Unlike free viruses (e.g. herpes simplex virus, adenovirus), retroviruses have the ability to integrate genetic material into the host genome, allowing for stable, long-term expression of transgenes. Therefore, simple retroviruses (so-called gamma or oncoretroviruses) play an important role in contemporary biomedicine. However, the inability of simple retroviruses to infect non-dividing cells and the risk of inducing cancer limit their application. The use of lentiviruses can circumvent these shortcomings of simple retroviruses. Lentiviruses are a class of complex retroviruses that contain additional regulatory and auxiliary genes in addition to the conventional genes of simple retroviruses such as gag, pol and env. Unlike simple retroviruses, lentiviruses can infect both dividing and non-dividing cells, greatly increasing the range of cells to which genes can be transferred. Lentiviruses tend to integrate into intronic regions of chromosomes (expressed genes are rich in introns), while simple retroviruses prefer promoters and regulatory regions. Widely used lentiviral vectors are engineered from human immunodeficiency virus type 1 (HIV-1).
HIV-1 virus particles are roughly spherical, about 100 nm in diameter, and are covered with a lipid bilayer membrane derived from the host cell during the budding process. The surface of the envelope carries many small glycoprotein protrusions. The virus recognizes new host cells through these glycoproteins. The matrix protein under the lipid layer covers the inner surface of the viral envelope to form a protective shell. Inside the virus particle is a conical capsid assembled by structural proteins, which contains the viral genome. Two single-stranded RNA genomes with a length of 9.2Kb, nucleocapsid protein, reverse transcriptase, and integrase are co-loaded in the capsid.
Radiation therapy for head and neck cancer often damages the salivary glands and oral mucosa, severely affecting patients' quality of life. FLASH proton radiotherapy (F-PRT) has previously been demonstrated in multiple tissues to reduce normal tissue toxicity while maintaining tumor control compared with standard proton radiotherapy (S-PRT). However, its potential to improve radiation-induced salivary gland dysfunction and oral mucositis and control the growth of orthotopic head and neck tumors has not been reported. Mice treated with single or fractionated doses of F-PRT had significantly higher survival rates than mice irradiated with S-PRT. F-PRT-treated mice had improved salivary flow. S-PRT-irradiated mice had increased fibrosis in the tongue epithelium. F-PRT significantly improved overall survival of mice with orthotopic tumors compared with mice treated with S-PRT. F-PRT demonstrated the ability to reduce radiation-induced normal tissue toxicity without compromising tumor control, suggesting that this modality may be useful in the clinical management of patients with head and neck cancer.
To evaluate the comparative efficacy of F-PRT versus S-PRT in a more relevant potential clinical scenario, orthotopic tongue tumors were generated using the MOC2 HNSCC cell line transfected with firefly luciferase and injected into the tongue of syngeneic C57Bl/6 mice. Here, lentiviral-mediated transfection of MOC2 cells was performed using EF1α-FLuc-IRES-Puro Lentivirus, and transfected cells were selected using the antibiotic puromycin (1 μg/mL). Orthotopic head and neck tumors were generated by injecting 5 X 104 MOC2-luc cells (suspended in 30 μL PBS) directly into the lateral tongue. Following tumor implantation and dissemination, a dose escalation study of 14, 16, and 18 Gy PRT was performed (Figure 1A), and survival was studied at 90 days. The Kaplan-Meier plot (Figure 1B) showed that the overall survival of mice irradiated with F-PRT was significantly improved compared with S-PRT at dose levels of 14 Gy (P = 0.031), 16 Gy (P = 0.009), and 18 Gy (P = 0.032).
Figure 1. F-PRT increases overall survival in an orthotopic head and neck tumor model. (Chowdhury P, et al., 2024)