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Reactivation of latent virus mals, using primers specific for ICP6. To confirm the presence of the latent wild-type virus in this brain region, PI days Virus shedding RT-PCR PCR was performed on DNA samples extracted from the HSV-1/kos, same tissue using the same primers. A 237-base PCR pro- cornea CdSO 4 Cerebral CdSO 4 Cerebral infection duct corresponding to the wild-type ICP6 gene was infection infection detected without difficulty (Figure 2). 

Reactivation of latent virus mals, using primers specific for ICP6. To confirm the presence of the latent wild-type virus in this brain region, PI days Virus shedding RT-PCR PCR was performed on DNA samples extracted from the HSV-1/kos, same tissue using the same primers. A 237-base PCR pro- cornea CdSO 4 Cerebral CdSO 4 Cerebral infection duct corresponding to the wild-type ICP6 gene was infection infection detected without difficulty (Figure 2). 

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... Antitumor effects of IL-12 and GM-CSF co-expressed in an engineered oncolytic HSV-1 from latency [39][40][41]. In addition, previous studies have shown that rapidly proliferating cancer cells express elevated levels of cellular RNR, which elicits cell cycle alterations and a prolonged S phase in sarcoma, bladder, brain, breast, colorectal, liver, and lung cancers [42][43][44]. ...
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... 15 Preclinical studies have shown that intracerebral recombinant HSV-1 vectors do not reactivate latent HSV. 16 The HSV therefore seems ideal when it comes to targeting the trigeminal ganglion, in order to induce the production of analgesic polypeptides such as human proenkephalin. ...
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According to Centers for Disease Control and Prevention, each year, an estimated 1.7 million Americans sustain a traumatic brain injury (TBI), which frequently leads to chronic craniofacial pain. In this study we examine a gene therapy approach to the treatment of post-TBI craniofacial neuropathic pain using nasal application of a Herpes Simplex Virus-based vector expressing human proenkephalin (SHPE) to target the trigeminal ganglia. Mild TBI was induced in rats by use of a modified Fluid Percussion Model. Two days after mild TBI, following the development of facial mechanical allodynia, animals received either an intranasal application of vehicle or recombinant HSV encoding human preproenkephalin or lacZ reporter gene encoding control vector (SHZ.1). Compared to baseline response thresholds, mild TBI in SHZ.1 or vehicle treated animals induced a robust craniofacial allodynia lasting at least 45 days. On the other hand, nasal SHPE application 2 days post-TBI attenuated facial allodynia, reaching significance by day 4–7 and maintaining this effect throughout the duration of the experiment. Immunohistochemical examination revealed strong expression of human proenkephalin in trigeminal ganglia of SHPE, but not SHZ.1 treated rats. This study demonstrates that intranasal administration of HSV-based gene vectors may be a viable, non-invasive means of treating chronic craniofacial pain, including post-TBI pain.
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... H erpes simplex virus 1 (HSV-1) is a double-stranded DNA (dsDNA) virus belonging to the Alphaherpesvirus family, which causes oral herpes, encephalitis, keratitis, neonatal herpes, and pneumonia disease, establishing latency in the neurons after acute infection of mucosal tissues (1)(2)(3). Notably, HSV-1 can be isolated from the respiratory tract of immunosuppressed patients and newborn infants, where it induces pneumonitis, resulting in remarkable morbidity and mortality (4). Recent studies have suggested that HSV-1-induced bronchopneumonitis is common in nonimmunocompromised persons who are undergoing continuous mechanical ventilation (5). ...
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... The presence of viral vector can be detected by PCR, allowing also to monitor for mobilization and/or shedding of vector at tissues further from the inoculation site. Recombination of replication-defective vectors with endogenous HSV-1 to produce replication-competent virus has been reported to be undetectable [147] (see section 3.5), but can be monitored by viral culture on epithelial cell lines such as VERO or BHK, or by PCR; definitive molecular verification of recombination would require sequencing of newly formed junctions. Immunostaining for viral antigens after more than four days after inoculation may also reveal any viral gene expression activity such as might occur in the generation of replication-competent virus. ...
... Since the majority of the human population habours HSV-1 in the latent form, the question often arises as to whether HSV-1 vectors can recombine with, and/or reactivate, endogenous wild-type HSV-1 in infected individuals. In two different rat models of latency, intracerebral injection of HSV-1 vectors did not reactivate latent wild-type HSV-1 in either the cerebral or corneal model whereas cadmium sulphate treatment provoked virus mobilization and shedding [147]. Although it should be kept in mind that rats are less susceptible to HSV-1 infection than humans, these results indicate that there is little risk of reactivating latent wild-type HSV-1 by application of replication-defective HSV-1 vectors, at least by intracranial injection. ...
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The majority of humans have been infected with Herpes Simplex Virus Type 1 (HSV-1) and harbor its viral DNA in the latent form within neurons for lifetime. This, combined with the absence of serious adverse effects due to HSV-1 derived vectors in clinical trials so far, highlight the potential to use this virus to develop neuronal gene transfer vectors which are transparent to the host, allowing the effects of the transgene to act without interference from the transfer system eg., for functional genomics in basic neuroscience or gene therapy of neurological disorders. On the other hand, other HSV-1 derived vectors which also have a promising perspective in the clinic, are designed to have enhanced cytotoxicity in certain cell types, as in the case of oncolytic vectors. Understanding virus-host interactions is fundamental not only to the success of these gene therapy vectors but also with respect to identifying and minimizing biohazards associated with their use. In this review we discuss characteristics of HSV-1 and gene therapy vectors derived from this virus which are useful to consider in the context of biosafety risk assessment and risk management.
... As already mentioned, HSV spreads along nerves also beyond the first pseudounipolar neuron and may establish latent infection within the brain stem and possibly also in the olfactory brain cortex and related structures of the limbic system (amygdala, hippocampus) as shown in a rabbit model (Kúdelová and Rajčáni 1990) as well as in human CNS samples by in situ hybridization (Rajčáni et al. 1991a). The significance of these preliminary findings was later on widely accepted (Wang et al. 1997) and, therefore, further analyzed. Interestingly, if the specimens from the amygdala removed during stereotactic surgery were cultured, no virus could be rescued as it was the case with the trigeminal ganglion explants. ...
... However, neurons harboring the latent virus and expressing LAT are protected from the superinfecting virus (Mador et al. 2002). Furthermore, superinfection of animals with established latency using another replication-defective (ICP6 minus) HSV-1 mutant did not reactivate the latent virus (Wang et al. 1997). In conclusion, despite extensive experimental research, the main questions-Which routes do the HSV-1 spread into CNS take? ...
... Experiments have been performed to assess this risk in the nervous system. Upon intracerebral administration of replication defective HSV-1 to latently infected rats, reactivation of wildtype HSV-1 from latency has not been observed [96]. ...
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... Moreover, in two different latency models in rats, intracerebral injection of hrR3 did not reactivate latent wt HSV -1 in either the corneal or the cerebral model. This indicates that intracranial injection of partially defective recombinants of HSV -1 may bear little or no risk of reactivating latent wt virus present in sensory ganglia or brain [89], although it must be kept in mind that rats are, in general, less infectable with HSV -1 than humans. ...
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Many properties of HSV-1 are especially suitable for using this virus as a vector to treat diseases affecting the central nervous system (CNS), such as Parkinson's disease or malignant gliomas. These advantageous properties include natural neurotropism, high transduction efficiency, large transgene capacity, and the ability of entering a latent state in neurons. Selective oncolysis in combination with modulation of the immune response mediated by replication-conditional HSV-1 vectors appears to be a highly promising approach in the battle against malignant glioma. Helper virus-free HSV/AAV hybrid amplicon vectors have great promise in mediating long-term gene expression in the PNS and CNS for the treatment of various neurodegenerative disorders or chronic pain. Current research focuses on the design of HSV-1-derived vectors which are targeted to certain cell types and support transcriptionally regulatable transgene expression. Here, we review the recent developments on HSV-1-based vector systems and their applications in experimental and clinical gene therapy protocols.
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The current state of replication-competent or replication-selective oncolytic viral treatment of malignant astrocytomas is reviewed. This includes studies examining the DNA viruses herpes simplex type I and adenovirus, both of which can be engineered to replicate only in dividing cancer cells, and RNA viruses, including reovirus, measles virus, Newcastle disease virus (NDV), and vesicular stomatitis virus (VSV), some of which replicate selectively in brain tumors because of transformed cellular defects in antiviral immunity and others which require modification to render them nonpathogenic in health brain tissue while destroying resident tumor cells. Also discussed is that local viral expression of cytokines could overcome the immunosuppressive tumor microenvironment and lead to tumor clearance including immune clearance of distant noninfected tumor cells.