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Gene transfer to cervical cancer with fiber-modified adenoviruses
Daniel T Rein1, Martina Breidenbach, Hongju Wu
1Division of Human Gene Therapy, Departments of Medicine, Surgery and Pathology and the Gene Therapy Center, University of Alabama at Birmingham, Birmingham, AL, USA.
Abstract:
Successful adenoviral (Ad) vector-mediated strategies for cancer gene therapy mandate gene-delivery systems that are capable of achieving efficient gene delivery in vivo. In many cancer types, in vivo gene-transfer efficiency remains limited due to the low or highly variable expression of the primary Ad receptor, the coxsackie Ad receptor (CAR). In this study, we evaluated the expression of CAR on cervical cancer cells as well as CAR-independent targeting strategies to integrins (Ad5.RGD), heparan sulfate proteoglycans (Ad5.pK7) or both (Ad5.RGD.pK7). We used a panel of established cervical cancer cell lines and primary cervical cancer cells isolated from patients to quantify the expression of CAR mRNA and to evaluate the gene-transfer efficiency of fiber-modified Ads. Of the fiber-modified vectors, Ad5.pK7 and Ad5.RGD.pK7 displayed significantly enhanced gene-transfer efficiency in vitro. Gene-delivery efficiency in vivo was evaluated using an s.c. cervical cancer mouse model. Ad5.RGD.pK7 significantly improves tumor targeting in vivo, resulting in a significantly improved tumor/liver ratio in mice. Our results suggest that the double-modified Ad5.RGD.pk7 vector enhances gene transfer to clinically relevant cervical cancer substrates, while the infectivity of nontarget cells in the mouse is not increased and comparable to Ad5. The fiber-modified virus described here can help achieve higher clinical efficacy of cervical cancer gene therapy.
Insights
Adenoviral (Ad) vector gene therapy for cervical cancer faces challenges with low coxsackie Ad receptor (CAR) expression. Modified Ad vectors targeting integrins and proteoglycans improved in vivo gene delivery and tumor targeting.
Area of Science:
- Oncolytic Virotherapy
- Gene Therapy
- Molecular Virology
Background:
- Adenoviral (Ad) vectors are crucial for cancer gene therapy, but in vivo gene delivery efficiency is often limited.
- Low or variable expression of the coxsackie Ad receptor (CAR) on cancer cells hinders efficient Ad-mediated gene transfer.
- Cervical cancer presents a significant challenge for current gene therapy approaches due to receptor expression variability.
Purpose of the Study:
- To evaluate CAR expression on cervical cancer cells.
- To assess CAR-independent targeting strategies using modified Ad vectors (Ad5.RGD, Ad5.pK7, Ad5.RGD.pK7).
- To determine the in vitro and in vivo gene transfer efficiency of these modified vectors in cervical cancer models.
Main Methods:
- Quantification of CAR mRNA expression in cervical cancer cell lines and primary patient samples.
- Evaluation of gene transfer efficiency using fiber-modified Ad vectors targeting integrins (Ad5.RGD) and heparan sulfate proteoglycans (Ad5.pK7).
- In vivo assessment of gene delivery efficacy in a subcutaneous cervical cancer mouse model.
Main Results:
- Ad5.pK7 and Ad5.RGD.pK7 demonstrated significantly enhanced in vitro gene transfer efficiency.
- The Ad5.RGD.pK7 vector significantly improved tumor targeting in vivo, leading to a better tumor/liver ratio.
- Non-target cell infectivity remained comparable to unmodified Ad5, indicating improved tumor specificity.
Conclusions:
- The double-modified Ad5.RGD.pK7 vector enhances gene transfer to cervical cancer cells.
- This modified vector shows improved tumor targeting and specificity in vivo.
- These findings suggest potential for increased clinical efficacy in cervical cancer gene therapy.
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