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Updated: Jun 24, 2026

Analysis of Human T Cell Activity in an Allogeneic Co-Culture Setting of Pre-Treated Tumor Cells
Published on: March 7, 2025
Antitumor therapy based on cellular competition
Jordi Martinez-Quintanilla1, Manel Cascallo, Cristina Fillat
1Gene and Viral Therapy Group, IDIBELL-Catalan Institute of Oncology (ICO) , L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
Abstract:
A major obstacle for the efficacy of cancer gene therapy is the need to transduce a high proportion of tumor cells with genes that directly or indirectly cause their death. During the formation of certain organs, cells compete among themselves to colonize the whole tissue. We reasoned that cell competition could be used to increase the proportion of cells that become transfected in a tumor. For this, a transgene that provides a selective advantage to the transfected cells should be used. If the same gene conferred a suicide mechanism the tumor could be eradicated after a period of selection. Bystander effect of transfected cells over neighboring nonmodified cells may eliminate tumors even with incomplete replacement of tumor cells. To test this strategy a competitive advantage was provided to colon cancer cells, using a gene encoding a fusion protein of dihydrofolate reductase (DHFR) and thymidine kinase (TK). DHFR confers resistance to methotrexate (MTX) and TK confers sensitivity to ganciclovir (GCV). Modified cells were also transduced with green fluorescent protein and parental cells with red fluorescent protein. In vitro and in vivo experiments were performed, using various proportions of modified cells and applying positive selection with MTX followed by negative selection with GCV. In vitro, cell competition was evident. Under MTX treatment, tumor cells transfected with the DHFR-TK fusion gene efficiently replaced the parental cells (from 0.1 to 90% in 35 days). After this positive selection period, negative selection with GCV eliminated the transfected cells. In vivo, positive selection was also achieved and resulted in a statistically significant therapeutic effect.
Insights
Cancer gene therapy can be enhanced using cell competition. Transfected cells with a dihydrofolate reductase (DHFR) and thymidine kinase (TK) fusion gene outcompeted normal cells, enabling tumor eradication.
Area of Science:
- Oncology
- Molecular Biology
- Biotechnology
Background:
- Cancer gene therapy efficacy is limited by low tumor cell transduction rates.
- Cell competition, observed during tissue development, offers a potential mechanism to enhance gene therapy.
- A strategy combining selective advantage and suicide genes could improve tumor cell replacement and eradication.
Purpose of the Study:
- To investigate the use of cell competition to increase tumor cell transfection efficiency in cancer gene therapy.
- To develop a system where transfected cells gain a selective advantage and subsequently trigger tumor eradication.
- To evaluate the therapeutic potential of this strategy in vitro and in vivo.
Main Methods:
- Engineered colon cancer cells with a dihydrofolate reductase (DHFR)-thymidine kinase (TK) fusion gene for selective advantage and suicide.
- Utilized methotrexate (MTX) for positive selection (DHFR resistance) and ganciclovir (GCV) for negative selection (TK sensitivity).
- Performed in vitro and in vivo experiments with varying proportions of modified and parental cells, employing sequential MTX and GCV treatments.
Main Results:
- In vitro experiments demonstrated significant cell competition, with DHFR-TK transfected cells replacing parental cells from 0.1% to 90% within 35 days under MTX selection.
- Subsequent GCV treatment effectively eliminated the transfected cells.
- In vivo studies confirmed positive selection and demonstrated a statistically significant therapeutic effect.
Conclusions:
- Cell competition can be effectively leveraged to enhance tumor cell transfection in cancer gene therapy.
- The DHFR-TK fusion gene system allows for selective enrichment of transfected cells followed by their eradication.
- This strategy holds promise for improving the efficacy of cancer gene therapy, potentially leading to tumor eradication.
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