Yamamoto Shinji, Yoshida Yoko, Aoyagi Masaru, Ohno Kikuo, Hirakawa Kimiyoshi, Hamada Hirofumi
Department of Molecular Biotherapy Research, Cancer Chemotherapy Center, Cancer Institute, Tokyo 170-8455, Japan.
Clin Cancer Res. 2002 Mar;8(3):913-21.
Recombinant adenoviral vectors are widely used in clinical and experimental studies to treat malignant tumors. Recently, host immune responses have been proposed as a major limitation in using adenoviral vectors for repeated gene delivery. We demonstrate another limitation unrelated to host immunity.
We repeatedly transduced an adenoviral vector expressing the human p53 gene (AxCIhp53) into U373MG, a p53-susceptible cell line, and established the AxCIhp53-resistant cell line U373R. Most U373R cells survived even after AxCIhp53 treatment due to reduced transduction efficiency. Expression levels of adenovirus receptors were estimated to investigate the cause of reduced transduction efficiency. The mutant vector was used to overcome the resistance.
The transduction efficiency of an adenoviral vector possessing the reporter LacZ gene (AxCAZ2-F/wt) for U373R cells was 25.4-fold less than that for parent cells. The expression levels of integrins alpha(v)beta(3) and alpha(v)beta(5) were found to be decreased in U373R cells without affecting the expression levels of Coxsackievirus and adenovirus receptor. The mutant vector AxCAZ2-F/K20, with a linker and a stretch of 20 lysine residues at the COOH-terminal of the fiber protein, improved the transduction efficiency of U373R cells to 12.6-fold of that of AxCAZ2-F/wt. A mutant vector carrying the p53 gene, AxCAhp53-F/K20, dramatically induced apoptosis in U373R cells.
Glioma cells expressing low levels of adenovirus receptors might survive and proliferate to recur after repeated adenoviral transduction, even if the adenoviral transduction is effective at first. Changing the tropism of vectors is a potent method to overcome resistance.
重组腺病毒载体广泛应用于临床和实验研究以治疗恶性肿瘤。最近,宿主免疫反应被认为是使用腺病毒载体进行重复基因递送的主要限制因素。我们证明了另一个与宿主免疫无关的限制因素。
我们将表达人p53基因的腺病毒载体(AxCIhp53)反复转导至对p53敏感的细胞系U373MG中,并建立了AxCIhp53抗性细胞系U373R。由于转导效率降低,大多数U373R细胞即使在AxCIhp53处理后仍能存活。通过估计腺病毒受体的表达水平来研究转导效率降低的原因。使用突变载体来克服抗性。
携带报告基因LacZ的腺病毒载体(AxCAZ2-F/wt)对U373R细胞的转导效率比对亲本细胞低25.4倍。发现U373R细胞中整合素α(v)β(3)和α(v)β(5)的表达水平降低,而不影响柯萨奇病毒和腺病毒受体的表达水平。突变载体AxCAZ2-F/K20在纤维蛋白的COOH末端带有一个接头和一段20个赖氨酸残基,将U373R细胞的转导效率提高到AxCAZ2-F/wt的12.6倍。携带p53基因的突变载体AxCAhp53-F/K20在U373R细胞中显著诱导凋亡。
即使腺病毒转导最初有效,但表达低水平腺病毒受体的胶质瘤细胞在反复腺病毒转导后可能存活并增殖复发。改变载体的靶向性是克服抗性的有效方法。