Transcription-targeted gene therapy for androgen-independent prostate cancer

Cancer Gene Ther. 2002 May;9(5):443-52. doi: 10.1038/sj.cgt.7700451.

Abstract

The Escherichia coli enzyme (purine nucleoside phosphorylase, PNP) gene is delivered directly into PC3 tumors by one injection of replication-deficient human type-5 adenovirus (Ad5). Expressed PNP converts the systemically administered prodrug, 6MPDR, to a toxic purine, 6MP, causing cell death. We sought to increase the specificity of recombinant Ad vectors by controlling PNP expression with the promoter region from the androgen-dependent, prostate-specific rat probasin (Pb) gene. To increase its activity, the promoter was combined with the SV40 enhancer (SVPb). Cell lines were transfected with plasmids containing both a reporter gene, under SVPb control, and a reference gene cassette to allow normalization of expression levels. Plasmids expressed approximately 20-fold more reporter in prostate cancer than in other cells, but surprisingly, the SVPb element was both androgen-independent and retained substantial prostate specificity. Killing by Ad5-SVPb-PNP vector of cell lines cultured with 6MPDR for 6 days was 5- to 10-fold greater in prostate cancer than in liver or lung cells. In vivo, a single intratumoral injection of Ad5-SVPb-PNP (4 x 10(8) pfu), followed by 6MPDR administration twice daily for 6 days, significantly suppressed the growth of human prostate tumors in nude mice and increased their survival compared to control animals. Thus, the androgen-independent, prostate-targeting Ad5 vector reduces human prostate cancer growth significantly in vitro and in vivo. This first example of an androgen-independent vector points the way toward treatment of emerging androgen-independent prostate cancer in conjunction with hormone ablation therapy at a time when the tumor burden is low.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenoviridae / genetics
  • Androgens / pharmacology
  • Animals
  • Genetic Therapy / methods*
  • Genetic Vectors
  • Humans
  • Male
  • Mice
  • Mice, Nude
  • Plasmids / metabolism
  • Prodrugs / pharmacology
  • Prostatic Neoplasms / genetics*
  • Prostatic Neoplasms / therapy*
  • Time Factors
  • Tissue Distribution
  • Transcription, Genetic*
  • Transfection
  • Tumor Cells, Cultured

Substances

  • Androgens
  • Prodrugs