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Researchers Use Polio Virus to Kill Brain Tumors


May 21, 2001 08:31 AM ET


 

By Susan Heavey

WASHINGTON (Reuters) - A hybrid of the virus that causes polio and the virus that causes the common cold could eliminate the most common type of brain cancer, researchers said on Monday in a finding that might offer new hope for the growing number of patients with the fatal disease.

Injecting the hybrid virus into mice with malignant glioma, the most common kind of brain tumor, resulted in complete recovery after one dose, researchers said.

"We have generated a virus that is unable to cause disease in the brain but that still has the ability to infect and destroy brain tumor cells," Matthias Gromeier, an assistant professor of microbiology at Duke University, who led the research team, said in an interview.

Results from the ongoing study, already in its seventh year, were presented at a meeting of the American Society for Microbiology in Orlando, Florida.

Poliovirus, which can cause brain infections in humans, naturally seeks out brain tumor cells because they carry a specific binding molecule. This molecule, known as CD155, is not found in healthy brain cells and isolates the virus in cancerous cells.

But because poliovirus also causes polio, which can lead to permanent paralysis and sometimes death, researchers needed to disable the virus's destructive capabilities.

"It is a somewhat unusual proposal that we are making because the virus that we are basing our treatment on is a potentially dangerous, infectious agent," Gromeier said. "If you want to propose using any kind of virus for therapy purposes, you have to make sure that this virus can no longer cause disease."

To do that, Gromeier said, his team inserted a genetic piece of rhinovirus, a relative of poliovirus and the cause of the common cold. Unaltered poliovirus infects every cell in the brain, but rhinovirus does not.

Researchers said the genetically altered strain of poliovirus provides a more targeted and successful approach to treating malignant brain tumors, which respond poorly to conventional methods of surgery, radiation and chemotherapy.

Unlike surgery, which often leads to some removal of healthy brain tissue, Gromeier said his method targets only tumor cells. The virus also has the ability to seek out tumor "microsatellites," smaller tumors located away from the main tumor spread out elsewhere in the brain, he said.

Because of the brain's sensitivity, only small doses of radiation and chemotherapy can be administered at one time, which does little to stop the invasive growth of brain cancer cells.

BRAIN CANCER ON THE RISE

Gromeier's findings point the way to possible treatment for the rising number of malignant brain tumors in humans that almost always result in death.

Between 1973 and 1997, the year for which the most recent data is available, the number of brain cancer diagnoses rose 18 percent while brain cancer deaths rose 11 percent, according to the Atlanta-based American Cancer Society.

"There are rare exceptions, but it is almost invariably fatal," said Dawn Willis, scientific program director for the society and a former virologist at St. Jude's Hospital in Memphis.

Each year 17,000 people are diagnosed with the disease and another 13,000 die from it, according to the American Cancer Society, which funded the study along with the National Cancer Institute, part of the U.S. government's National Institutes of Health, and the Burroughs Wellcome Fund.

"The patients that are suffering from this disease have really very little hope because there is no effective treatment available," Gromeier said.

Gromeier and his team are now looking to future human clinical trials, having already tested the modified poliovirus successfully on monkeys and mice. They are preparing a prototype of the combined virus with support from the National Cancer Institute but say it will be years before they expect human trials to begin.

 

 

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