To: zeta1961 who wrote (494 ) 3/9/2006 9:46:57 PM From: Jibacoa Read Replies (1) | Respond to of 802 Since you are looking at some of M.D. Anderson's presentations, look also at their " New Ideas Fuel Next Generation Gene Therapy Research." emaxhealth.com Among interesting results: A virus for the brain. Take a look at the results of Delta-24-RGD While the point is taken, researchers at M. D. Anderson who last year cured brain cancer in mice were amazed because no one had ever before tested a drug that had any effect on malignant glioma, the most deadly of brain cancers. Testing a gene therapy in mice, likened to a "viral smart bomb," the M. D. Anderson scientists found only empty cavities and scar tissue where human glioma tumors had once been. The therapy, known as Delta-24-RGD, had moved like waves throughout the brains of the mice, killing the cancer while leaving normal tissue intact. While the treatment employs an adenovirus, it does not seem to produce toxic effects in the brain, say researchers. In fact, the mice tested were considered clinically cured of their brain tumors with little known side effects. These animal tests, reported last year, were considered so promising that the National Cancer Institute moved immediately to produce, in its own labs, a clinical-grade version of the therapy, and scientists with the FDA began collaborating. "We have never seen this kind of response before with any other treatment tested in either animals or humans," says the lead author of that study, Juan Fueyo, M.D., an assistant professor in the Department of Neuro-Oncology. A clinical trial testing Delta-24-RGD treatment in brain cancer patients is expected to begin in summer, 2006. Neurosurgeon Frederick Lang, M.D., will insert a catheter into participants' brain tumors, inject Delta-24-RGD and then wait two weeks to remove the tumor. It will then be closely examined to see how much was destroyed by the virus. "Biologic viral therapy like this may be just what we need to treat a complex disease like cancer," says Lang, who co-authored Feuyo's study. "Cancer can be devious in that it does everything possible to evade destruction. But viruses are equally tricky in their quest to invade cells and propagate." This trial is just part of an ongoing larger "platform" of research that is continually refining Delta-24-RGD therapy, says Charles Conrad, M.D., an associate professor in the Department of Neuro-Oncology who works with Fueyo, Lang and others on the "Delta team." They have already created a second and now a third generation of the therapy, each of which is proving more adept in infecting cancer cells and disarming them. One idea is to insert genes into the viral smart bomb that will switch on chemotherapy drugs. This way, a patient could receive an inert form of a chemotherapy drug that would be non-toxic to normal cells, but would be activated by the Delta virus when it spreads in cancer cells. "We would deliver the gene that activates the chemotherapy drug only to tumor cells," says Conrad. Another strategy they are working on is to embed the virus into a specialized stem cell that could travel undetected through the blood-brain barrier and home to what it "sees" as a wound - a tumor. The team, which includes other international and national investigators, also is exploring adapting Delta-24-RGD to other cancer types, such as colon cancer. Questions remain, however, as to whether the therapy will evoke a systemic immune response and just how the virus will be able to spread given physical barriers - such as bones or cavities - that are just a natural part of the body's interior. Many solid tumors also contain areas of dead tissue, which could stop the virus's ability to replicate. Finally, researchers are concerned about the issue that has dogged all adenovirus vectors - that, below the neck as it were, a patient could mount an immune response that would blunt the effectiveness of the therapeutic virus. "We will have our proof of principle in treating gliomas," says Conrad. "If it is safe, and shows some benefit, we will want to try it in other cancers."