Abstract
We studied the effect of suicide gene therapy using an adenovirus vector expressing the cytosine deaminase (CD) gene combined with irradiation therapy (chemo-radio-gene therapy) for human colorectal cancer cells. Since serum CEA levels are elevated in patients with some malignant tumors including colorectal cancer, we applied the CEA promoter to chemo-radio-gene therapy, expecting tumor-specific expression of the CD gene. In in vitro study, we succeeded in selective expression of the target CD gene and growth inhibition in only CEA-producing tumor cells; Further the inhibitory effect was enhanced by combination with radiation therapy in an irradiation dose-dependent manner. In addition, in in vivo study, a significant growth inhibition was observed in chemo-radio-gene therapy in comparison with radiation therapy alone or suicide gene therapy alone. Thus, we suggest that tumor-specific chemo-radio-gene therapy may be a useful strategy for human colorectal cancer.
MeSH terms
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Adenocarcinoma / genetics
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Adenocarcinoma / metabolism
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Adenocarcinoma / radiotherapy
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Adenocarcinoma / therapy*
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Adenoviridae / genetics
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Animals
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Antimetabolites, Antineoplastic / pharmacokinetics
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Antimetabolites, Antineoplastic / pharmacology*
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Biotransformation
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Carcinoembryonic Antigen / biosynthesis
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Cell Division / drug effects
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Cell Division / genetics
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Cell Division / radiation effects
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Colorectal Neoplasms / genetics
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Colorectal Neoplasms / metabolism
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Colorectal Neoplasms / radiotherapy
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Colorectal Neoplasms / therapy*
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Combined Modality Therapy
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Cytosine Deaminase
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Flucytosine / pharmacokinetics
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Flucytosine / pharmacology*
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Fluorouracil / pharmacokinetics
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Fluorouracil / pharmacology
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Genetic Therapy / methods*
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Genetic Vectors / genetics
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HT29 Cells
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Humans
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Male
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Mice
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Mice, Inbred BALB C
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Mice, Nude
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Nucleoside Deaminases / genetics*
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Nucleoside Deaminases / metabolism
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Tumor Cells, Cultured
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Xenograft Model Antitumor Assays
Substances
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Antimetabolites, Antineoplastic
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Carcinoembryonic Antigen
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Flucytosine
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Nucleoside Deaminases
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Cytosine Deaminase
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Fluorouracil