Though the relationship between viruses and certain lines of
cancer had been well established and characterised at the beginning of
the 21st century, it was only later in this period that
genetic engineering created a virus with the opposite property, that is
a tool which could selectively target tumours.
The new viruses, called oncolytic, not only because they actively
encouraged lysis in cancerous cells, but because these infections melted
tumourous masses away, there mechanisms of function is not so greatly
divorced from oncogenic RNA viruses in that they can only really target
replicating cells.
A cancer causing RNA virus causes the damage when it’s reverse
transcribed genome is integrated into the host cell’s genome, the site
of integration can sometimes associate with a previously silent oncogene,
and the integrated viral promoter triggers activation of this silent
gene. Because of the RNA viruses’ ability to insert new genetic
material, and to promote gene transcription they are apt to disrupt the
functioning of the cell, and activation of certain genes initiate cells
on the path to fully-fledged cancer.
Though these types of virus were dangerous they were later
exploited for these very functions, sometimes modified viral strains
could be used to hunt out and destroy previously integrated viral
material, but in oncolytic viruses, the original viral systems were
subverted to destroy tumourous tissue, without the necessary step of
integration.
Because RNA viruses can only take effect in replicating cells,
they had already an affinity for the rapidly dividing cells of a tumour.
However in the healthy body there are many other cell lines that are
naturally dividing, and the virus would also attack these cells, however
these cells have pretty much normal signalling systems and so can behave
in a variety of different ways not available to the genetically unstable
cancer cells.
Oncolytic viruses are essentially tamed and toothless, though
they can infect the same cells normal RNA viruses can, their integrase
function has been neutered, so that unlike the wild type virus they can
not integrate into the genome, and so have no cancer causing effect (the
viral particles are grown from specially transformed helper cell lines).
In addition to these natural deficiencies new artificial sequences have
been inserted. One is a sequence complimentary to another gene’s mRNA,
generally p53, a protein that is repressed in most cancer cells, though
different complementary sequences can be used to target a particular
tumours weaknesses. In a normal cell p53 mRNA would bind to the neutered
virus’ sequence, creating a RNA duplex which be later degraded, by an
ancient viral protection system. By contrast in a tumour cell with
repressed p53 function, the viral genome would not be bound by p53 mRNA
and would survive in the tumour cells for the other artificial sequences
to be activated.
The viral RNA is later reverse transcribed to form a functional
DNA genome which then circularises, and activation of genes within the
genome can begin, initially the genes coding for stability of the genome
and it’s replication, but then later other secondary sequences. These
secondary sequences also contain the artificial sequences, and one of
these is a kill signal, a gene whose product accumulates and causes cell
death, destroying the tumourous cell and the viral genetic material.
A slightly modified version of this program would allow the virus
to replicate, and form new infectious particles that would then escape
the dying cell, as the kill agent would be inserted into the late
expressed viral coat genes. This later kind of virus would require only
one infection, and the viral cascade would eat through tumourous tissue
destroying cancer cells in its wake.
One of the benefits of the oncolytic viral strains was that
collateral damage was largely avoided, normal cells could respond to
interferon b,
a signalling molecule that stimulated normal viral suppression
mechanisms within the cell. Most tumour cell lines lose these kinds of
fine cell signalling responses and can not block the infecting viruses
so readily. In addition without the regulation of p53 only the cancer
cells were prone to the viruses attack, these combined differences meant
that most other normally dividing tissues avoided destruction by these
tailored virii, a problem which confronted chemotherapies at that time.
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