García-Hernández B, Sánchez-García I
Departamento de Proliferación y Diferenciación Celular, Instituto de Microbiología Bioquímica, Salamanca, Spain.
Mol Med. 1996 Jan;2(1):125-33.
The main difficulty in providing effective treatment of patients with cancer is distinguishing between tumor and normal cells. The chimeric molecules created by cancer-associated chromosomal abnormalities (such as the BCR-ABL fusion protein) represent ideal therapeutic targets since they are unique to the disease state. A major challenge, however, is how to deliver the specific anti-tumor agent into every tumor cell.
In this report we describe the use of a novel strategy to introduce specific anti-tumor reagents into every tumor cell. It uses retroviral vectors encoding both antisense transcripts specific for the BCR-ABLp190 fusion junction (the specific anti-tumor drug) and a truncated human CD5 cDNA, which allows selection of the infected cells. In order to coexpress the antisense molecule with the truncated human CD5 gene, the picornavirus internal ribosome-entry site was incorporated in the constructs.
When the antisense transcripts in the CD5-retroviral vector were introduced into Ba/F3+p190 cells rendered interleukin 3 (IL-3) independent by expression of the BCR-ABL sequences, the cells died upon IL-3 withdrawal, as measured by the absence of CD5-positive cells. Control Ba/F3+p210 cells infected with the same virus did not die in the absence of IL-3.
These data suggest a novel strategy for cancer treatment which incorporates the use of a retrovirus coexpressing both a selectable surface marker and a tumor-specific agent.
为癌症患者提供有效治疗的主要困难在于区分肿瘤细胞和正常细胞。由癌症相关染色体异常产生的嵌合分子(如BCR-ABL融合蛋白)是理想的治疗靶点,因为它们是疾病状态所特有的。然而,一个主要挑战是如何将特定的抗肿瘤药物输送到每个肿瘤细胞中。
在本报告中,我们描述了一种将特定抗肿瘤试剂引入每个肿瘤细胞的新策略。它使用逆转录病毒载体,该载体编码针对BCR-ABLp190融合连接点的反义转录本(特定的抗肿瘤药物)和截短的人CD5 cDNA,后者可用于选择感染的细胞。为了使反义分子与截短的人CD5基因共表达,在构建体中引入了微小核糖核酸病毒内部核糖体进入位点。
当将CD5逆转录病毒载体中的反义转录本引入通过表达BCR-ABL序列而对白细胞介素3(IL-3)不依赖的Ba/F3 + p190细胞时,通过CD5阳性细胞的缺失来衡量,这些细胞在撤除IL-3后死亡。用相同病毒感染的对照Ba/F3 + p210细胞在没有IL-3的情况下没有死亡。
这些数据提示了一种癌症治疗的新策略,该策略结合使用了共表达可选择表面标志物和肿瘤特异性药物的逆转录病毒。