Page 29 - MI-2-2
P. 29

Microbes & Immunity                                                     Genetic therapy with HSV-1 vectors



            HSV-1 monoclonal antibodies and HSV-1-specific nucleic   infecting almost all cell lines; (2) it infects both replicating
            acid probes.                                       and non-replicating cells, such as neural cells; (3) it can
                                                               integrate long exogenous DNA; (4) it is regulated by
            3.2. Rapid diagnosis                               antiviral drugs, such as ACV or gancyclovir (GCV); (5)

            After the tissue cells of the oral cavity, cervical mucosa,   it is stably present as appendages in neural cells and can
            skin, cornea, etc. are smeared, viral antigens are detected   continuously express exogenous genes; and (6) mice,
            through immunohistochemical staining or indirect   pigs, and monkeys can be selected as model animals for
            immunofluorescence with specific antibodies. Wright‒  research.
            Giemsa staining microscopy revealed that HSV-1 infection   With the development of many new technologies,
            could be considered if intranuclear inclusions and   scientists have used various means to engineer the
            multinucleated giant cells were found; negative staining of   HSV-1 genome so that exogenous genes can be effectively
            herpes blister fluid by electron microscopy could rapidly   transmitted and appropriately expressed, greatly reducing
            confirm the diagnosis.
                                                               harm to the body. Notably, British scientists have been
              In situ, nucleic acid hybridization and polymerase   working on the use of herpes virus vectors to treat cancer
            chain reaction (PCR) can be used to detect viral DNA.   for many years and have made remarkable achievements in
            Southern blotting was used to determine the specificity of   recent years. They successfully treated head and neck cancer
            the PCR products, and PCR amplification of cerebrospinal   and reported that the use of a combination of radiotherapy
            fluid was considered the best means of diagnosing herpetic   and  chemotherapy  to  treat  cancer  is  significantly  better
            encephalitis. In addition, DNA digestion patterns can also   than the use of monotherapy. 28
            be used for HSV-1 identification and type analysis.
                                                                 There  are  three  main  classes  of  derivative  vectors
              HSV-1 antibody determination is of little significance   for HSV-1, as shown in  Figure  2: (1) amplicon vectors
            for clinical diagnosis and is only used for epidemiological   (amplicon vectors), (2) replication-deficient vectors
            investigation and diagnosis, and the commonly used   (defective recombinant vectors), and (3) recombinant
            method is enzyme-linked immunosorbent assay.       attenuated vectors. 29

            3.3. Prevention principle                          4.1. Amplicon vector
            Avoiding contact with patients or administering specific   Amplicon vectors are defective vectors that require helper
            antibodies  to  susceptible people  can reduce  the  risk  of   plasmids and have relatively high amplification titers that
            HSV-1 transmission. Conventional antiviral drugs act   can effectively infect neuronal cells. In terms of structure
            directly against viral DNA polymerase, so it is difficult to   and immunology, the amplicon vector used is the same
            remove latent viruses. Acyclovir (ACV), valacyclovir, and   as that used for wild-type  HSV-1, but it carries multi-
            famciclovir can inhibit HSV-1 reactivation after infection.   conjoined plasmid DNA rather than the viral genome.
                                                                                                            30
            Several HSV-1 vaccines (inactivated virus vaccines, subunit   Amplicons are bacterial plasmids that contain the DNA
            vaccines, live attenuated vaccines, live vector vaccines,   replication initiation sequence (ori) and DNA cleavage/
            DNA vaccines, etc.) are in different stages of development.  packaging signal (pac) of HSV-1 in addition to the
            4. HSV-1-derived vectors                           prokaryotic replicons essential for replication in bacteria
                                                               and resistance marker genes available for screening but
            The genome sequence of HSV-1 is fully understood, and the   do not contain any other virus-encoded proteins and
            molecular mechanism of viral replication is relatively clear,   cannot  replicate  independently.  With  the  help  of  helper
            with viral DNA containing at least 37 essential genes. The   viruses, the  circularized amplicon allows  efficient  DNA
            Us region has only one essential gene, gD, so that it can be   amplification, encapsulates linear DNA as long as 152 kb
            replaced by foreign genes,  and the modified genome can   into HSV-1 particles (Figure 3), 31,32  becomes an infectious
                                 18
            carry 4 – 50 kb of foreign genes. It was thus developed as a   pseudovirus containing multicopy tandem plasmids, and
            carrier for the treatment of certain diseases in humans. 19-21    ensures that the vector replicates extrachromosomal in
            These include:  (1) transmission and expression of some   infected cells, that is, in the form of episomes, and does not
            human genes in neural cells 22,23 ; (2) selective destruction   cause insertional mutagenesis or positional effects on host
            of tumor cells 24,25 ; (3) prevention and immunotherapy   cell chromosomes.  The HSV-1 tsk strain is a good helper
                                                                              33
            against tumors ; and (4) prevention of HSV and other   HSV-1  virus  whose  replication  is  temperature-regulated
                        26
            viral diseases. 27                                 and can multiply at 31°C while helping amplicon vectors
              Compared with other viral vectors, HSV-1 as a vector   replicate and package. When the harvested virions were
            has the following advantages: (1) it has a wide host range,   subsequently cultured at 37°C, the proliferation of HSV-1


            Volume 2 Issue 2 (2025)                         21                               doi: 10.36922/mi.7947
   24   25   26   27   28   29   30   31   32   33   34