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Cytotoxicity and antiangiogenesis by fibroblast growth factor 2-targeted Ad-TK cancer gene therapy
Koichiro Saito1, Khurram Khan, Barbara Sosnowski
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA.
Objectives:
Human head and neck squamous cell carcinoma (HNSCC) in addition to lung, skin, ovarian, and other cancers overexpress fibroblast growth factor (FGF) receptors on both individual tumor cells and endothelial cells within the tumor microenvironment. The purpose of this study was to investigate whether FGF2-targeted gene therapy could redirect adenoviral vectors encoding the herpes simplex virus thymidine kinase gene (Ad-TK) to FGF receptors on tumor and endothelial cells with the intent of improving both the efficiency of transgene expression and the antitumor response.
Study Design And Methods:
An Ad-TK vector consisting of a conjugate of FGF2 linked to a Fab' fragment against the adenoviral knob region was directly delivered to human HNSCC xenograft tumors in nude mice, which were subsequently dosed with ganciclovir. Tumor specimens were assessed for herpes simplex virus thymidine kinase (HSV-tk) transgene mRNA expression, FGF1/2 receptor expression, terminal deoxynucleotidyl transferase biotin-deoxy uridine triphosphate nick end labeling assay for apoptosis, CD31 immunohistochemistry to estimate tumor microvessel density, and tumor volume change.
Results:
FGF2-retargeted Ad-TK gene therapy demonstrated significant increases in both HSV-tk mRNA expression and cellular apoptosis levels, and a significant decrease in tumor volume size compared with all other groups. Furthermore, microvessel density was significantly lower in the FGF2-retargeted Ad-TK group, indicating a strong antiangiogenesis effect.
Conclusions:
These data suggest that FGF2-retargeted Ad-TK produces a combination of expected direct antitumor cytotoxicity and a newly reported antiangiogenesis effect that could prove promising as a novel therapeutic approach in the treatment of FGF receptor-expressing cancers.
Insights
FGF2-targeted gene therapy using adenoviral vectors encoding herpes simplex virus thymidine kinase (Ad-TK) showed increased tumor cell death and reduced tumor volume. This novel approach also demonstrated an antiangiogenesis effect, offering a promising new treatment for FGF receptor-expressing cancers.
Area of Science:
- Oncology
- Gene Therapy
- Cancer Biology
Background:
- Fibroblast growth factor (FGF) receptors are overexpressed in various cancers, including head and neck squamous cell carcinoma (HNSCC), lung, and ovarian cancers.
- These receptors are present on both tumor cells and the endothelial cells within the tumor microenvironment.
Purpose of the Study:
- To investigate the efficacy of FGF2-targeted gene therapy using adenoviral vectors encoding the herpes simplex virus thymidine kinase gene (Ad-TK).
- To determine if targeting FGF receptors can enhance transgene expression and improve antitumor responses in HNSCC.
Main Methods:
- An Ad-TK vector conjugated with FGF2 was delivered to HNSCC xenograft tumors in nude mice.
- Mice were treated with ganciclovir, and tumors were analyzed for HSV-tk mRNA expression, apoptosis, microvessel density, and tumor volume.
Main Results:
- FGF2-retargeted Ad-TK gene therapy significantly increased HSV-tk mRNA expression and apoptosis.
- A significant decrease in tumor volume and microvessel density was observed, indicating an antiangiogenesis effect.
Conclusions:
- FGF2-retargeted Ad-TK gene therapy exhibits direct antitumor cytotoxicity and a novel antiangiogenesis effect.
- This approach shows promise as a therapeutic strategy for cancers that express FGF receptors.
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