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RNA switch for safe viral therapy in treating cancer

No. 02 | 22/01/2014 | by Koh

Using viruses to fight cancer is a novel approach to treatment that is being tested in clinical trials around the globe. Scientists at the German Cancer Research Center (Deutsches Krebsforschungszentrum, DKFZ) have now shown how the safety of this method can be substantially improved. They have succeeded, for the first time, in using RNA switches (or ‘riboswitches’) to turn off the replication of therapeutic viruses when needed. The method was successful for adenoviruses and the measles virus, both of which are candidates for use in cancer virotherapy. RNA switches may additionally improve the safety of viral therapy in general and thus help achieve a breakthrough in this promising approach to treatment.

Schematic representation of an adenovirus. Picture: Patrick Ketzer, DKFZ
© dkfz.de

In over 100 clinical trials around the globe, researchers are investigating the use of various viruses to fight cancer. Scientists at the German Cancer Research Center (DKFZ), for example, are studying the use of parvoviruses against brain cancer. In work at other sites, researchers are also testing adenoviruses against brain cancer and the measles virus to fight ovarian cancer.

Before approval is given to treat a patient with a therapeutic virus, scientists have to perform meticulous tests to show that the virus cannot cause disease symptoms in the patient or, even worse, escape control. “The viruses that are now being used have proven to be extremely safe,” says Associate Professor (PD) Dr. Dirk Nettelbeck, a virologist at the DKFZ. “Nevertheless, safety continues to be a challenge, because of the continual further development of therapeutic viruses, or because they have to be administered at higher dosages to increase their efficiency. Therefore, an ideal solution would be to simply use a drug to switch off the viruses when adverse side effects occur.”

However, effective are only available for only a few viruses, so often this is not possible. Researchers around the globe are therefore searching for alternative methods to keep therapeutic viruses in check if necessary. Nettelbeck’s team focused their attention on specific riboswitches called aptazymes. To construct this type of switch, researchers integrate synthetic DNA segments into the regulatory regions of viral genes that are relevant for the spread of the virus. Infected cells transcribe the synthetic construct along with the gene into a single messenger RNA molecule (mRNA). The riboswitch is activated through a substance which attaches itself to the RNA molecule in a precise fit, prompting it to cut itself into pieces. This also inactivates the gene and thus stops the virus from spreading any further.

“First of all, we wanted to demonstrate the principle that riboswitches can be utilized to control therapeutic viruses,” says Dr. Patrick Ketzer, first author of the publication. Using two different viruses, the DKFZ virologists studied an RNA switch that responds to the substance theophylline. Both viruses are considered promising candidates for cancer virotherapy, but differ in their biological properties: adenoviruses, whose genetic material is DNA, and the measles viruses, which draw on RNA as their genetic material.

In the adenoviruses, the researchers placed the riboswitch next to the gene that controls the replication of viral DNA in the cell. Thus, the infection could no longer spread from one cell to the next after the substance had been administered. In the culture dish, cancer cells such as melanoma or glioblastoma cells that were infected with the virus produced hardly any new viruses after the additio of theophylline, thus interrupting the infection cycle.

In the measles virus, the DKFZ virologists turned off a gene coding for the so-called fusion protein, which initially enables viruses to enter a cell. Here, too, theophylline slowed the spread of the virus. This is the first time world-wide that researchers have shown that both types of viruses – using DNA or RNA as genetic material – can be controlled using an aptazyme.

“The RNA switch has worked in two completely different viruses, which leads us to think that this approach will also work in controlling other oncolytic viruses,” says Ketzer, referring to other viruses that have proven effective as cancer killers but in individual cases can cause disease symptoms in the patient. “The method has great potential, but it is still in its infancy,” says Dirk Nettelbeck. “We expect that soon there will be aptazymes available that respond to a wider range of drugs and can be used to completely interrupt viral replication.”

Patrick Ketzer, Johanna K. Kaufmanna, Sarah Engelhardt, Sascha Bossow, Christof von Kalle, Jörg S. Hartig, Guy Ungerechts and Dirk M. Nettelbeck: Artificial riboswitches for gene expression and replication control of DNA and RNA viruses. Proceedings of the National Academy of Sciences 2014, DOI: 10.1073/pnas.1318563111

A picture for this press release is available at:
http://www.dkfz.de/de/presse/pressemitteilungen/2014/bilder/Adenovirus.jpg

Source: Patrick Ketzer, DKFZ
Caption: Schematic representation of an adenovirus

The German Cancer Research Center (Deutsches Krebsforschungszentrum, DKFZ) with its more than 3,000 employees is the largest biomedical research institution in Germany. At DKFZ, more than 1,300 scientists investigate how cancer develops, identify cancer risk factors and endeavor to find new strategies to prevent people from getting cancer. They develop novel approaches to make tumor diagnosis more precise and treatment of cancer patients more successful. DKFZ’s Cancer Information Service (KID) provides individual answers to all questions about cancer for patients, the general public, and health care professionals. Jointly with partners from Heidelberg University Hospital, DKFZ runs the National Center for Tumor Diseases (NCT) located in Heidelberg and Dresden, and, also in Heidelberg, the Hopp Children’s Cancer Center (KiTZ). In the German Cancer Consortium (DKTK), one of six German Centers for Health Research, DKFZ maintains translational centers at seven university partnering sites. Combining excellent university hospitals with high-profile research at a Helmholtz Center at the NCT and DKTK sites is an important contribution to the endeavor of translating promising approaches from cancer research into the clinic in order to improve the chances of cancer patients. DKFZ is a member of the Helmholtz Association of National Research Centers, with ninety percent of its funding coming from the German Federal Ministry of Education and Research and the remaining ten percent from the State of Baden-Württemberg.

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