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Cancer-targeted BikDD gene therapy elicits protective antitumor immunity against lung cancer
Yuh-Pyng Sher1, Shih-Jen Liu, Chun-Mien Chang
1Center for Molecular Medicine, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Abstract:
Targeted cancer-specific gene therapy is a promising strategy for treating metastatic lung cancer, which is a leading cause of lung cancer-related deaths. Previously, we developed a cancer-targeted gene therapy expression system with high tumor specificity and strong activity that selectively induced lung cancer cell killing without affecting normal cells in immunocompromised mice. Here, we found this cancer-targeted gene therapy, SV-BikDD, composed of the survivin promoter in the VP16-GAL4-WPRE integrated systemic amplifier system to drive the apoptotic gene BikDD, not only caused cytotoxic effects in cancer cells but also elicited a cancer-specific cytotoxic T lymphocyte response to synergistically increase the therapeutic effect and further develop an effective systemic antitumoral immunity against rechallenges of tumorigenic dose of parental tumor cells inoculated at distant sites in immunocompetent mice. In addition, this cancer-targeted gene therapy does not elicit an immune response against normal tissues, but CMV-BikDD treatment does. The therapeutic vector could also induce proinflammatory cytokines to activate innate immunity and provide some benefits in antitumor gene therapy. Thus, this study provides a promising strategy with benefit of antitumoral immune response worthy of further development in clinical trials for treating lung cancer via cancer-targeted gene therapy.
Insights
This study introduces SV-BikDD, a targeted gene therapy for lung cancer. It effectively kills cancer cells and stimulates an immune response, offering a promising systemic antitumoral immunity strategy.
Area of Science:
- Oncology
- Immunology
- Gene Therapy
Background:
- Metastatic lung cancer is a major cause of cancer-related deaths.
- Targeted cancer gene therapy offers a promising treatment strategy.
- Previous research developed a specific gene therapy system for lung cancer.
Purpose of the Study:
- To evaluate the efficacy of SV-BikDD, a novel cancer-targeted gene therapy.
- To assess its ability to induce both direct cytotoxic effects and an adaptive immune response.
- To determine its potential for developing systemic antitumoral immunity against lung cancer.
Main Methods:
- Developed SV-BikDD using the survivin promoter to drive the apoptotic gene BikDD.
- Tested SV-BikDD in immunocompromised and immunocompetent mouse models.
- Administered CMV-BikDD as a comparative treatment.
Main Results:
- SV-BikDD demonstrated cancer-specific cytotoxicity and induced a cytotoxic T lymphocyte response.
- This gene therapy established systemic antitumoral immunity against tumor rechallenges.
- Unlike CMV-BikDD, SV-BikDD did not elicit immune responses against normal tissues.
- SV-BikDD induced proinflammatory cytokines, activating innate immunity.
Conclusions:
- SV-BikDD is a potent cancer-targeted gene therapy for lung cancer.
- It synergistically combines direct tumor cell killing with the induction of robust antitumoral immunity.
- This approach holds significant promise for clinical development in lung cancer treatment.
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