Evidence map›Paper›PMID 30958558›Full record

ArticleNeuro-oncology2019

Long-term treatment with valganciclovir improves lentiviral suicide gene therapy of glioblastoma.

Jubayer A Hossain, Md A Latif, Lars A R Ystaas, Sandra Ninzima, Kristoffer Riecken, Arnaud Muller, Francisco Azuaje, Justin V Joseph, Krishna M Talasila, Jiwan Ghimire and 3 more

Open access · greenAbstract read
In one paragraph

Article in Neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Logic-Gated HSV-TK/GCV Suicide Gene Circuit for Triple-Negative Breast Cancer.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  3. Oncolytic viruses: advanced strategies in cancer therapy.Signal transduction and targeted therapy · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Oncolytic viral vectors in the era of diversified cancer therapy: from preclinical to clinical.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022
    Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 3 countries.

Jubayer A HossainDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Md A LatifDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Lars A R YstaasDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Sandra NinzimaDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Kristoffer RieckenResearch Department Cell and Gene Therapy, Department of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
Arnaud MullerBioinformatics Team, Center for Quantitative Biology, Luxembourg Institute of Health, Strassen, Luxembourg.
Francisco AzuajeBioinformatics Team, Center for Quantitative Biology, Luxembourg Institute of Health, Strassen, Luxembourg.
Justin V JosephDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Krishna M TalasilaDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Jiwan GhimireDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Boris FehseResearch Department Cell and Gene Therapy, Department of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
Rolf BjerkvigDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Hrvoje MileticDepartment of Biomedicine, University of Bergen, Bergen, Norway.
University of Bergen · NOLuxembourg Institute of Health · LUUniversität Hamburg · DEHaukeland University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuicide gene therapy for malignant gliomas has shown encouraging results in the latest clinical trials. However, prodrug application was most often restricted to short-term treatment (14 days), especially when replication-defective vectors were used. We previously showed that a substantial fraction of herpes simplex virus thymidine kinase (HSV-TK) transduced tumor cells survive ganciclovir (GCV) treatment in an orthotopic glioblastoma (GBM) xenograft model. Here we analyzed whether these TK+ tumor cells are still sensitive to prodrug treatment and whether prolonged prodrug treatment can enhance treatment efficacy.

methodsGlioma cells positive for TK and green fluorescent protein (GFP) were sorted from xenograft tumors recurring after suicide gene therapy, and their sensitivity to GCV was tested in vitro. GBM xenografts were treated with HSV-TK/GCV, HSV-TK/valganciclovir (valGCV), or HSV-TK/valGCV + erlotinib. Tumor growth was analyzed by MRI, and survival as well as morphological and molecular changes were assessed.

resultsTK-GFP+ tumor cells from recurrent xenograft tumors retained sensitivity to GCV in vitro. Importantly, a prolonged period (3 mo) of prodrug administration with valganciclovir (valGCV) resulted in a significant survival advantage compared with short-term (3 wk) application of GCV. Recurrent tumors from the treatment groups were more invasive and less angiogenic compared with primary tumors and showed significant upregulation of epidermal growth factor receptor (EGFR) expression. However, double treatment with the EGFR inhibitor erlotinib did not increase therapeutic efficacy.

conclusionLong-term treatment with valGCV should be considered as a replacement for short-term treatment with GCV in clinical trials of HSV-TK mediated suicide gene therapy.

Indexed as

Genetic TherapyAdenoviridaeAnimalsAntiviral AgentsApoptosisCell ProliferationGenetic VectorsGlioblastomaHumansMiceNeoplasm InvasivenessProdrugsSimplexvirusThymidine KinaseTumor Cells, CulturedValganciclovirAntiviral AgentsProdrugsThymidine KinaseValganciclovirbrain tumorsEGFRglioblastomalentiviral vectorssuicide gene therapy

Identifiers

PMID30958558
PMCPMC6620640
OpenAlexW2607539930

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.