“…We confirmed the versatility of our sp-RRV-mediated double suicide gene transfer system by investigating the preclinical antitumor efficacy and bystander effects of the combined vectors, spRRVe-sEF1α- TK and sRRVgp-sEF1α- CD , in seven patient-derived GSCs, each of which possessed unique properties (e.g., growth rates and genomic profiles). Our method synergistically halted cell division and induced cancer cell death, anti-angiogenesis, and TAM depletion in orthotopic patient-derived glioblastoma xenografts, which were consistent with the previously reported antitumor activities of the TK/GCV and CD/5-FC systems [8,9,14,23,38,48]. Similarly, recent studies have demonstrated that the fusion of TK and CD with GCV and 5-FC synergistically improves therapeutic efficacy via the enhancement of cytotoxicity and bystander effects [30,34,49].…”