Gene therapy for carcinoma of the breast: Genetic ablation strategies
1Gene Therapy Clinic, The University of Alabama at Birmingham, 1824 6th Ave. South, Birmingham, AL 35294-3300, USA. david.curiel@ccc.uab.edu
Abstract:
The gene therapy strategy of mutation compensation is designed to rectify the molecular lesions that are etiologic for neoplastic transformation. For dominant oncogenes, such approaches involve the functional knockout of the dysregulated cellular control pathways provoked by the overexpressed oncoprotein. On this basis, molecular interventions may be targeted to the transcriptional level of expression, via antisense or ribozymes, or post-transcriptionally, via intracellular single chain antibodies (intrabodies). For carcinoma of the breast, these approaches have been applied in the context of the disease linked oncogenes erbB-2 and cyclin D1, as well as the estrogen receptor. Neoplastic revision accomplished in modal systems has rationalized human trials on this basis.
Insights
Gene therapy corrects cancer-causing mutations by disabling oncogenes. This approach, targeting gene expression or proteins, has been applied to breast cancer, paving the way for human trials.
Area of Science:
- Oncology
- Molecular Biology
- Gene Therapy
Background:
- Neoplastic transformation arises from molecular lesions.
- Dominant oncogenes drive cancer through overexpressed oncoproteins.
- Gene therapy offers a strategy to compensate for these mutations.
Purpose of the Study:
- To explore gene therapy for correcting cancer-causing mutations.
- To investigate methods for functionally knocking out dysregulated pathways driven by oncogenes.
- To provide a rationale for human trials based on preclinical findings.
Main Methods:
- Targeting gene expression via antisense or ribozymes.
- Utilizing intracellular single chain antibodies (intrabodies) for post-transcriptional targeting.
- Applying these methods to breast cancer-associated oncogenes (erbB-2, cyclin D1) and the estrogen receptor.
Main Results:
- Demonstrated neoplastic revision in model systems.
- Validated gene therapy approaches for specific breast cancer targets.
- Established a basis for translating these findings into clinical applications.
Conclusions:
- Mutation compensation via gene therapy is a viable strategy for cancer treatment.
- Targeting oncogenes at transcriptional or post-transcriptional levels shows promise.
- Preclinical success supports the advancement of these gene therapy approaches to human trials for breast cancer.
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