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  • [Theranostics.] Image-aided Suicide Gene Therapy Utilizing Multifunctional hTERT-targeting Adenovirus for Clinical Translation in Hepatocellular Carcinoma.

    2016년 04월호
    [Theranostics.] Image-aided Suicide Gene Therapy Utilizing Multifunctional hTERT-targeting Adenovirus for Clinical Translation in Hepatocellular Carcinoma.

    국립암센터/김윤희, 정진숙*, 김인후*

  • 출처
    Theranostics.
  • 등재일
    2016 Jan 6
  • 저널이슈번호
    6(3):357-68.
  • 내용

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    Abstract

    Trans-splicing ribozyme enables to sense and reprogram target RNA into therapeutic transgene and thereby becomes a good sensing device for detection of cancer cells, judging from transgene expression. Previously we proposed PEPCK-Rz-HSVtk (PRT), hTERT targeting trans-splicing ribozyme (Rz) driven by liver-specific promoter phosphoenolpyruvate carboxykinase (PEPCK) with downstream suicide gene, herpes simplex virus thymidine kinase (HSVtk) for hepatocellular carcinoma (HCC) gene therapy. Here, we describe success of a re-engineered adenoviral vector harboring PRT in obtaining greater antitumor activity with less off-target effect for clinical application as a theranostics. We introduced liver-selective apolipoprotein E (ApoE) enhancer to the distal region of PRT unit to augment activity and liver selectivity of PEPCK promoter, and achieved better transduction into liver cancer cells by replacement of serotype 35 fiber knob on additional E4orf1-4 deletion of E1&E3-deleted serotype 5 back bone. We demonstrated that our refined adenovirus harboring PEPCK/ApoE-Rz-HSVtk (Ad-PRT-E) achieved great anti-tumor efficacy and improved ability to specifically target HCC without damaging normal hepatocytes. We also showed noninvasive imaging modalities were successfully employed to monitor both how well a therapeutic gene (HSVtk) was expressed inside tumor and how effectively a gene therapy took an action in terms of tumor growth. Collectively, this study suggests that the advanced therapeutic adenoviruses Ad-PRT-E and its image-aided evaluation system may lead to the powerful strategy for successful clinical translation and the development of clinical protocols for HCC therapy. 

     

     

    Author information

    Kim YH1, Kim KT2, Lee SJ1, Hong SH3, Moon JY2, Yoon EK4, Kim S2, Kim EO2, Kang SH2, Kim SK2, Choi SI4, Goh SH2, Kim D2, Lee SW5, Ju MH6, Jeong JS6, Kim IH1.

    1. Research Institute and hospital, National Cancer Center, Goyang 410-769, Republic of Korea; 2. Graduate School of Cancer Science & Policy, National Cancer Center, Goyang 410-769, Republic of Korea.

    2. Research Institute and hospital, National Cancer Center, Goyang 410-769, Republic of Korea.

    3. Division of Food Science and Culinary Arts, Food and Nutrition Major, Shinhan University, Uijeonbu 480-857, Republic of Korea.

    4. Research Institute and hospital, National Cancer Center, Goyang 410-769, Republic of Korea; 4. Department of Life Science, Ewha Womans University, Seoul 120-750, Republic of Korea.

    5. Department of Molecular Biology, Institute of Nanosensor and Biotechnology, Dankook University, Youngin 448-701, Republic of Korea.

    6. Department of Pathology, Dong-A University College of Medicine, Busan 602-714, Republic of Korea. 

  • 키워드
    cancer gene therapy; hepatocellular carcinoma; in vivo imaging; trans-splicing ribozyme
  • 연구소개
    암세포 성장에 필수적인 hTERT RNA를 제거하고 치료유전자인 HSV-tk 자살유전자로 치환하여 암세포를 사멸시키는 신개념 유전자치료제인 트랜스 스플라이싱 라이보자임 (trans-splicing ribozyme)을 이용한 전임상 연구입니다. 특히 본 치료제의 장점은, 임상에서 상용되는 핵의학 영상법인 PET/CT와 자기공명영상법 (MRI)의 Fusion을 통해, 자살유전자가 암세포 특이적으로 발현되는 지를 모니터링하고 치료 진행 여부를 판단할 수 있도록 고안됨으로써, 진단-치료 동시 수행이 가능한 다기능 치료제라고 할 수 있습니다. 본 연구를 통해, 분자영상법에 기반한 치료제 전달 효율 및 치료 효과 추적 연구를 구체적으로 이해하는데 도움이 될 것 이며, 임상적 유용성이 높은 핵의학 분자영상법을 적극 활용한, 암 치료제 개발의 좋은 실례를 보여주고 있습니다.
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