Preclinical study of adenoviral p53 gene therapy for esophageal cancer

H Shimada1, T Shimizu, T Ochiai

  • 1Department of Academic Surgery, Chiba University Graduate School of Medicine, Japan.

Surgery Today
|August 10, 2001
PubMed

Insights

Adenoviral-mediated wild-type p53 gene therapy shows promise for esophageal cancer. This preclinical study demonstrated significant tumor growth suppression in esophageal cancer cell lines and xenografts, suggesting potential clinical application.

Area of Science:

  • Oncology
  • Gene Therapy
  • Molecular Biology

Background:

  • Alterations in p53 gene function are critical in esophageal cancer development.
  • p53 gene therapy is being explored for other cancers, but its efficacy in esophageal cancer is unproven.
  • Esophageal squamous cell carcinoma (ESCC) remains a significant health challenge requiring novel therapeutic strategies.

Purpose of the Study:

  • To evaluate the anticancer effects of adenoviral-mediated wild-type p53 gene therapy on human esophageal squamous cell carcinoma.
  • To assess the feasibility of Ad5CMV-p53 as a therapeutic agent for esophageal cancer.
  • To investigate the molecular mechanisms underlying p53 gene therapy in ESCC.

Main Methods:

  • Utilized normal esophageal epithelial cells (EN53F) and two p53-altered human esophageal cancer cell lines (ECGI-10, T.Tn).
  • Administered recombinant adenoviral vector Ad5CMV-p53 to assess transduction efficiency, p53 and p21 protein expression, apoptosis induction, and growth suppression.
  • Evaluated tumor growth suppression in T.Tn xenografts in nude mice.

Main Results:

  • Ad5CMV-p53 transduction efficiency reached 80%-100% at 300 plaque-forming units (PFU)/cell.
  • Significant growth suppression was observed in both esophageal cancer cell lines following Ad5CMV-p53 infection.
  • Western blot confirmed exogenous p53 expression and p21 induction; TUNEL staining indicated apoptotic cell death.
  • T.Tn xenografts showed significant growth suppression upon Ad5CMV-p53 transduction.

Conclusions:

  • Adenoviral-mediated wild-type p53 gene therapy (Ad5CMV-p53) effectively suppresses the growth of human esophageal squamous cell carcinoma.
  • The therapy induces apoptosis and increases p53 and p21 protein expression in cancer cells.
  • Ad5CMV-p53 demonstrates potential as a therapeutic agent for locally advanced esophageal cancer.

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