Tumor cells escape suicide gene therapy by genetic and epigenetic instability
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Tumor cells escape suicide gene therapy by genetic and epigenetic instability. / Frank, Oliver; Rudolph, Cornelia; Heberlein, Christoph; von Neuhoff, Nils; Schröck, Evelin; Schambach, Axel; Schlegelberger, Brigitte; Fehse, Boris; Ostertag, Wolfram; Stocking, Carol; Baum, Christopher.
In: BLOOD, Vol. 104, No. 12, 01.12.2004, p. 3543-9.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Tumor cells escape suicide gene therapy by genetic and epigenetic instability
AU - Frank, Oliver
AU - Rudolph, Cornelia
AU - Heberlein, Christoph
AU - von Neuhoff, Nils
AU - Schröck, Evelin
AU - Schambach, Axel
AU - Schlegelberger, Brigitte
AU - Fehse, Boris
AU - Ostertag, Wolfram
AU - Stocking, Carol
AU - Baum, Christopher
PY - 2004/12/1
Y1 - 2004/12/1
N2 - Transfer and expression of suicide genes is one cornerstone of cancer gene therapy and is also considered as a proactive tool to enhance the safety of somatic transgenesis. Here we addressed whether retrovirus-mediated suicide gene therapy would result in a predictable antitumor efficiency, given that problems related to gene transfer are solved or that the suicide gene is used in a proactive approach. Using retroviral vectors encoding the thymidine kinase gene of herpes simplex virus, we transduced EL-4 lymphoma cells and induced experimental tumors in congeneic C57Bl/6 mice. Systemic administration of ganciclovir (GCV) resulted in remission of transduced clonal and polyclonal tumors in vivo. However, GCV-resistant relapses occurred and were found to be associated with postinsertional alterations of transgene structure or loss of the entire transgene. Complete loss of a retrovirally marked fusion chromosome was confirmed by spectral karyotyping. Transgene silencing occurred in another clone. We conclude that genetic as well as epigenetic instability related to biologic features of the tumor, the insertion site, and the vector represent relevant limitations of retroviral suicide gene therapy. Considering the mechanisms of escape identified here, the proactive use of suicide genes to prevent complications of insertional mutagenesis may still be efficient.
AB - Transfer and expression of suicide genes is one cornerstone of cancer gene therapy and is also considered as a proactive tool to enhance the safety of somatic transgenesis. Here we addressed whether retrovirus-mediated suicide gene therapy would result in a predictable antitumor efficiency, given that problems related to gene transfer are solved or that the suicide gene is used in a proactive approach. Using retroviral vectors encoding the thymidine kinase gene of herpes simplex virus, we transduced EL-4 lymphoma cells and induced experimental tumors in congeneic C57Bl/6 mice. Systemic administration of ganciclovir (GCV) resulted in remission of transduced clonal and polyclonal tumors in vivo. However, GCV-resistant relapses occurred and were found to be associated with postinsertional alterations of transgene structure or loss of the entire transgene. Complete loss of a retrovirally marked fusion chromosome was confirmed by spectral karyotyping. Transgene silencing occurred in another clone. We conclude that genetic as well as epigenetic instability related to biologic features of the tumor, the insertion site, and the vector represent relevant limitations of retroviral suicide gene therapy. Considering the mechanisms of escape identified here, the proactive use of suicide genes to prevent complications of insertional mutagenesis may still be efficient.
KW - Animals
KW - Cell Line, Tumor
KW - Chromosome Deletion
KW - Drug Resistance, Neoplasm/genetics
KW - Ganciclovir/administration & dosage
KW - Gene Silencing
KW - Genes, Transgenic, Suicide
KW - Genetic Therapy/methods
KW - Genomic Instability
KW - Lymphoma/genetics
KW - Mice
KW - Neoplasm Transplantation
KW - Recombination, Genetic
KW - Recurrence
KW - Thymidine Kinase/administration & dosage
U2 - 10.1182/blood-2004-03-0852
DO - 10.1182/blood-2004-03-0852
M3 - SCORING: Journal article
C2 - 15308565
VL - 104
SP - 3543
EP - 3549
JO - BLOOD
JF - BLOOD
SN - 0006-4971
IS - 12
ER -