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Updated: Nov 25, 2025

Dual Bioluminescence Imaging of Tumor Progression and Angiogenesis
Published on: August 1, 2019
ERK-dependent suicide gene therapy for selective targeting of RTK/RAS-driven cancers
Evan K Day1, Anne Campbell2, Ashley Pandolf2
1Department of Chemical Engineering, University of Virginia, Charlottesville, VA 22904-4741, USA; Department of Chemical and Biomolecular Engineering, University of Pennsylvania, Philadelphia, PA 19104, USA.
Abstract:
Suicide gene therapies provide a unique ability to target cancer cells selectively, often based on modification of viral tropism or transcriptional regulation of therapeutic gene expression. We designed a novel suicide gene therapy approach wherein the gene product (herpes simplex virus thymidine kinase or yeast cytosine deaminase) is phosphorylated and stabilized in expression by the extracellular signal-regulated kinase (ERK), which is overactive in numerous cancers with elevated expression or mutation of receptor tyrosine kinases or the GTPase RAS. In contrast to transcriptional strategies for selectivity, regulation of protein stability by ERK allows for high copy expression via constitutive viral promoters, while maintaining tumor selectivity in contexts of elevated ERK activity. Thus, our approach turns a signaling pathway often coopted by cancer cells for survival into a lethal disadvantage in the presence of a chimeric protein and prodrug, as highlighted by a series of in vitro and in vivo examples explored here.
Insights
This novel suicide gene therapy uses the cancer-overactive extracellular signal-regulated kinase (ERK) pathway to selectively stabilize therapeutic proteins, enhancing cancer cell targeting. This approach leverages cancer
Area of Science:
- Oncology
- Molecular Biology
- Gene Therapy
Background:
- Suicide gene therapy offers selective cancer cell targeting through viral tropism or transcriptional regulation.
- Extracellular signal-regulated kinase (ERK) is frequently overactive in cancers due to receptor tyrosine kinases or RAS mutations.
- Current strategies rely on transcriptional control for selectivity, which can limit therapeutic gene expression.
Purpose of the Study:
- To develop a novel suicide gene therapy approach that utilizes ERK pathway activity for enhanced tumor selectivity.
- To engineer a chimeric protein whose stability is regulated by ERK, enabling high-level expression from constitutive promoters.
Main Methods:
- Designed a suicide gene therapy system where the therapeutic gene product is phosphorylated and stabilized by ERK.
- Utilized herpes simplex virus thymidine kinase or yeast cytosine deaminase as gene products.
- Validated the approach through in vitro and in vivo experiments.
Main Results:
- Demonstrated that ERK activity stabilizes the therapeutic protein, leading to selective expression in cancer cells.
- Showcased the potential for high-copy expression using constitutive viral promoters.
- Confirmed tumor selectivity in contexts of elevated ERK signaling.
Conclusions:
- The developed suicide gene therapy effectively targets cancer cells by exploiting the ERK pathway's role in protein stabilization.
- This strategy converts a cancer survival pathway into a vulnerability, offering a promising new therapeutic avenue.
- The approach holds potential for treating various cancers with elevated ERK activity.
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