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Transrectal gene therapy of the prostate in the canine model

Kyle J Weld1, Brant E Mayher, James A Allay

  • 1Urologic Research Laboratories, University of Tennessee, Memphis, Tennessee 38163, USA.

Cancer Gene Therapy
|February 22, 2002
PubMed

Insights

Transrectal delivery of adenoviral vectors via prostate biopsy shows feasibility for prostate cancer gene therapy. While effective locally, anticipate temporary rectal shedding and systemic virus distribution.

Area of Science:

  • Oncolytic virology
  • Gene therapy delivery systems
  • Prostate cancer research

Background:

  • Advanced prostate cancer necessitates novel molecular-level treatments.
  • Adenoviral vectors offer potential for targeted gene delivery.
  • Feasibility and dissemination patterns of transrectal adenoviral vector delivery in large animals remain uncharacterized.

Purpose of the Study:

  • To assess the feasibility of direct transrectal adenoviral vector delivery into the prostate.
  • To investigate intraprostatic and systemic dissemination patterns of adenoviral vectors in a large animal model.

Main Methods:

  • Replication-deficient recombinant adenovirus (AdRSVlacZ) expressing beta-galactosidase was administered via transrectal ultrasound-guided prostate biopsy and injection.
  • Adenoviral vector (4.8 x 10(9) pfu) was delivered in 1 or 2 mL diluent to four animals.
  • Rectal, sputum, and urine samples were collected 72 hours post-injection; animals were then sacrificed for tissue analysis.

Main Results:

  • Transiently positive rectal swabs were detected; urine and sputum remained negative for vector.
  • Beta-galactosidase activity was confirmed at prostate injection sites, extending up to 7.5 mm.
  • Systemic virus dissemination occurred irrespective of injected diluent volume.

Conclusions:

  • Transrectal prostate biopsy with concurrent injection is a viable method for delivering adenoviral vectors for prostate cancer.
  • Potential challenges include anticipated systemic virus distribution and temporary rectal shedding.

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