Targeted therapy for Epstein-Barr virus-associated gastric carcinoma using low-dose gemcitabine-induced lytic activation.
Oncotarget
; 6(31): 31018-29, 2015 Oct 13.
Article
en En
| MEDLINE
| ID: mdl-26427042
The constant presence of the viral genome in Epstein-Barr virus (EBV)-associated gastric cancers (EBVaGCs) suggests the applicability of novel EBV-targeted therapies. The antiviral nucleoside drug, ganciclovir (GCV), is effective only in the context of the viral lytic cycle in the presence of EBV-encoded thymidine kinase (TK)/protein kinase (PK) expression. In this study, screening of the Johns Hopkins Drug Library identified gemcitabine as a candidate for combination treatment with GCV. Pharmacological induction of EBV-TK or PK in EBVaGC-originated tumor cells were used to study combination treatment with GCV in vitro and in vivo. Gemcitabine was found to be a lytic inducer via activation of the ataxia telangiectasia-mutated (ATM)/p53 genotoxic stress pathway in EBVaGC. Using an EBVaGC mouse model and a [125I] fialuridine (FIAU)-based lytic activation imaging system, we evaluated gemcitabine-induced lytic activation in an in vivo system and confirmed the efficacy of gemcitabine-GCV combination treatment. This viral enzyme-targeted anti-tumor strategy may provide a new therapeutic approach for EBVaGCs.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Antivirales
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Neoplasias Gástricas
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Carcinoma
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Protocolos de Quimioterapia Combinada Antineoplásica
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Ganciclovir
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Herpesvirus Humano 4
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Infecciones por Virus de Epstein-Barr
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Desoxicitidina
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Terapia Molecular Dirigida
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Antimetabolitos Antineoplásicos
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
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Risk_factors_studies
Idioma:
En
Revista:
Oncotarget
Año:
2015
Tipo del documento:
Article
Pais de publicación:
Estados Unidos