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   Oncolytic Adenovirus therapy agents
 H101 (Oncorine)
 H102
 H103 (Ad-HE)
 
 H101, H102 and H103 are genetically modified adenoviruses; each of them has an  E1B-55kDa deletion in their viral genome. The E1B-55kDa gene is needed for the virus to effectively replicate in cells. The 55kDa protein can degrade p53 to prevent apoptosis of infected cells. As a result, viruses carrying the E1B-55kDa gene deletion will only replicate in tumor cells with mutated p53 or deficient p53 pathway but not in normal human cells. These adenoviruses are ideal target agents for treating multiple types of solid tumors. In addition to the E1B-55kDa deletion, viruses of the H100 series (H101, H102 and H103) have additional gene deletions in the E3 region, which aims to increase the efficacy of oncolytic virus therapy.
 The oncolytic adenovirus therapy developed by Sunway Biotech Co.,Ltd is described in the following. First a genetically modified adenovirus is injected into the tumor to infect and lyse the tumor cells as it has already been said. Then, after the injection, some H101 patients run a fever that can induce the production of Heat Shock Protein (HSP). The heat shock protein work as chaperons and facilitate the inducing of tumor-specific cytotoxicity lymphocytes (CTL). Sunway Biotech Co.,Ltd preliminary results indicate that an external heating of the tumor can also initiate thermally-induced HSP synthesis.
 On their side, all the H103 patients produce heat shock proteins after their injection because of an insertion of the HSP70 gene into their adenoviral genome. This enhances the adenovirus anti-tumor effectiveness. This enhancement of the HSP-mediated cytotoxic response is especially important for metastatic disease as it provides a way for killing tumor cells distant from the site of viral injection .
 With the therapy, you effectively control the local regional tumor through direct adenovirus-induced cell death but you also may induce a tumor-specific immune response for killing tumor cells at metastatic sites.
 


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