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Virus Delivery of CRISPR Guides to the Murine Prostate for Gene Alteration
Published on: April 27, 2018
Progress in gene therapy for prostate cancer
Kamran A Ahmed1, Brian J Davis, Torrence M Wilson
1Department of Radiation Oncology, Mayo Clinic Rochester, MN, USA.
Abstract:
Gene therapy has held promise to correct various disease processes. Prostate cancer represents the second leading cause of cancer death in American men. A number of clinical trials involving gene therapy for the treatment of prostate cancer have been reported. The ability to efficiently transduce tumors with effective levels of therapeutic genes has been identified as a fundamental barrier to effective cancer gene therapy. The approach utilizing gene therapy in prostate cancer patients at our institution attempts to address this deficiency. The sodium-iodide symporter (NIS) is responsible for the ability of the thyroid gland to transport and concentrate iodide. The characteristics of the NIS gene suggest that it could represent an ideal therapeutic gene for cancer therapy. Published results from Mayo Clinic researchers have indicated several important successes with the use of the NIS gene and prostate gene therapy. Studies have demonstrated that transfer of the human NIS gene into prostate cancer using adenovirus vectors in vitro and in vivo results in efficient uptake of radioactive iodine and significant tumor growth delay with prolongation of survival. Preclinical successes have culminated in the opening of a phase I trial for patients with advanced prostate disease which is currently accruing patients. Further study will reveal the clinical promise of NIS gene therapy in the treatment of prostate as well as other malignancies.
Insights
Gene therapy using the sodium-iodide symporter (NIS) gene shows promise for treating prostate cancer. This approach facilitates radioactive iodine uptake, significantly delaying tumor growth and improving survival rates.
Area of Science:
- Oncology
- Gene Therapy
- Molecular Biology
Background:
- Prostate cancer is a leading cause of cancer death in American men.
- Gene therapy offers potential for correcting disease processes, but efficient tumor transduction remains a challenge.
- The sodium-iodide symporter (NIS) gene's ability to transport iodide presents a potential therapeutic avenue.
Purpose of the Study:
- To evaluate the efficacy of NIS gene therapy for prostate cancer treatment.
- To address the barrier of inefficient tumor transduction in cancer gene therapy.
- To explore the potential of NIS as a therapeutic gene for malignancies.
Main Methods:
- Adenovirus vectors were used to transfer the human NIS gene into prostate cancer cells in vitro and in vivo.
- Radioactive iodine uptake was measured in transduced tumor cells.
- Tumor growth delay and survival rates were assessed in preclinical models.
Main Results:
- Successful transfer of the NIS gene into prostate cancer was achieved.
- Transduced tumors demonstrated efficient uptake of radioactive iodine.
- Significant tumor growth delay and prolonged survival were observed in preclinical studies.
- A Phase I clinical trial for advanced prostate disease has been initiated.
Conclusions:
- NIS gene therapy is a promising strategy for prostate cancer treatment.
- The NIS gene facilitates targeted delivery of radioactive iodine for cancer therapy.
- Further clinical studies are warranted to determine the full potential of NIS gene therapy for various cancers.
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