Navarro Saúl Abenhamar, Carrillo Esmeralda, Griñán-Lisón Carmen, Martín Ana, Perán Macarena, Marchal Juan Antonio, Boulaiz Houria
a Biopathology and Regenerative Medicine Institute (IBIMER), Centre for Biomedical Research , University of Granada , Granada , Spain.
b Department of Human Anatomy and Embryology, Faculty of Medicine , University of Granada , Granada , Spain.
Expert Opin Ther Pat. 2016 Sep;26(9):1095-104. doi: 10.1080/13543776.2016.1211640. Epub 2016 Jul 20.
Cancer is considered the second leading cause of death worldwide despite the progress made in early detection and advances in classical therapies. Advancing in the fight against cancer requires the development of novel strategies, and the suicide gene transfer to tumor cells is providing new possibilities for cancer therapy.
In this manuscript, authors present an overview of suicide gene systems and the latest innovations done to enhance cancer suicide gene therapy strategies by i) improving vectors for targeted gene delivery using tissue specific promoter and receptors; ii) modification of the tropism; and iii) combining suicide genes and/or classical therapies for cancer. Finally, the authors highlight the main challenges to be addressed in the future.
Even if many efforts are needed for suicide gene therapy to be a real alternative for cancer treatment, we believe that the significant progress made in the knowledge of cancer biology and characterization of cancer stem cells accompanied by the development of novel targeted vectors will enhance the effectiveness of this type of therapeutic strategy. Moreover, combined with current treatments, suicide gene therapy will improve the clinical outcome of patients with cancer in the future.
尽管在癌症早期检测方面取得了进展以及传统疗法有所进步,但癌症仍是全球第二大死因。抗击癌症需要开发新策略,而将自杀基因导入肿瘤细胞为癌症治疗提供了新的可能性。
在本手稿中,作者概述了自杀基因系统以及为增强癌症自杀基因治疗策略所做的最新创新,包括:i)使用组织特异性启动子和受体改进靶向基因递送载体;ii)改变嗜性;iii)将自杀基因和/或传统癌症疗法相结合。最后,作者强调了未来需要解决的主要挑战。
尽管自杀基因疗法要成为癌症治疗的真正替代方案还需要付出很多努力,但我们相信,随着癌症生物学知识和癌症干细胞特征研究的重大进展以及新型靶向载体的开发,这种治疗策略的有效性将会提高。此外,与当前治疗方法相结合,自杀基因疗法未来将改善癌症患者的临床结局。