Viral pathogenesis depends on a suitable milieu in target host cells permitting viral gene expression, propagation, and spread. In many instances, viral genomes can be manipulated to select for propagation in certain tissues or cell types. This has been achieved for the neurotropic poliovirus (PV) by exchange of the internal ribosomal entry site (IRES), which is responsible for translation of the uncapped plus-strand RNA genome. The IRES of human rhinovirus type 2 (HRV2) confers neuron-specific replication deficits to PV but has no effect on viral propagation in malignant glioma cells. We report here that placing the critical ␥ 1 34.5 virulence genes of herpes simplex virus type 1 (HSV) under translation control of the HRV2 IRES results in neuroattenuation in mice. In contrast, IRES insertion permits HSV propagation in malignant glioma cell lines that do not support replication of HSV recombinants carrying ␥ 1 34.5 deletions. Our observations indicate that the conditions for alternative translation initiation at the HRV2 IRES in malignant glioma cells differ from those in normal central nervous system (CNS) cells. Picornavirus regulatory sequences mediating cell typespecific gene expression in the CNS can be utilized to target cancerous cells at the level of translation regulation outside their natural context.
Herpes simplex virus type 1 (HSV) and poliovirus (PV) are neuropathogens that target cells in the central nervous system (CNS). Both use cellular receptors belonging to the nectin family: nectin-1 or the PV receptor-related molecule 1 for HSV (15) and CD155 or the PV receptor for PV (35). Both viruses have been genetically engineered to attenuate neuropathogenicity. Nonneurovirulent variants of both HSV and PV selectively propagate in malignant glioma cells and are being investigated as oncolytic agents against glioblastoma multiforme (GBM).The HSV double-stranded DNA (dsDNA) genome of ϳ152,250 bp encodes at least 84 gene products. Attenuation was achieved by deletion of the ␥ 1 34.5 gene, abolishing neurovirulence in mice (2, 5) and primates (21). Moreover, ⌬␥ 1 34.5 HSVs, either with or without a mutation in another nonessential gene, have been safely administered to GBM patients (32, 48). A key function of the ␥ 1 34.5 gene product, infected-cell protein 34.5 (ICP34.5), is to oppose host antiviral responses that culminate in protein synthesis shutoff. HSV infection results in dsRNA-dependent protein kinase (PKR) activation, which unchecked, arrests translation via phosphorylation of the ␣ subunit of eukaryotic initiation factor (eIF-2␣) (4, 6). ICP34.5 redirects cellular protein phosphatase 1␣ to dephosphorylate eIF-2␣, maintaining a pool of active eIF-2␣ (19). ⌬␥ 1 34.5 mutants are unable to counter PKR, and viral growth is therefore inhibited in the CNS (4, 6). However, these mutants propagate efficiently in tumor cells with defective or suppressed PKR responses (1), spurring clinical application as oncolytic agents (32,48). ⌬␥ 1 34.5 growth is impeded in some cancer cell lines (39, 50), indicating t...