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Updated: Nov 1, 2025

Dual CRISPR-Interference Strategy for Targeting Synthetic Lethal Interactions Between Non-Coding RNAs in Cancer Cells
Published on: May 30, 2025
Innovative dual system approach for selective eradication of cancer cells using viral-based delivery of natural
Shiran Shapira1,2, Ilana Boustanai1,2, Dina Kazanov1
1The Integrated Cancer Prevention Center and the Health Promotion Center, Tel Aviv Sourasky Medical Center, Tel Aviv-Yafo, Israel.
Abstract:
The inactivation of p53, a tumor suppressor, and the activation of the RAS oncogene are the most frequent genetic alterations in cancer. We have shown that a unique E. coli MazF-MazE toxin-antitoxin (TA) system can be used for selective and effective eradication of RAS-mutated cancer cells. This out of the box strategy holds great promise for effective cancer treatment and management. We provide proof of concept for a novel platform to selectively eradicate cancer cells using an adenoviral delivery system based on the adjusted natural bacterial system. We generated adenoviral vectors carrying the mazF toxin (pAdEasy-Py4-SV40mP-mCherry-MazF) and the antitoxin mazE (pAdEasy-RGC-SV40mP-MazE-IRES-GFP) under the regulation of RAS and p53, resp. The control vector carries the toxin without the RAS-responsive element (pAdEasy-ΔPy4-SV40mP-mCherry-MazF). In vitro, the mazF-mazE TA system (Py4-SV40mP-mCherry-MazF+RGC-SV40mP-MazE-IRES-GFP) induced massive, dose-dependent cell death, at 69% compared to 19% for the control vector, in a co-infected HCT116 cell line. In vivo, the system caused significant tumor growth inhibition of HCT116 (KRASmut/p53mut) tumors at 73 and 65% compared to PBS and ΔPY4 control groups, resp. In addition, we demonstrate 65% tumor growth inhibition in HCT116 (KRASmut/p53wt) cells, compared to the other two control groups, indicating a contribution of the antitoxin in blocking system leakage in WT RAS cells. These data provide evidence of the feasibility of using mutations in the p53 and RAS pathway to efficiently kill cancer cells. The platform, through its combination of the antitoxin (mazE) with the toxin (mazF), provides effective protection of normal cells from basal low activity or leakage of mazF.
Insights
A novel bacterial toxin-antitoxin system selectively targets and eliminates cancer cells with RAS mutations. This adenoviral delivery platform shows significant tumor growth inhibition in preclinical models, offering a promising new cancer treatment strategy.
Area of Science:
- Molecular Biology
- Cancer Genetics
- Bacterial Toxin-Antitoxin Systems
Background:
- Frequent genetic alterations in cancer include p53 inactivation and RAS oncogene activation.
- Targeting these specific mutations is crucial for effective cancer therapy.
- Bacterial toxin-antitoxin (TA) systems offer potential for targeted cell killing.
Purpose of the Study:
- To develop and validate a novel platform for selective cancer cell eradication using a bacterial MazF-MazE TA system.
- To engineer adenoviral vectors for delivering the MazF toxin and MazE antitoxin regulated by RAS and p53 pathways.
- To assess the efficacy of this system in vitro and in vivo for RAS-mutated cancers.
Main Methods:
- Construction of adenoviral vectors carrying the MazF toxin and MazE antitoxin under RAS and p53-responsive elements.
- Co-infection of HCT116 cancer cell lines (KRAS/p53 mutated) with engineered adenoviral vectors.
- In vivo studies involving tumor implantation and treatment with the MazF-MazE system and control vectors.
Main Results:
- The MazF-MazE TA system induced significant, dose-dependent cell death in vitro (69% vs. 19% in control).
- In vivo, the system achieved substantial tumor growth inhibition in HCT116 (KRASmut/p53mut) tumors (73% vs. PBS).
- Demonstrated 65% tumor growth inhibition in HCT116 (KRASmut/p53wt) cells, highlighting the antitoxin's role in protecting normal cells.
Conclusions:
- The study provides proof of concept for a novel platform to selectively eradicate cancer cells based on p53 and RAS mutations.
- The MazF-MazE TA system, delivered via adenoviral vectors, is effective in inhibiting tumor growth both in vitro and in vivo.
- The antitoxin component (MazE) is crucial for protecting normal cells from potential toxin leakage and enhancing system specificity.
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