Recombinant strains of herpes simplex virus-1 (HSV-1) harboring mutations in the infected cell product (ICP)34.5 region lose their neurovirulence and replicate more efficiently in dividing tumor cells than stationary cells, becoming replication-selective oncolytic agents. Additional mutation of the ICP6 gene, which encodes ribonucleotide reductase, further impairs the ability of HSV-1 mutants to replicate in normal cells, enhancing tumor selectivity. The present study investigated the effect of HSV-G207, a recombinant HSV-1 lacking ICP34.5 and ICP6, against epithelial ovarian cancer (EOC) in vitro and in vivo in a mouse xenograft model. To assess the selectivity of multimutated HSV-G207 against malignant cells, HSV-G207 and wild-type HSV-F were comparatively tested against normal human peritoneal mesothelial cells and EOC cells in vitro. HSV-G207 infected both EOC cells and mesothelial cells; however, unlike EOC cells, mesothelial cells provided a poor substrate for replication of HSV-G207. In contrast to wild-type HSV-F, HSV-G207 exerted a potent oncolytic effect on EOC cells but spared normal mesothelial cells in vitro. Primary EOC cells were more sensitive to the virus than established EOC cell lines. A single intraperitoneal injection of HSV-G207 resulted in a significant reduction in tumor volume and tumor spread in vivo. HSV-G207 was shown to penetrate deeply within tumor nodules and caused no apparent intraperitoneal toxicity. Oncolytic therapy with multimutated replication-restricted HSV may offer a novel approach in the treatment of EOC. Cancer Gene Therapy (2000) 7, 275-283 Key words: Viral oncolytic therapy; herpes simplex virus; ovarian cancer; intraperitoneal therapy.V iral-based oncolytic therapy has gained renewed interest due to recent advances in molecular virology allowing for manipulation of the viral particles and enhancement of their tumor specificity. 1,2 Replicationselective herpes simplex virus-1 (HSV-1) mutants have been engineered by deletions of both copies of the RL1 gene. 3 Its product, infected cell product (ICP)34.5 protein, plays a major role in neurovirulence 4 and in prevention of the premature shutoff of protein synthesis in infected cells. 5 ICP34.5-null HSV-1 mutants such as HSV-1716 and HSV-R3616 have been shown to replicate preferentially in tumor cells, causing a direct oncolytic effect. 2,6 HSV-G207 was further attenuated by inserting the Escherichia coli lacZ gene into the HSV ICP6 gene, which encodes ribonucleotide reductase (RR), on the ICP34.5 Ϫ backbone of HSV-R3616. 7 HSV-G207 was shown to be hypersensitive to the antiherpetic drug ganciclovir 7 and to display no detectable neurovirulence. 7,8 Replication-selective HSV-1 mutants have been demonstrated to be efficacious antitumor agents in experimental models of various central nervous system (CNS) tumors. 3,4,8 -17 Based on promising preclinical results in experimental CNS tumors, dose escalation phase I clinical trials have begun using stereotactic application of HSV-G207 and HSV-1716 for the treatment of malignan...