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TRAIL gene therapy: from preclinical development to clinical application
Thomas S Griffith1, Brittany Stokes, Tamara A Kucaba
1Department of Urology, University of Iowa, 375 Newton Road, Iowa City, IA 52242, USA. thomas-griffith@uiowa.edu
Abstract:
Numerous studies have investigated the potential use of TNF-related apoptosis-inducing ligand (TRAIL) as a cancer therapeutic since its discovery in 1995--because TRAIL is a potent inducer of apoptosis in tumor cells but not in normal cells and tissues. Consequently, a great deal is known about TRAIL/TRAIL receptor expression, the molecular components of TRAIL receptor signaling, and methods of altering tumor cell sensitivity to TRAIL-induced apoptosis. Our laboratory was the first to report the possibility of TRAIL gene transfer therapy as an alternative method of using TRAIL as an antitumor therapy. As with recombinant proteins administered systemically, intratumoral TRAIL gene delivery also has limitations that can restrict its full potential. Translating the preclinical TRAIL studies into the clinic has started, with the hope that TRAIL will exhibit robust tumoricidal activity against human primary tumors in situ with minimal toxic side effects.
Insights
TNF-related apoptosis-inducing ligand (TRAIL) shows promise as a cancer therapy due to its tumor-specific apoptosis induction. TRAIL gene therapy is being explored to overcome limitations of protein administration for effective antitumor activity.
Area of Science:
- Oncology
- Molecular Biology
- Gene Therapy
Background:
- TNF-related apoptosis-inducing ligand (TRAIL) induces apoptosis in tumor cells selectively, sparing normal tissues.
- Extensive research covers TRAIL/TRAIL receptor expression, signaling pathways, and modulating tumor cell sensitivity.
- TRAIL's potential as a cancer therapeutic has been investigated since its discovery in 1995.
Purpose of the Study:
- To explore TRAIL gene transfer therapy as an alternative antitumor strategy.
- To address limitations associated with systemic recombinant TRAIL protein administration.
- To translate preclinical findings into clinical applications for treating human primary tumors.
Main Methods:
- Investigating TRAIL gene transfer for localized delivery.
- Analyzing TRAIL/TRAIL receptor expression and signaling.
- Developing methods to enhance tumor cell sensitivity to TRAIL.
Main Results:
- TRAIL gene transfer offers an alternative to recombinant protein therapy.
- Intratumoral TRAIL gene delivery presents challenges for maximal therapeutic potential.
- Preclinical studies are advancing towards clinical translation.
Conclusions:
- TRAIL gene therapy is a promising approach for cancer treatment.
- Further research is needed to optimize TRAIL gene delivery and efficacy.
- Clinical translation aims for robust tumoricidal activity with minimal toxicity.
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