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Table 2 Preclinical and clinical studies on in vivo monitoring and imaging of measles virus (MV) infection, replication, and expression

From: Virotheranostics, a double-barreled viral gun pointed toward cancer; ready to shoot?

Study/year

Imaging technique

Tumor type

Data sources

Genes/protein

Route

Protein targeting drug

Main results

Deyle et al./2015 [55]

SPECT/CT

Malignant peripheral nerve sheath

Athymic nude mice

hNIS

IT

125I

MV localization and distribution could be monitored by imaging of I-125 uptake

Dingli et al./2004 [56]

Gamma camera

Myeloma

Mice

hNIS

IV

123I

In vivo replication of MV-NIS peaked 9 days after virus injection

Galanis et l./2015 [58]

SPECT/CT

Ovarian cancer

Human

hNIS

IP

123I

No dose-limiting toxicity was observed in 16 patients treated at the 108–109 TCID50 dose level; all observed toxicities were grade 1 and 2

Hasegawa et al./2006 [75]

Gamma camera and bioluminescence

Ovarian cancer

Mice

hNIS; blood CEA

IT, IV

Tc-99 m sodium pertechnetate; luciferase (Fluc) and bhCG

Viral gene expression was monitored by measuring blood CEA levels, and the location of virus-infected cells was monitored by gamma camera imaging; The gamma camera scans were significantly less sensitive than the plasma CEA marker for monitoring virus infection

Hutzen et al./2012 [65]

Bioluminescent (Cherenkov) imaging

Medulloblastoma

Mice

hNIS

IT

D-Luciferin

The MV-NIS mouse indicated an increased bioluminescent signal originating from the tumor that 131I had accumulated

Msaouel et al./2009 [64]

Gamma camera

Prostate

Nude mice

hNIS

IT, IV

123I

In vivo replication of MV-NIS depends on the administration route. Strong positive tumor 123I uptake is seen 4 days after IT administration of MV-NIS, and 14 days after IV administration of MV-NIS. Persistent transgene expression can be detected for as long as 36 days after IV administration of the virus

Myers et al./2007 [19]

–

Myeloma

SCID mice, squirrel monkey

hNIS

IV

123I

No adverse effect was observed

Opyrchal et al./2012 [67]

Gamma camera

Glioblastoma

BALB/c nude mice

hNIS

IT

123I; Tc-99 m sodium pertechnetate

Tumor uptake of radioisotope in MV-NIS-treated mice was increased; peak at day 3 and persistence at 20 days after viral administration. Expression of NIS protein in infected cells results in the effective concentration of radioactive iodine that allows for in vivo monitoring of localization of MV-NIS infection by measuring uptake of I-123 and Tc-99 m

Penheiter et al./2012 [62]

SPECT/CT

Pancreatic

Nude mice

hNIS

IT, IV

123I

Pinhole micro-SPECT/CT imaging using the NIS reporter allows for precise localization and quantitation of oncolytic MV-NIS infection. This method can replace autoradiography and Immunohistochemistry analysis

Penheiter et al./2012 [77]

SPECT/CT

Pancreatic

Nude mice

hNIS

IT

Tc-99 m sodium pertechnetate

IT viral delivery can be monitored using image-guided injection techniques

Penheiter et al./2010 [59]

SPECT/CT

Pancreatic

Nude mice

hNIS

IT

123I

Delivery of 131I radiotherapy to NIS-expressing tumors can be optimized using micro-SPECT/CT imaging guidance. In vivo viral replication was variable among mice (peak between 2 days and 6 days following viral administration, and undetectable at 9 days after viral injection)

Reddi et al./2012 [73]

SPECT/CT

Anaplastic thyroid

Nude mice

hNIS

IT

Tc-99 m sodium pertechnetate

NIS expression peaked at day 3 and was persistence up to day 22 following viral administration

Russell et al./2014 [60]

SPECT/CT

Myeloma and plasmacytoma

Human

hNIS

IV

123I

In all the two patients, tumor imaging was clearly documented. The size of the lesions was variable in hNIS mediated radioiodine SPECT-CT for the same lesions shown in the imaging in comparison with the normal FDG PET-CT. In vivo viral replication depends on patient and plasmacytoma. Radioiodine uptake returned to the background at day 28 following MV-NIS administration

Carlson et al./2009 [61]

Gamma camera, SPECT/CT

Pancreatic

Nude mice

hNIS

IT

123I

Mice infected with MV-NIS concentrated radioiodine, that allows for serial quantitative imaging with 123I micro-SPECT/CT. The peak iodide uptake was 2 days after MV-NIS administration

Dispenzieri et al./2017 [57]

SPECT/CT

Multiple myeloma

Human

hNIS

IV

123I

8 out of the 31 patients had some degree of 123I uptake on their SPECT/CT scans

Miest et al./2013 [72]

SPECT/CT

Mantle cell lymphoma

SCID mice

hNIS

IT, IV

Tc-99 m sodium pertechnetate

NIS gene results in concentrating iodide within infected cells, allowing non-invasive imaging. High-resolution imaging visualized the spread of infections in primary and metastatic tumors for over 2 weeks after treatment, documenting homogeneous virus seeding and spread restricted to perfused tissue

Jung et al./2018 [78]

SPECT/CT

Pancreatic

Nude mice

hNIS

IT

Tc-99 m

In vivo radioisotope uptake was significantly correlated with viral N and NIS gene expression

Kemler et al./2019 [63]

Intravital imaging

Fibrosarcoma

Athymic nude mice

Blue fluorescent protein containing the nuclear localization sequence

–

–

Intravital imaging system using the dorsal skin fold chamber allows for serial, non-invasive imaging of tumor cells and replication of a fusogenic and a hypofusogenic MV. There were distinctly different replication kinetics and phenotypes of these two viruses

Li et al./2012 [66]

SPECT/CT

Squamous cell carcinoma

Athymic nude mice

hNIS

IT

125I

In vivo viral replication peak occurred 3 days after viral administration

  1. SPECT/CT Single-photon emission computed tomography/computed tomography, hNIS Human sodium iodide symporter, IT Intra-tumoral, IV Intravenous, IP Intraperitoneal, MV Measles virus, PET Positron emission tomography