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Cancer Research - Europa

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Aim<br />

The THERADPOX project aims at engineering novel and<br />

optimised oncolytic pox- and adenoviruses for cancer therapy,<br />

specifi cally targeting colorectal, pancreatic and ovarian<br />

cancers. The innovative strategy of THERADPOX relies on<br />

the original engineering of OVs to render them safe, specifi c<br />

and effi cient for infection (binding and replication) and for<br />

the destruction of cancer cells through a combination of<br />

virotherapy with non-toxic chemotherapy in vivo. To achieve<br />

an enhancement of tumour cell infectivity of THERADPOX<br />

vectors, tumour-specifi c ligands, for which particular membrane<br />

proteins of cancer cells show high affi nity, will be<br />

incorporated in viral surface proteins and will be optimised.<br />

In addition, by modifying or exchanging ligand expression of<br />

THERADPOX OVs, one can imagine targeting other tumour<br />

types. The viral genome will also be engineered to ensure<br />

that viruses selectively replicate and express therapeutic<br />

proteins in tumour cells and that they spread widely through<br />

the tumour mass. Furthermore, capsid modifi ed oncolytic<br />

Ad vectors will be explored to overcome pre-existing immunity<br />

and delay an induced immune response.<br />

The oncolytic vectors (OVs) will be derived from the viral<br />

platforms described below:<br />

• vaccinia virus (VV): the advantages of VV as OV are a<br />

quick and effi cient life cycle, strong lytic activity and<br />

rapid cell-to-cell spreading. The virus can infect a wide<br />

variety of human tissues but does not cause any known<br />

human disease. VV was the fi rst widely used vaccine<br />

which resulted in the eradication of smallpox. As a result,<br />

the responses, safety profi le and adverse reactions have<br />

been extensively studied and documented;<br />

• myxoma virus (MV): MV causes myxomatosis in European<br />

rabbits but is non-pathogenic in man. However, myxoma<br />

virus productively infects a variety of human tumour<br />

cells (Sypula et al., 2004), suggesting a signifi cant<br />

potential for exploiting MV as a novel OV platform;<br />

• adenovirus (Ad): one of the most extensively studied<br />

viruses which have been engineered for gene therapy<br />

and for virotherapy of cancer, particularly serotypes 2<br />

(Ad2) and 5 (Ad5). The virus is endemic in the human<br />

population and its natural pathogenicity is associated<br />

with mild respiratory infections (common cold). It can be<br />

grown easily and to high titres, and the methodology to<br />

generate recombinant viruses is well established.<br />

Expected results<br />

THERADPOX OVs will be engineered to:<br />

• selectively target cancer cells in vivo (up to a 100-fold<br />

increase of tumour cell infection can be expected: 100 cancer<br />

cells infected for 1 normal cell infected) (M30);<br />

• selectively replicate and propagate in tumour cells in vivo<br />

(expectations are a 100-fold increase of viral yield in<br />

tumour cells versus normal cells) (M32);<br />

• widely spread within tumours in vivo (a statistically significant<br />

increase of the therapeutic index is expected)<br />

(M30);<br />

• specifi cally render cancer cells sensitive to chemotherapy<br />

in vivo: OVs will be engineered to express in the infected<br />

cancer cells prodrug- converting enzymes, enabling the<br />

conversion of a non-toxic molecule (given orally or intravenously)<br />

to toxic compounds (a statistically signifi cant<br />

increase of the therapeutic index is expected) (M36);<br />

• overcome the pre-existing immunity and to delay the<br />

induced adenoviral immune response, concerning oncolytic<br />

Ad (M36).<br />

Potential applications<br />

The THERADPOX project contributes to supporting the<br />

Programme of Community action in the fi eld of public health<br />

(2003-2008) (1786/2002/EC) by:<br />

• promoting and improving health, with a view to reducing<br />

avoidable morbidity: THERADPOX will develop new<br />

OVs to cure patients aff ected with colorectal, pancreatic<br />

and ovarian cancers;<br />

• reacting rapidly to health threats: THERADPOX vectors<br />

are designed to eradicate tumours. Their selectivity for<br />

one tumour type relies on the tumour cell selectivity of<br />

specifi c ligands. Thus, by only changing the ligand in<br />

THERADPOX OVs, one can imagine targeting and effi -<br />

ciently and rapidly eradicating other tumour types that<br />

may be a threat to human health in the future;<br />

• promoting better knowledge and communication fl ows,<br />

thus allowing a greater involvement of individuals in decisions<br />

that concern their health. THERADPOX includes<br />

specifi c tasks for:<br />

• communicating about the knowledge, impacts and<br />

benefi ts of the project;<br />

• disseminating results and information, in a simple,<br />

clear and sound way about the work undertaken<br />

within THERADPOX to the scientifi c community as<br />

well as to the community population, with the ultimate<br />

goal to improve the quality of life.<br />

220 CANCER RESEARCH PROJECTS FUNDED UNDER THE SIXTH FRAMEWORK PROGRAMME

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