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Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Modulation of tumor radiation response with G3139, a bcl-2 antisense oligonucleotide
Nicole Wiedenmann1, Masashi Koto, Uma Raju
1Department of Experimental Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Unit 066, Houston, TX 77030-4009, USA.
Abstract:
Overexpression of anti-apoptotic bcl-2 protein has been found in hematological and solid tumors and has been associated with increased resistance against cytotoxic therapy. While bcl-2 antisense (AS) treatment combined with chemotherapy has been successfully tested in clinical trials, trials evaluating the combination of bcl-2 AS with radiotherapy have not yet been performed. The aim of this study was to investigate in vivo anti-tumor effects of a combined modality treatment scheme consisting of radiation and the bcl-2 targeted AS oligonucleotide (ODN) G3139 (Oblimersen Sodium). Two human colon carcinoma cell lines, SW620, bcl-2 positive and HT-29, bcl-2 negative, were grown as xenografts and compared in their response to combined bcl-2 AS/radiation treatment. G3139 potentiated the radiation response of bcl-2 positive SW620 tumors, but had no significant effect on bcl-2 negative HT-29 tumors assayed by tumor growth delay. The profound enhancement of SW620 tumor growth delay by G3139 did not translate into effects on tumor cure, as no significant effect of G3139 was found on SW620 radiocurability (TCD50 assay). The control ODN G3622 had no effect on SW620 radiation response, indicating an ODN sequence specific effect.
Insights
Bcl-2 antisense oligonucleotide (AS ODN) G3139 enhanced radiation therapy effects in bcl-2 positive colon tumors. This combination showed promise for improving radiotherapy outcomes in specific cancer types.
Area of Science:
- Oncology
- Molecular Biology
- Radiotherapy
Background:
- Overexpression of anti-apoptotic bcl-2 protein is linked to cancer therapy resistance.
- Bcl-2 antisense (AS) treatment combined with chemotherapy is clinically validated.
- The combination of bcl-2 AS with radiotherapy has not been previously investigated.
Purpose of the Study:
- To evaluate the in vivo anti-tumor effects of combining radiation therapy with the bcl-2 targeted AS oligonucleotide (ODN) G3139 (Oblimersen Sodium).
Main Methods:
- Two human colon carcinoma cell lines (SW620, bcl-2 positive; HT-29, bcl-2 negative) were grown as xenografts.
- The response to combined bcl-2 AS/radiation treatment was assessed.
- Tumor growth delay and radiocurability (TCD50 assay) were measured.
Main Results:
- G3139 significantly potentiated the radiation response in bcl-2 positive SW620 tumors, as measured by tumor growth delay.
- G3139 had no significant effect on bcl-2 negative HT-29 tumors.
- The enhancement in tumor growth delay did not translate to improved tumor cure rates for SW620 xenografts.
- A control ODN (G3622) showed no effect, indicating a sequence-specific effect of G3139.
Conclusions:
- Combined bcl-2 AS (G3139) and radiation therapy can enhance tumor growth delay in bcl-2 positive tumors.
- This combination strategy warrants further investigation for specific cancer indications.
- The efficacy appears to be dependent on bcl-2 expression and ODN sequence specificity.
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