View source for Herpes Simplex Virus (HSV I) as Cancer Targeting Agent

Created by Eva Klinman and Jackie Goldstein

==Brief Project Overview==

We will attempt to target the Herpes virus against specific cancer cells, using a modified form of Herpes which will do one of two things:
* A modified form of Herpes, G207, which selectively targets and replicates in cancer cells, already exists.
* We will obtain G207 from another lab, and seek to further direct its targeting, such that it attacks a specific cancer, rather than non-human cells in general.
* Our modification will focus on the heparan sulfate (HS) binding mediated by glycoproteins B and C (gB and gC). 
* By selecting such that gB or gC (we will test both in parallel) optimally bind to a surface protein expressed by the cancer of choice, in this case cervical cancer, we will create a targeted cancer-killing virus.
* Importantly, G207 has already been shown to have very very little toxic effects on normal cells and creatures, even in animals selectively sensitive to HSV I.

==Background Info==
[[Image:Grady5.gif|thumb|right|Two Herpes Virus Particles, prepared for TEM]]

The Herpes virus naturally attacks and kills quickly dividing cells, such as the ones present around the mouth, which results in cold sores. Currently, Herpes is being used to target fast growing cancers in areas of little cell growth, such as the brain. However, researchers and doctors have no guarantees of success with this treatment method, and no assurance that the virus will stop after it has destroyed the cancer, and instead turn on the normal human body cells.

===Function of Herpes in nature===
# Find natural function of Herpes (cold sores, what they do)
# Reproductive cycle
# How Herpes inserts itself into living cells (host)
# Promoter/activator sequence in Herpes

===Signaling of Cancer===
# Cervical cancer is notoriously hard to target and find, because as opposed to many cancer types, cervical cancer cells display less, rather than more, cell surface proteins. Many screening techniques rely on comparisons between healthy cells and possibly cancerous cells, and determine the cancerous nature of the test cells based on significant LOWERING of cell surface proteins.
# However, a few surface proteins show elevated levels of expression in cervical cancer, including pp17b.
# Cervical cancer is a slow growing by highly invasive form of cancer, that is very hard to detect unless the woman gets frequent pap smears. Its stages of growth are divided into 5 parts, numbered 0 through IV. 
#* Past the later part of stage I or early stage II, the patient has a much higher risk of death, as the cancer has spread to other regions of the body. Even though it is still localized in the pelvic area, it is much harder to track down.

===Papers===
# Ebright MI et al. Replication-competent herpes virus NV1020 as direct treatment of pleural cancer in a rat model. J Thorac Cardiovasc Surg 2002;124:123-129.
#* Showed that a specific herpes virus is effective at killing a human lung cancer line both in vitro and in vivo (in mice)
# Stojdl DR et al. VSV strains with defects in their ability to shutdown innate immunity are potent systemic anti-cancer agents. Cancer Cell. 2003 Oct;4(4):263-75. 
#*Demonstrated how an oncolytic virus is capable of killing human ovarian cancer (in vitro) metastatic colon cancer (in vivo- mice)
# Thorne SH et al. Rational strain selection and engineering creates a broad-spectrum, systemically effective oncolytic poxvirus, JX-963. J. Clin. Invest. 117(11): 3350-3358 (2007)
#* An oncolytic virus is capable of both targeting and killing cancer in vivo (in mice and rabbits)
# Varghese S, Rabkin SD. Oncolytic herpes simplex virus vectors for cancer virotherapy. Cancer Gene Therapy. 2002 Dec; 9(12):967-978
#* Summarizes the types and effects of mutations in HSV I to date, including G207.
# Wolfe D et all. Engineering Herpes Simplex Virus Vectors for CNS Applications. Experimental Neurology 159, 34–46 (1999)
#* Overview of funtion and mutations of Herpes and what they do. Includes possible further steps, and failed past experiments.

==Statement of Research Problem==

Anti-cancer drugs are not specific enough, and cause long-term harm in humans who undergo cancer treatment. 

The Herpes virus provides a way of selectively targeting cancer cells in vivo. Herpes has already been used to kill fast-growing cancers in areas of minimal normal cell growth, such as in the brain.

We plan to alter the Herpes recognition and duplication cycle such that it bind to specific cell surface proteins presented by cancer cells. This way, the Herpes virus should invade and kill the cancer cells, but leave the surrounding cells untouched, even after the cancer is destroyed.

==Research Goals==

# Cervical cancer cells are notoriously hard to target, because they exhibit fewer as opposed to more surface proteins.
# Find a promoter or operator sequence within the Herpes virus which will allow us to selectively turn it on and off (either its invasion or replication/division orders).
# Modify the controlling sequence, such that Herpes is inactive unless it is in the presence of the chosen protein.
# Test the Herpes in three conditions:
## Will it kill the chosen cancer if injected into the tumor
## Will it selectively kill the cancer if placed in the tumor growing on normal tissue
## Will it deactivate when the cancer is gone/if no cancer is present

Ultimately, if our research goal is met, we plan to make Herpes which target many types of cancer, and is financially affordable.

==Project Details and Methods==

==Predicted Outcomes==

There are two possible outcomes:
# The modified virus works
# The modified virus fails

=== Herpes effectively targets cancer cells===
** The cancer cells will die, having been selectively targeted by the modified Herpes virus
** Remaining Herpes would remain in the bloodstream and body for a short period of time, and then die, or lie quiet (not infect normal cells)
* If this occurs, we would continue research:
** Publish.
** Apply for the ability to test the Herpes in actual cancer patients in a clinical trial
** Attempt to target other types of cancer (expand the research)

=== Herpes does no effectively target cancer cells===
** The virus was not selective enough (was toxic to human cells as well) 
** The virus did not function (its ability to destroy cells was demolished)
** The virus remained active even after the cancer was gone
* If any of the above occurs, we would change our experiment, and propose a new method of approach, perhaps including:
** Returning to using Herpes virus to kill cancer only in regions of slow normal cell growth
** Testing other viruses for ease of modification
** Looking for different possible sites of mutation/regulation within Herpes.

==Resources (Material)==