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Strategies for Targeting Gene Therapy in Cancer Cells With Tumor-Specific Promoters
Mariela Montaño-Samaniego1, Diana M Bravo-Estupiñan1, Oscar Méndez-Guerrero1
1Laboratorio de Terapia Génica, Departamento de Bioquímica, Escuela Nacional de Ciencias Biológicas del Instituto Politécnico Nacional, Ciudad de México, México.
Abstract:
Cancer is the second cause of death worldwide, surpassed only by cardiovascular diseases, due to the lack of early diagnosis, and high relapse rate after conventional therapies. Chemotherapy inhibits the rapid growth of cancer cells, but it also affects normal cells with fast proliferation rate. Therefore, it is imperative to develop other safe and more effective treatment strategies, such as gene therapy, in order to significantly improve the survival rate and life expectancy of patients with cancer. The aim of gene therapy is to transfect a therapeutic gene into the host cells to express itself and cause a beneficial biological effect. However, the efficacy of the proposed strategies has been insufficient for delivering the full potential of gene therapy in the clinic. The type of delivery vehicle (viral or non viral) chosen depends on the desired specificity of the gene therapy. The first gene therapy trials were performed with therapeutic genes driven by viral promoters such as the CMV promoter, which induces non-specific toxicity in normal cells and tissues, in addition to cancer cells. The use of tumor-specific promoters over-expressed in the tumor, induces specific expression of therapeutic genes in a given tumor, increasing their localized activity. Several cancer- and/or tumor-specific promoters systems have been developed to target cancer cells. This review aims to provide up-to-date information concerning targeting gene therapy with cancer- and/or tumor-specific promoters including cancer suppressor genes, suicide genes, anti-tumor angiogenesis, gene silencing, and gene-editing technology, as well as the type of delivery vehicle employed. Gene therapy can be used to complement traditional therapies to provide more effective treatments.
Insights
Gene therapy offers a promising alternative to conventional cancer treatments by targeting cancer cells specifically. Utilizing tumor-specific promoters enhances gene delivery, improving patient outcomes and survival rates.
Area of Science:
- Oncology
- Molecular Biology
- Biotechnology
Background:
- Cancer is a leading global cause of death, often diagnosed late, with high relapse rates after conventional treatments like chemotherapy.
- Chemotherapy lacks specificity, affecting normal cells alongside cancerous ones, necessitating safer, more effective therapeutic strategies.
- Gene therapy aims to introduce therapeutic genes into host cells for a beneficial biological effect, but clinical efficacy remains limited.
Purpose of the Study:
- To review advancements in targeting gene therapy using cancer- and tumor-specific promoters.
- To explore various gene therapy strategies, including gene editing and silencing.
- To discuss the role of different delivery vehicles in enhancing gene therapy efficacy.
Main Methods:
- Review of scientific literature on gene therapy for cancer.
- Analysis of tumor-specific promoter systems for targeted gene delivery.
- Examination of different gene therapy approaches (suppressor genes, suicide genes, anti-angiogenesis, silencing, editing).
- Evaluation of viral and non-viral delivery vehicles for specificity and efficacy.
Main Results:
- Tumor-specific promoters enable targeted expression of therapeutic genes, increasing localized activity and reducing systemic toxicity.
- Development of various promoter systems and delivery vehicles aims to improve gene therapy specificity and effectiveness.
- Gene therapy strategies encompass diverse approaches like gene silencing and editing for cancer treatment.
Conclusions:
- Targeting gene therapy with cancer- and tumor-specific promoters is crucial for improving treatment efficacy and patient survival.
- Gene therapy holds potential as a complementary approach to traditional cancer treatments.
- Further research into optimized delivery vehicles and promoter systems is essential for realizing the full clinical potential of gene therapy.
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