Replication-competent, attenuated mutants of herpes simrespectively. Established tumors were subsequently plex virus type 1 (HSV-1) have been shown to be effitreated intratumorally with a multi-mutated HSV-1, G207. cacious for tumor therapy. However, these studies did not G207 inhibited tumor growth to a similar extent whether address the consequences of prior exposure to HSV, as the mice were seropositive or not. We next examined the will be the case with many patients likely to receive this effect of multiple intratumoral inoculations of a 10-fold therapy. Two strains of mice, A/J and BALB/c, were lower dose of G207 on tumor growth. In the multiple treatinfected with wild-type HSV-1 by intraperitoneal injection ment group (biweekly for 3 weeks), 75% of tumors were and the immune response was determined by plaque cured, whereas no cures were seen in the single treatment reduction assay for neutralizing antibody and ELISA for group. We conclude that HSV seropositivity should not delIgG and IgM. Syngeneic tumors, N18 neuroblastoma and eteriously affect the efficacy of G207 tumor therapy, and CT26 colon carcinoma, were implanted subcutaneously in multiple inoculations of virus should be considered for HSV-1 seropositive and naive A/J and BALB/c mice, clinical evaluation.