Androgen-independent molecular imaging vectors to detect castration-resistant and metastatic prostate cancer

Cancer Res. 2011 Oct 1;71(19):6250-60. doi: 10.1158/0008-5472.CAN-11-1520. Epub 2011 Sep 20.

Abstract

Prostate-specific promoters are frequently employed in gene-mediated molecular imaging and therapeutic vectors to diagnose and treat castration-resistant prostate cancer (CRPC) that emerges from hormone ablation therapy. Many of the conventional prostate-specific promoters rely on the androgen axis to drive gene expression. However, considering the cancer heterogeneity and varying androgen receptor status, we herein evaluated the utility of prostate-specific enhancing sequence (PSES), an androgen-independent promoter in CRPC. The PSES is a fused enhancer derived from the prostate-specific antigen (PSA) and prostate-specific membrane antigen gene regulatory region. We augmented the activity of PSES by the two-step transcriptional amplification (TSTA) system to drive the expression of imaging reporter genes for either bioluminescent or positron emission tomography (PET) imaging. The engineered PSES-TSTA system exhibits greatly elevated transcriptional activity, androgen independency, and strong prostate specificity, verified in cell culture and preclinical animal experimentations. These advantageous features of PSES-TSTA elicit superior gene expression capability for CRPC in comparison with the androgen-dependent PSA promoter-driven system. In preclinical settings, we showed robust PET imaging capacity of PSES-TSTA in a castrated prostate xenograft model. Moreover, intravenous administrated PSES-TSTA bioluminescent vector correctly identified tibial bone marrow metastases in 9 of 9 animals, whereas NaF- and FDG-PET was unable to detect the lesions. Taken together, this study showed the promising utility of a potent, androgen-independent, and prostate cancer-specific expression system in directing gene-based molecular imaging in CRPC, even in the context of androgen deprivation therapy.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Androgens / metabolism
  • Animals
  • Bone Marrow / pathology
  • Enhancer Elements, Genetic
  • Gene Expression Regulation, Neoplastic
  • Gene Fusion
  • Genes, Reporter*
  • Genetic Vectors
  • Humans
  • Male
  • Mice
  • Neoplasm Metastasis
  • Orchiectomy
  • Positron-Emission Tomography
  • Prostate-Specific Antigen / analysis*
  • Prostate-Specific Antigen / genetics*
  • Prostatic Neoplasms / diagnosis*
  • Prostatic Neoplasms / genetics
  • Prostatic Neoplasms / metabolism
  • Prostatic Neoplasms / pathology
  • Regulatory Sequences, Nucleic Acid / genetics
  • Tibia / pathology
  • Transcriptional Activation

Substances

  • Androgens
  • Prostate-Specific Antigen