Bazzoni F, Regalia E
Department of Pathology, University of Verona, Italy.
Cancer Res. 2001 Feb 1;61(3):1050-7.
Tumor necrosis factor-alpha (TNF-alpha) has been intensively studied because of the specific toxicity of this cytokine toward cells that undergo malignant transformation. However, its proinflammatory and immunoregulatory properties always represented a drawback to the TNF-alpha administration in cancer therapy. In this study, we describe an adenovirus-based strategy in which the tumoricidal activity of TNF-alpha can be selectively triggered to eradicate tumors without administering TNF-alpha. This strategy might allow us to prevent TNF-alpha effects on normal tissues and, therefore, to bypass its systemic toxic effects. We inserted the constitutively active version of the Mr 55,000 TNF receptor, which was shown previously (F. Bazzoni et al., Proc. Natl. Acad. Sci. USA, 92: 5376-5380, 1995) to be capable of killing cells upon expression in the absence of its ligand, into a replication-deficient adenovirus, and under the control of a melanoma-specific promoter/enhancer element. We show that, upon infection, the recombinant gene reaches high level of expression in melanoma cell lines and triggers apoptosis by activating the caspase cascade. Expression and function of this receptor is restricted to melanoma cell lines, because morphology, viability, and proliferation of other cell types exposed to the recombinant adenovirus infection are not affected. We show for the first time that a TNF-like apoptotic response can be triggered in the absence of TNF-alpha and can be selectively confined to specific cellular targets. Killing activity and tissue specificity of the recombinant TNF receptor adenovirus, together with the advantage of triggering a TNF-like antitumor activity in the absence of TNF-alpha itself, are ideal features for a vector that might be the choice for gene therapy aimed to eradicate malignant cells.
肿瘤坏死因子-α(TNF-α)因其对发生恶性转化的细胞具有特异性毒性而受到深入研究。然而,其促炎和免疫调节特性一直是TNF-α在癌症治疗中应用的一个缺点。在本研究中,我们描述了一种基于腺病毒的策略,其中可以选择性地触发TNF-α的杀肿瘤活性以根除肿瘤,而无需施用TNF-α。这种策略可能使我们能够预防TNF-α对正常组织的影响,从而规避其全身毒性作用。我们将先前已证明(F. Bazzoni等人,《美国国家科学院院刊》,92: 5376 - 5380, 1995)在无配体情况下表达时能够杀死细胞的55,000分子量TNF受体的组成型活性形式插入到一种复制缺陷型腺病毒中,并置于黑色素瘤特异性启动子/增强子元件的控制之下。我们表明,感染后,重组基因在黑色素瘤细胞系中达到高水平表达,并通过激活半胱天冬酶级联反应触发细胞凋亡。该受体的表达和功能仅限于黑色素瘤细胞系,因为暴露于重组腺病毒感染的其他细胞类型的形态、活力和增殖不受影响。我们首次表明,在无TNF-α的情况下可以触发类似TNF的凋亡反应,并且可以选择性地局限于特定的细胞靶点。重组TNF受体腺病毒的杀伤活性和组织特异性,以及在无TNF-α本身的情况下触发类似TNF的抗肿瘤活性的优势,是一种可能成为旨在根除恶性细胞的基因治疗选择的载体的理想特性。