human uveal melanoma cell lines treated with oHSV-1-CD and oHSV-1-CD/5-FC. D. Cell viability was examined at different 5-FC concentrations. E. Cell viability was checked at different time lines. F. Western blot shows CD expression 24 hours after viral infection. Beta-actin is used as an internal control. G. CD and TS expression was detected by western blot. Beta-actin is used as an internal control.
Example 4 oncolytic viruses down-regulate IL-6/STAT3 and inhibit DPD expression.
To further demonstrate the effectiveness of oHSV-1-CD, the virus oHSV-1-CD at 0.1MOI was inoculated into MUM2B cells, one without 5-FC and the other at a concentration of 50 μ g/mL, and various cytokines were detected in the culture medium using the method of section 7 of the materials and methods and the kit described in table 3, using MUM2B cells as a control, using the collected cell supernatants in ELISA assays (fig. 5A). The results indicate that IL-6 is reduced in both the virome alone and the combination treatment. This suggests that IL-6 is greatly affected and its signaling pathway plays an important role in the treatment of oncolytic viruses.
Since IL-6 signaling is a key mechanism of EMT, the present invention next detects whether IL-6 enhances EMT by activating the signaling pathway through the IL-6/STAT3 signaling pathway. 5,000 MUM2B cells were inoculated with 1MOI of the virus oHSV-1 or oHSV-1-CD at a concentration of 50. mu.g/mL for 5-FC and 10ng/mL for IL-6. The level of the relevant protein was determined using western blotting using the antibodies shown in table 1, according to the methods of material and method section 4 (fig. 5B and 5D). STAT3 is highly phosphorylated in MUM2B cells and IL-6 treatment groups. oHSV-1-CD and combination therapy resulted in decreased levels of phosphorylated STAT3, TWIST1 and DPD. IL-6 treatment resulted in elevated levels of phosphorylated STAT3, TWIST1 and DPD. Immunocytochemistry confirmed these results using the antibodies shown in Table 1, according to the methods of materials and methods section 8 (FIG. 5C). Taken together, these data indicate that the therapeutic advantages of the combination treatment of oHSV-1-CD/5-FC are associated with the ability to reverse EMT and inhibit IL-6 signaling in vivo.
Cell viability assay with IL-6 addition (FIG. 5E (1))). Cell viability was repeated three times and IC was calculated50Fold change (fig. 5E (2)). Addition of IL-6 reduced the sensitivity, IC, of oHSV-1-CD50And higher. Taken together, these data indicate that oncolytic viruses can cause under-expression of IL-6, resulting in cancer cells reaching an epithelial phenotype. The virus also reduced DPD expression, helping to restore sensitivity to CD/5-FC.
FIG. 5 shows the inhibition of EMT by downregulation of IL-6 by oHSV-CD/5-FC, and downregulation of DPD in vitro. ELISA analysis showed a decrease in IL-6 for both the oHSV-1-CD and oHSV-1-CD/5-FC groups. Statistical analysis of the data was performed using Student's-t test, values are expressed as mean ± standard deviation. P <0.005 compared to placebo cells. ohsv-1-CD reduces activation of IL-6 signaling and reduces DPD expression in MUM2B cells. Beta-actin is used as an internal control. C. Immunofluorescent staining confirmed the expression of CDH1, CDH2, vimentin and DPD. Oncolytic viruses reverse the IL-6 induced EMT phenotype. Scale bar, 100 μm. D.B quantification of the blot. E. (1) cell viability assay after additional IL-6 treatment. (2) IC in cell viability assay50A change in (c). Statistical analysis of the data was performed using Student's-t test, values are expressed as mean ± standard deviation. P < 0.05.
Example 5 anti-tumor Activity induced by oHSV-1-CD/5-FC in a BALB/c nude mouse xenograft model
To identify the therapeutic efficacy of oHSV-1-CD/5-FC, a BALB/c nude mouse transplantation model was established according to the materials and methods in sections 9 and 10. The mice were implanted with MUM2B cells. 5-FC (500mg/kg mouse body weight) was used at the indicated times (FIG. 6E). IVIS images and quantification of subcutaneous xenografted ROI clearly showed that tumor size was reduced in the oHSV-1-CD group, while this effect was enhanced in the oHSV-1-CD/5-FC group (FIGS. 6A and 6B). Subcutaneous tumors were harvested, their volume determined (fig. 6C and 6D), and a significant decrease was observed. An in situ tumor model was constructed to more accurately observe the therapeutic effect. IVIS images and associated quantification of ROI were obtained (fig. 6F and 6G). The volume of the eye was calculated and showed a significant volume reduction (fig. 6H).
These results indicate that oHSV-1-CD is effective in treating UM, while 5-FC enhances this effect. There was no significant difference in body weight within 24 days after virus injection (FIG. 6I). This indicates that the treatment administered had no negative effects on the animals and that the toxic effects were low. In addition, the log rank test results showed median survival for the control, OHSV-1-CD and OHSV-1-CD/5-FC groups for 23, 33 and 50 days (p <0.05) (FIG. 6J), respectively. The results indicate that the survival time was prolonged in the virus-infected group compared to the virus-only group, and was significantly prolonged in the combination treatment group. Overall, these results indicate that treatment with oHSV-1-CD/5-FC in combination is significantly effective in UM.
FIG. 6 shows that oHSV-CD/5-FC induces anti-tumor efficacy in a BALB/c nude mouse xenograft model. A. IVIS images of subcutaneous tumor xenografts in different groups (n ═ 5 mice per group, only 2 shown in the figure) were administered at 500mg/kg to 5-FC according to time line. B.A quantization of ROIs. C. Inguinal resection of subcutaneous tumors in different groups. D. Inguinal resection of subcutaneous tumor weights in different groups. E. Schedule in vivo study protocol, virus treatment was performed on day 10 after tumor implantation. 5-FC treatment was then performed every other day. Small animal in vivo fluorescence imaging images were taken before, on day 7, and on day 14, respectively, before virus treatment. F. IVIS images of orthotopic xenografts from uninfected oHSV-1-CD and oHSV-1-CD/5-FC groups (only 3 shown in the figure, n-5 mice per group). ROI quantification of g.f. H. Eye volume measured after tumor cell implantation and under different treatments. I. Tumor cell implantation and weight of in situ xenografts after treatment. J. Survival curves of in situ UM tumors with xenografts. Log rank test, p <0.05, statistical analysis of data using Student's-t test, values expressed as mean ± standard deviation. P < 0.05; p < 0.005; p < 0.0005; p is less than 0.0005. P < 0.00005.
Example 6 oncolytic viruses overcome DPD resistance and inhibit IL-6 signaling activation in vivo
To elucidate the underlying mechanisms of efficacious treatment of oHSV-1-CD/5-FC, the present invention analyzed the EMT and IL-6 signaling pathways in the xenograft model of example 5 using the antibodies shown in Table 1, according to the methods of materials and methods, sections 4, 9, and 10. The test group was intraperitoneally injected with a 5-FC physiological saline solution at 500mg/kg of mouse body weight, using mice transplanted with oHSV-1-CD as a control, and immunofluorescence was used to examine these components in the three groups (FIG. 7A). Tumor specimens were obtained 2 weeks after virus injection and IOD was calculated (fig. 7E).
Using the methods of section 7 of materials and methods and the kit described in table 3 to detect various cytokines in the culture media after 72h of culture, factors were detected in the plasma of mice in each group and a decrease in the levels of IL-6, p-STAT3, CDH2, vimentin and DPD and an increase in the levels of CDH1 were observed in the treated group. These results indicate that EMT is inhibited in both the OHSV-1-CD and the OHSV-1-CD/5-FC groups. These results were confirmed by western blot analysis (fig. 7C) and quantified (fig. 7D).
Using the antibodies shown in Table 1, factors were detected in the plasma of mice in each group according to the method of section 4 of materials and methods, and the expression of CDH1 was increased and p-STAT3, TWIST1 and DPD were decreased after oncolytic virus treatment compared to the control group. IL-6 secretion in sera from xenograft model of nude mice was examined using ELISA (FIG. 7B). A significant reduction in serum IL-6 was detected in the group injected with virus. Taken together, these data suggest that the therapeutic advantage of the oHSV-1-CD/5-FC combination therapy is due to the ability of oncolytic viruses to inhibit DPD and function through the IL-6 signaling pathway in vivo to reverse EMT.
Figure 7 shows that oncolytic viruses down-regulate IL-6 signaling and inhibit DPD expression in vivo. ohsv-1-CD treatment reverses EMT by inhibiting the IL-6/STAT3 signaling pathway in xenograft tumor masses. The tumor was immunostained in paraffin-embedded sections. Scale bar, 50 μm. B. ELISA was evaluated to determine cytokine levels in xenograft serum. oHSV-1-CD reduces the level of IL-6 in serum. C. Western blot analysis the expression of the relative marker proteins obtained from tumor extraction. Beta-actin is used as an internal control. D.c quantitative blotting of results. Quantification of immunostaining positive cells in e.a. Statistical analysis of the data was performed using Student's-t test, values are expressed as mean ± standard deviation. P < 0.05; p < 0.005; p < 0.0005; p is less than 0.0005. P <0.00005, compared to control cells, respectively.
UM is the most common intraocular tumor in adults and the incidence of metastasis is high. Current treatment of UM remains limited to extirpation and radiation therapy, resulting in poor prognosis of this chemotherapy-resistant cancer. Therefore, new strategies are urgently needed to extend the survival of UM patients. The invention realizes a novel recombinant oHSV-1 with Escherichia coli CD, proves the treatment efficacy of the virus in vitro and in vivo, and determines the potential molecular mechanism of the virus oHSV-1 in UM. The present invention examined the anti-tumor efficacy of the novel recombinant oHSV-1 with e. The present invention determines the efficacy of oncolytic viruses in UM cell lines. In vivo experiments have shown that treatment with this virus reduces tumor volume and increases survival. The invention further demonstrates the molecular mechanism of the treatment of oHSV-1-CD/5-FC. Oncolytic viruses down-regulate IL-6, thereby reversing the EMT phenotype. DPD, which functions as a rate-limiting enzyme in the metabolism of 5-FU, is also down-regulated. Therefore, the efficacy of oHSV-1-CD/5-FC can be synergistically enhanced by down-regulating DPD and inhibiting EMT. The invention introduces the oncolytic HSV-1 vector into UM for the first time. Unexpectedly, cell viability analysis showed that UM was more sensitive to oHSV-1 vector than to adenovirus. The high efficiency of the oHSV-1 vector provides a new strategy for treating UM. Based on the novel finding of the present invention that treatment with oHSV-1 results in the inhibition of the EMT phenotype, the present invention investigated the transition from the mesenchymal to the epithelial phenotype in UM cells. EMT is characterized by stem cell-like properties, loss of cell adhesion, and the ability to migrate, making cells more capable of local invasion and distant migration. EMT is also associated with chemotherapy resistance given its aggressive tumor behavior. Studies have linked DPD function to the resistance of acquired tumors to 5-FU chemotherapy and its important role in EMT. Patients with low DPD expression experience profound efficacy of 5-FU therapy by reducing drug catabolism. The present inventors have found that the UM cell line is less sensitive to 5-FU (FIG. 8), which makes the combination of oHSV-1-CD and 5-FC a potential therapeutic approach. For the MUM2B, 92.1 and MP41 cell lines, three rows were repeated, in each plate, from left to right with 5-FC added at 0. mu.M, 1.25. mu.M, 2.5. mu.M, 5. mu.M, 10. mu.M, 20. mu.M, with reference to the materials and methods of section 10. The same is the cell killing experiment. Cells were seeded in 96-well plates overnight at a density of 5,000 cells per well. Cells were incubated with 5-FU mixed at 50. mu.g/mL for 48h and cell viability was determined using cell counting kit-8 (CCK-8, Dojindo Molecular Technologies, Shanghai, China) according to the manufacturer's instructions. The absorbance of the sample was measured at 450nm using a Spectra Microplate Reader.
FIG. 8 shows that 5-FU shows less sensitivity to human uveal melanoma cell lines. Ivis images show the radiation decline of 5-FU treatment. B. The quantified pixel intensities are measured in IVIS images. C. Cell viability was measured in 5-FU treated 3 human uveal melanoma cell lines, their IC50Respectively as follows: 12.9. mu.M, 108.4. mu.M, 56.67. mu.M. DPD is an EMT-promoting transcription factor. This metabolic gene is also essential for the pyrimidine degradation pathway and is an inhibitor of the rapid degradation of 5-FU to Dihydrofluorouracil (DHFU). This is the rate-limiting step in the catabolism of 5-FU. Cell viability assays using the UM cell line treated with 5-FU (FIG. 8) showed that UM was less sensitive to 5-FU. Therefore, it is believed that down-regulation of DPD by oHSV-1 will enhance the efficacy of 5-FU therapy. The expression levels of IL6 and DPD were measured according to the method of section 8 of the materials and methods using the antibodies shown in Table 1, and it was shown that IL-6 and DPD were well expressed in UM tumor specimens (FIG. 9). Therefore, the constructed oHSV-1 is enhanced by encoding a CD suicide gene to synergistically enhance the efficacy of oHSV-1. DPD expression is down-regulated after oHSV-1-CD treatment, and DPD expression is enhanced after other IL-6 is introduced into a culture medium in vitro. The association between DPD and IL-6/STAT3 and clinical UM specimens in the genomic profile (TCGA) of cancer was analyzed using the GEPIA2 platform and a significant relationship between DPD and IL-6/STAT3 mRNA levels was observed (FIG. 10). The down-regulation of DPD is associated with the IL-6/STAT3 signaling pathway and may explain the efficacy of the combination therapy with oHSV-1-CD/5-FC.
Figure 9 shows that IL-6 and DPD are well expressed in tumor specimens from patients with uveal melanoma (n-9). A.H & E photomicrographs of UM patient tumor masses. IF is a representative paraffin-embedded section of red IL-6 and green DPD. Scale bar, 50 μm. B.A quantification of immunostaining positive cells.
Figure 10 shows that DPD expression in UM samples is positively correlated with IL-6 and STAT3 (n-79). A. Analysis of the TCGA database using the GEPIA2 platform showed a correlation of DPD with IL-6 or STAT3 at the mRNA level. GAPDH was used as the normalization gene. B. Overall survival of UM patients expressing different levels of DPD in the TCGA database.
5-FU is a small molecule that can diffuse into and out of cells, making the "bystander effect" a special feature of the CD/5-FC suicide gene system. However, this suicide gene system cannot target specific cells. The present invention combines oHSV-1 with a CD/5-FC system to create an oHSV-1-CD/5-FC combination therapy. Through in vitro and in vivo experiments, the invention finds that the oHSV-1-CD/5-FC has wide prospect in treating UM patients. The present invention observes that IL-6 is inhibited following viral infection. HSV-1 encoded gene gamma134.5 and Us11 were used exclusively to prevent accumulation of phosphorylated eIF2 α. Us11 is an ancient mechanism that blocks the action of activated PKR and has been replaced by gamma 134.5 viral proteins. Cells infected with oHSV-1 cause a decrease in IL-6, one of the major cytokines that activate the STAT family. The present inventors have found that phosphorylation of STAT3 is down-regulated after viral treatment, whereas phosphorylation of STAT3 is increased after IL-6 addition. STAT3 acts on the proliferation and invasion of tumor cells and is known for its carcinogenic effects. Inhibition by IL-6/STAT3 reduced tumor cell growth after viral therapy. Interestingly, inflammation-associated cytosine IL-6 is capable of inducing EMT in cancer cells, whereas down-regulation of IL-6 reverses EMT. We also observed inhibition of TWIST1 following virus treatment. TWIST1 is a key role in EMT and is the direct target of STAT 3. STAT3 may also bind to the vimentin promoter to enhance its expression and target the transcriptional regulator of CDH1, either directly or indirectly. This suggests that oHSV-1-CD functions in infected UM cells by inhibiting IL-6/STAT3 signaling. New therapeutic approaches have emerged in the field of cancer therapy. Oncolytic viruses keep this field away from conventional therapies. However, research has some limitations. IL-6/STAT3 pathway inhibition in vivo and in clinical samples could not be determined. In view of the reduced efficacy of IL-6 in combination therapyOf importance, therefore, inhibitors of IL-6 will be available to thoroughly examine the therapy.
In summary, the present invention demonstrates for the first time that oHSV-1-CD/5-FC is effective in treating UM both in vitro and in vivo, and can prolong overall survival in xenograft animal models. The results of the present invention indicate that the anti-tumor efficacy of the treatment with oHSV-1-CD/5-FC is due in part to the reduction in IL-6. Changes in EMT phenotype indicate that oHSV-1-CD/5-FC treatment inhibits the IL-6/STAT3 signaling pathway. The combined effect of oncolytic virus and suicide gene expression improves the anti-tumor efficacy of 5-FU through DPD down-regulation. The invention provides a solid foundation for future research and solid evidence for supporting the OHSV-1-CD/5-FC combination treatment as a new clinical treatment for UM patients.
It will be appreciated by those skilled in the art that the invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof. The embodiments disclosed above are therefore to be considered in all respects as illustrative and not restrictive. All changes which come within the scope of or equivalence to the invention are intended to be embraced therein.
Sequence listing
<110> Neuko department of neurosurgery research in Beijing
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Claims (10)

1. A marker for assessing the efficacy of a uveal melanoma treatment selected from the group consisting of a marker capable of characterising the degree of epithelial-to-mesenchymal transition, by administering an oncolytic herpes simplex virus to neoplastic cells or neoplastic tissue, to uveal melanoma tissue in vitro, or to uveal melanoma cells in vitro of an individual having uveal melanoma.
2. The marker of claim 1, wherein the oncolytic herpes simplex virus is oncolytic herpes simplex virus type 1;
preferably, the in vitro uveal melanoma cells are selected from the group consisting of the MUM2B cell line, the 92.1 cell line and the MP41 cell line;
preferably, the uveal melanoma individual is a xenograft tumor animal, or a human or animal having uveal melanoma;
preferably, the xenograft tumor animal is a xenograft tumor animal formed by transplanting human uveal melanoma cells into a mouse body;
preferably, in said treatment, the tumor chemotherapeutic prodrug 5-fluorocytosine is administered to the tumor cells or tumor tissue of said individual uveal melanoma, to said in vitro uveal melanoma tissue, or to said in vitro uveal melanoma cells;
preferably, the oncolytic herpes simplex virus contains a gene encoding cytosine deaminase capable of converting a tumor chemotherapeutic prodrug, 5-fluorocytosine, to a tumor chemotherapeutic;
preferably, the oncolytic herpes simplex virus is gamma134.5 deletion, ICP47 deletion and the Presence of glycoprotein US11, and the Gene encoding cytosine deaminase inserted γ1A recombinant oncolytic herpes simplex 1 virus at position 34.5;
preferably, the gene encoding the cytosine deaminase is an escherichia coli cytosine deaminase gene;
preferably, the amino acid sequence coded by the cytosine deaminase gene is shown as SEQ ID NO. 14;
preferably, the nucleotide sequence of the cytosine deaminase gene is shown as SEQ ID NO. 13;
preferably, the marker is a marker of the IL-6 signaling pathway, a marker of the STAT3 signaling pathway, and/or a marker of the TGF beta signaling pathway;
more preferably, the marker is selected from: 1-10 of DPD, TWIST1, ZEB1, CD44, CDH1, IL-6, TS, p-STAT3, CDH2 and vimentin.
3. A reagent for detecting the marker of claim 1 or 2, which is a reagent for detecting the mRNA expression level of the marker and/or a reagent for detecting the protein expression level of the marker.
4. The reagent according to claim 3, wherein the reagent for detecting the mRNA expression level of the marker comprises a reagent for detecting the expression level of the marker by a quantitative PCR method, a reagent for detecting the expression level of the marker by a gene chip method, or a reagent for detecting the expression level of the marker by a high throughput sequencing method;
preferably, the reagent for detecting the expression level of the marker by using a quantitative PCR method comprises a quantitative PCR primer pair for detecting the marker;
preferably, the quantitative PCR primer pair for detecting the marker is selected from any 1-10 pairs of a quantitative PCR primer pair for detecting DPD, a quantitative PCR primer pair for detecting TWIST1, a quantitative PCR primer pair for detecting ZEB1, a quantitative PCR primer pair for detecting CD44, a quantitative PCR primer pair for detecting CDH1, a quantitative PCR primer pair for detecting IL-6, a quantitative PCR primer pair for detecting TS, a quantitative PCR primer pair for detecting p-STAT3, a quantitative PCR primer pair for detecting CDH2 and a quantitative PCR primer pair for detecting vimentin;
preferably, the specific sequence of the quantitative PCR primer pair for detecting DPD is shown in SEQ ID NO.1 and SEQ ID NO. 2;
the specific sequences of the quantitative PCR primer pair for detecting TWIST1 are shown as SEQ ID NO.3 and SEQ ID NO. 4;
the specific sequences of the quantitative PCR primer pair for detecting ZEB1 are shown in SEQ ID NO.5 and SEQ ID NO. 6;
the specific sequences of the quantitative PCR primer pair for detecting CD44 are shown as SEQ ID NO.7 and SEQ ID NO. 8; and/or
The specific sequences of the quantitative PCR primer pair for detecting CDH1 are shown as SEQ ID NO.9 and SEQ ID NO. 10;
preferably, the reagent for detecting the mRNA expression level of the marker further comprises a reagent for detecting the expression level of an internal reference gene by using a quantitative PCR method;
preferably, the reference gene is selected from GAPDH, β -Actin or a combination thereof.
Preferably, the reagent for detecting the expression level of the reference gene comprises a quantitative PCR primer pair for detecting the reference gene;
preferably, the specific sequences of the quantitative PCR primer pair for detecting the reference gene are shown as SEQ ID NO.11 and SEQ ID NO. 12;
preferably, the reagent for detecting the protein expression level of the marker comprises a reagent for detecting the expression level of the marker by using a western blotting method, a reagent for detecting the expression level of the marker by using an ELISA method, or a reagent for detecting the expression level of the marker by using a mass spectrometry method;
preferably, the reagent for detecting the expression amount of the marker by using the western blotting method or the reagent for detecting the expression amount of the marker by using the ELISA method is selected from any 1 to 10 reagents used in an antibody for detecting DPD, an antibody for detecting TWIST1, an antibody for detecting ZEB1, an antibody for detecting CD44, an antibody for detecting CDH1, an antibody for detecting IL-6, an antibody for detecting TS, an antibody for detecting p-STAT3, an antibody for detecting CDH2, and an antibody for detecting vimentin;
preferably, the reagent for detecting the expression level of the marker by using a western blotting method or the reagent for detecting the expression level of the marker by using an ELISA method is selected from 1 to 10 reagents used in any one of a monoclonal antibody for detecting DPD, a monoclonal antibody for detecting TWIST1, a monoclonal antibody for detecting ZEB1, a monoclonal antibody for detecting CD44, a monoclonal antibody for detecting CDH1, a monoclonal antibody for detecting IL-6, a monoclonal antibody for detecting TS, a monoclonal antibody for detecting p-STAT3, a monoclonal antibody for detecting CDH2 and a monoclonal antibody for detecting vimentin;
preferably, the reagent for detecting the protein expression level of the marker further comprises a reagent for detecting the expression level of an internal reference gene by using a western blotting method or an ELISA method;
preferably, the reference gene is selected from GAPDH, β -Actin or a combination thereof;
preferably, the reagent for detecting the expression level of the reference gene is an antibody for detecting the reference gene;
preferably, the reagent for detecting the expression level of the reference gene is a monoclonal antibody for detecting the reference gene.
5. A kit comprising the reagent of claim 3 or 4.
6. An agent for treating, preventing and/or alleviating uveal melanoma, comprising a recombinant oncolytic herpes simplex virus comprising a prodrug-converting gene having an expression activity, and a tumor chemotherapeutic prodrug, wherein the expression product of the prodrug-converting gene is used to convert the tumor chemotherapeutic prodrug into a tumor chemotherapeutic.
7. The formulation of claim 6, wherein the prodrug-converting gene is a cytosine deaminase gene, the tumor chemotherapeutic prodrug is 5-fluorocytosine;
preferably, the cytosine deaminase gene is an escherichia coli cytosine deaminase gene;
preferably, the amino acid sequence of the protein coded by the cytosine deaminase gene is SEQ ID No. 14;
preferably, the nucleic acid sequence of the gene encoding cytosine deaminase is SEQ ID No. 13;
preferably, the recombinant oncolytic herpes simplex virus is gamma134.5 deletion, ICP47 deletion and the Presence of glycoprotein US11, and the Gene encoding cytosine deaminase inserted γ1A recombinant oncolytic herpes simplex 1 virus at position 34.5.
8. The application of the oncolytic herpes simplex virus in the preparation of the tumor drugs for treating abnormal high expression of any 1-7 of IL-6, DPD, TWIST1, ZEB1, CD44, p-STAT3 and vimentin and/or abnormal low expression of CDH1 and/or TS;
preferably, the tumor comprises uveal melanoma;
preferably, the oncolytic herpes simplex diseasePoison is gamma134.5 deletion, ICP47 deletion and the Presence of glycoprotein US11, and the Gene encoding cytosine deaminase inserted γ1A recombinant oncolytic herpes simplex 1 virus at position 34.5.
9. The application of oncolytic herpes simplex virus combined with tumor chemotherapy prodrug 5-fluorocytosine in the preparation of tumor drugs for treating abnormal high expression of any 1-7 of IL-6, DPD, TWIST1, ZEB1, CD44, p-STAT3 and vimentin and/or abnormal low expression of CDH1 and/or TS.
10. The use of claim 9, wherein the tumor comprises uveal melanoma; the oncolytic herpes simplex virus is gamma134.5 deletion, ICP47 deletion and the Presence of glycoprotein US11, and the Gene encoding cytosine deaminase inserted γ1A recombinant oncolytic herpes simplex 1 virus at position 34.5.
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