Tumor-specific chemo-radio-gene therapy for colorectal cancer cells using adenovirus vector expressing the cytosine deaminase gene

Anticancer Res. 2001 Jul-Aug;21(4A):2601-8.

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

  • Adenocarcinoma / genetics
  • Adenocarcinoma / metabolism
  • Adenocarcinoma / radiotherapy
  • Adenocarcinoma / therapy*
  • Adenoviridae / genetics
  • Animals
  • Antimetabolites, Antineoplastic / pharmacokinetics
  • Antimetabolites, Antineoplastic / pharmacology*
  • Biotransformation
  • Carcinoembryonic Antigen / biosynthesis
  • Cell Division / drug effects
  • Cell Division / genetics
  • Cell Division / radiation effects
  • Colorectal Neoplasms / genetics
  • Colorectal Neoplasms / metabolism
  • Colorectal Neoplasms / radiotherapy
  • Colorectal Neoplasms / therapy*
  • Combined Modality Therapy
  • Cytosine Deaminase
  • Flucytosine / pharmacokinetics
  • Flucytosine / pharmacology*
  • Fluorouracil / pharmacokinetics
  • Fluorouracil / pharmacology
  • Genetic Therapy / methods*
  • Genetic Vectors / genetics
  • HT29 Cells
  • Humans
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Nucleoside Deaminases / genetics*
  • Nucleoside Deaminases / metabolism
  • Tumor Cells, Cultured
  • Xenograft Model Antitumor Assays

Substances

  • Antimetabolites, Antineoplastic
  • Carcinoembryonic Antigen
  • Flucytosine
  • Nucleoside Deaminases
  • Cytosine Deaminase
  • Fluorouracil