Lefesvre Pierre, Attema Joline, van Bekkum Dirk
Crucell BV, Leiden, The Netherland.
BMC Cancer. 2002 Jul 29;2:17. doi: 10.1186/1471-2407-2-17.
The outgrowth of new vessels--angiogenesis--in the tumour mass is considered to be a limiting factor of tumour growth. To inhibit the matrix lysis that is part of the tumour angiogenesis, we employed the chimeric protein mhATF-BPTI, composed of the receptor binding part of the urokinase (ATF) linked to an inhibitor of plasmin (BPTI).
For delivery, recombinant adenovirus encoding the transgene of interest was injected intravenously or locally into the tumour. The anti tumour effect of this compound was compared to that of human endostatin and of mhATF alone in two different rat bronchial carcinomas growing either as subcutaneous implants or as metastases.
Significant inhibition of the tumour growth and decrease of the number of lung metastasis was achieved when the concentration of mhATF-BPTI at the tumour site was above 400 of ng/g tissue. This concentration could be achieved via production by the liver, only if permissive to the recombinant adenovirus. When the tumour cells could be transduced, local delivery of the vector was enough to obtain a response. In the case of metastasis, the capacity of the lung tissue to concentrate the encoded protein was essential to reach the required therapeutic levels. Further, endostatin or mhATF could not reproduce the effects of mhATF-BPTI, at similar concentrations (mhATF) and even at 10-fold higher concentration (endostatin).
The ATF-BPTI was shown to inhibit tumour growth of different rat lung tumours when critical concentration was reached. In these tumour models, endostatin or ATF induce almost no tumour response.
肿瘤组织中新生血管的生长——血管生成——被认为是肿瘤生长的一个限制因素。为了抑制作为肿瘤血管生成一部分的基质溶解,我们使用了嵌合蛋白mhATF-BPTI,它由与纤溶酶抑制剂(BPTI)相连的尿激酶受体结合部分(ATF)组成。
为了实现递送,将编码目的转基因的重组腺病毒静脉注射或局部注射到肿瘤中。在两种不同的大鼠支气管癌模型中,将该化合物的抗肿瘤作用与人类内皮抑素和单独的mhATF进行比较,这两种模型中肿瘤分别以皮下植入物或转移瘤的形式生长。
当肿瘤部位的mhATF-BPTI浓度高于400 ng/g组织时,可显著抑制肿瘤生长并减少肺转移瘤的数量。只有在肝脏对重组腺病毒具有易感性的情况下,才能通过肝脏产生达到这一浓度。当肿瘤细胞能够被转导时,载体的局部递送就足以获得反应。在转移瘤的情况下,肺组织浓缩编码蛋白的能力对于达到所需的治疗水平至关重要。此外,在相似浓度(mhATF)甚至高出10倍浓度(内皮抑素)时,内皮抑素或mhATF都无法重现mhATF-BPTI的效果。
当达到临界浓度时,ATF-BPTI可抑制不同大鼠肺肿瘤的生长。在这些肿瘤模型中,内皮抑素或ATF几乎不会引起肿瘤反应。