We have earlier demonstrated that inhibition of polyamine biosynthesis with difluoromethylornithine (DFMO) can be used to enhance the cytotoxicity of herpes simplex virus thymidine kinase/ ganciclovir (HSV-TK/GCV) gene therapy in different tumor cell lines. Here, the utility of this treatment combination was tested in vivo in a nude mouse tumor model. First, the effect of DFMO was verified by treating mice bearing subcutaneous 9L rat glioma tumors with 2% DFMO in drinking water. The drug treatment induced almost complete suppression of ornithine decarboxylase activity, and as a result, a strong decrease in intratumoral putrescine and spermidine concentrations, which were normalized 4 days after drug removal. Consequently, the tumors displayed a significant reduction in the proliferation activity that was increased to 20% higher than the normal level at day 4 and returned to normal level 7 days after DFMO removal. Next, 9L tumors with 30% of TK-GFP fusion gene positive cells were induced and the animals were given DFMO and GCV in 2 treatment schemes, with the drug administration periods overlapping either 5 or 2 days. The analysis of tumor size at the end of the treatment revealed that DFMO can enhance HSV-TK/GCV cytotoxicity when the overlap between DFMO and GCV was 5 days, but the result was not significant. However, the 2-day overlap scheme yielded a significantly (p < 0.05, ANOVA) enhanced antitumor effect. In conclusion, the data here confirms that a novel combination of 2 clinically relevant treatment modalities, polyamine deprivation and HSV-TK/ GCV suicide gene therapy, can be used synergistically in vivo. ' 2005 Wiley-Liss, Inc.Key words: polyamines; DFMO; cancer gene therapy; suicide gene; TK-GFP fusion; lentivirus vector; animal model Herpes simplex virus thymidine kinase/ganciclovir (HSV-TK/ GCV) gene therapy 1 is a typical form of suicide gene therapy and one of the most widely used approaches to destroy malignant cells by genetic means. Despite a number of attempts to enhance the efficacy of this tumor therapy form, results from clinical trials have been modest and true clinical breakthroughs have not occurred yet.2 Thus, thymidine kinase-ganciclovir suicide gene therapy still needs improvement and new, innovative means to increase the tumor toxicity of this treatment form are actively being sought. Our approach to enhance the efficacy of HSV-TK/ GCV method is to manipulate the cell cycle of the target tumor. When proliferation of a tumor cell population is blocked and then released, an increased proportion of cells transiently enter S phase. Because HSV-TK/GCV gene therapy affects through DNA replication and thus kills only dividing cells, it can be anticipated that cell population with maximal number of cells in their S phase is most vulnerable for HSV-TK/GCV toxic effect. It has been shown that polyamine deprivation induced with a-difluoromethylornithine (DFMO, an irreversible inhibitor of ornithine decarboxylase) causes cytostasis that is accompanied by cell cycle arrest through inhibition of G...