Abstract
We investigated the potential benefits of combining adenoviral vector mediated in situ interleukin-12 (AdmIL-12) gene therapy with radiation therapy (XRT) to enhance therapeutic efficacy. In a metastatic mouse prostate cancer cell line, 178-2 BMA, AdmIL-12+XRT demonstrated enhanced therapeutic activities in vitro as determined by clonogenic survival, apoptosis, and mIL-12 levels. At the molecular level, increased expression of tumor necrosis factor-α mRNA was specific for the combined therapy. In a subcutaneous 178-2 BMA in vivo model, the combination of AdmIL-12+XRT produced statistically significant tumor growth suppression compared to control vector Adβgal, Adβgal XRT, or AdmIL-12 as monotherapy. In addition, significant prolongation of survival was demonstrated for the combination of AdmIL-12+XRT. The combination of AdmIL-12+XRT significantly suppressed both spontaneous and pre-established lung metastases, and led to a prolonged elevation of serum IL-12 and significantly increased natural killer (NK) activities. Importantly, in vivo depletion of NK cells resulted in significant attenuation of the antimetastatic activities of AdmIL-12 alone or AdmIL-12+XRT. These combined effects suggest that AdIL-12 gene therapy together with radiotherapy may achieve maximal tumor control (both local and systemic) in selected prostate cancer patients via radio-gene therapy induced local cytotoxicity and local and systemic antitumor immunity.
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References
Jemal A, Murray T, Ghafoor A, Ward E, Samuels A, Tiwari RC et al. Cancer statistics. Ca Cancer J Clin 2005; 55: 10–30.
Timme TL, Satoh T, Tahir SA, Wang H, Teh BS, Butler EB et al. Therapeutic targets for metastatic prostate cancer. Curr Drug Targets 2003; 4: 251–261.
Miles BJ, Shalev M, Aguilar-Cordova E, Timme TL, Lee HM, Yang G et al. Prostate-specific antigen response and systemic T cell activation after in situ gene therapy in prostate cancer patients failing radiotherapy. Hum Gene Ther 2001; 12: 1955–1967.
Ayala G, Wheeler TM, Shalev M, Thompson TC, Miles B, Aguilar-Cordova E et al. Cytopathic effect of in situ gene therapy in prostate cancer. Hum Pathol 2000; 31: 866–870.
Teh BS, Ayala G, Aguilar L, Mai W-Y, Timme TL, Vlachaki MT et al. Late toxicity of a phase I/II trial evaluating combined radiotherapy and in situ gene-therapy with or without hormonal therapy in the treatment of prostate ancer. Int J Radiat Oncol Biol Phys 2003; 57: s275.
Teh BS, Ayala G, Aguilar L, Mai WY, Timme TL, Vlachaki MT et al. Phase I–II trial evaluating combined intensity-modulated radiotherapy and in situ gene therapy with or without hormonal therapy in treatment of prostate cancer-interim report on PSA response and biopsy data. Int J Radiat Oncol Biol Phys 2004; 58: 1520–1529.
Satoh T, Teh BS, Timme TL, Mai WY, Gdor Y, Kusaka N et al. Enhanced systemic T-cell activation after in situ gene therapy with radiotherapy in prostate cancer patients. Int J Radiat Oncol Biol Phys 2004; 59: 562–571.
Trinchieri G . Interleukin-12 and the regulation of innate resistance and adaptive immunity. Nat Rev Immunol 2003; 3: 133–146.
Brunda MJ, Luistro L, Warrier RR, Wright RB, Hubbard BR, Murphy M et al. Antitumor and antimetastatic activity of interleukin 12 against murine tumors. J Exp Med 1993; 178: 1223–1230.
Atkins MB, Robertson MJ, Gordon M, Lotze MT, DeCoste M, DuBois JS et al. Phase I evaluation of intravenous recombinant human interleukin 12 in patients with advanced malignancies. Clin Cancer Res 1997; 3: 409–417.
Leonard JP, Sherman ML, Fisher GL, Buchanan LJ, Larsen G, Atkins MB et al. Effects of single-dose interleukin-12 exposure on interleukin-12-associated toxicity and interferon-gamma production. Blood 1997; 90: 2541–2548.
Thompson TC, Timme TL, Ebara S, Sato T, Yang G, Wang J et al. In situ gene therapy for prostate cancer: immunomodulatory approaches. Exp Opin Biol Ther 2001; 1: 481–495.
Nasu Y, Bangma CH, Hull GW, Lee HM, Hu J, Wang J et al. Adenovirus-mediated interleukin-12 gene therapy for prostate cancer: suppression of orthotopic tumor growth and pre-established lung metastases in an orthotopic model. Gene Therapy 1999; 6: 338–349.
Hull GW, McCurdy MA, Nasu Y, Bangma CH, Yang G, Shimura S et al. Prostate cancer gene therapy: comparison of adenovirus-mediated expression of interleukin 12 with interleukin 12 plus B7-1 for in situ gene therapy and gene-modified, cell-based vaccines. Clin Cancer Res 2000; 6: 4101–4109.
Nasu Y, Bangma C, Hull G, Yang G, Wang J, Shimura S et al. Combination gene therapy with adenoviral vector-mediated HSV-tk+GCV and IL-12 in an orthotopic mouse model for prostate cancer. Prostate Cancer Prostatic Dis 2001; 4: 44–55.
Shaker MR, Yang G, Timme TL, Park SH, Kadmon D, Ren C et al. Dietary 4-HPR suppresses the development of bone metastasis in vivo in a mouse model of prostate cancer progression. Clin Exp Metastasis 2000; 18: 429–438.
Thompson TC . In situ gene therapy for prostate cancer. Oncol Res 1999; 11: 1–8.
Teh BS, Woo SY, Butler EB . Intensity modulated radiation therapy (IMRT): a new promising technology in radiation oncology. Oncologist 1999; 4: 433–442.
Teh BS, Mai WY, Grant III WH, Chiu JK, Lu HH, Carpenter LS et al. Intensity modulated radiotherapy (IMRT) decreases treatment-related morbidity and potentially enhances tumor control. Cancer Invest 2002; 20: 437–451.
Collis SJ, DeWeese TL . Enhanced radiation response through directed molecular targeting approaches. Cancer Metastasis Rev 2004; 23: 277–292.
Herman JR, Adler HL, Aguilar-Cordova E, Rojas-Martinez A, Woo S, Timme TL et al. In situ gene therapy for adenocarcinoma of the prostate: a phase I clinical trial. Hum Gene Ther 1999; 10: 1239–1249.
Shalev M, Kadmon D, Teh BS, Butler EB, Aguilar-Cordova E, Thompson TC et al. Suicide gene therapy toxicity after multiple and repeat injections in patients with localized prostate cancerm. J Urol 2000; 163: 1747–1750.
Teh BS, Aguilar-Cordova E, Kernen K, Chou C, Shalev M, Vlachaki MT et al. Phase I/II trial evaluating combined radiotherapy and in situ gene therapy with or without hormonal therapy in the treatment of prostate cancer – a preliminary report. Int J Radiat Oncol Biol Phys 2001; 51: 605–613.
Kubo H, Gardner TA, Wada Y, Koeneman KS, Gotoh A, Yang L et al. Phase I dose escalation clinical trial of adenovirus vector carrying osteocalcin promoter-driven herpes simplex virus thymidine kinase in localized and metastatic hormone-refractory prostate cancer. Hum Gene Ther 2003; 14: 227–241.
Freytag SO, Stricker H, Pegg J, Paielli D, Pradhan DG, Peabody J et al. Phase I study of replication-competent adenovirus-mediated double-suicide gene therapy in combination with conventional-dose three-dimensional conformal radiation therapy for the treatment of newly diagnosed, intermediate- to high-risk prostate cancer. Cancer Res 2003; 63: 7497–7506.
Bramson JL, Hitt M, Addison CL, Muller WJ, Gauldie J, Graham FL . Direct intratumoral injection of an adenovirus expressing interleukin-12 induces regression and long-lasting immunity that is associated with highly localized expression of interleukin-12. Hum Gene Ther 1996; 7: 1995–2002.
Timme TL, Hall SJ, Barrios R, Woo SL, Aguilar-Cordova E, Thompson TC . Local inflammatory response and vector spread after direct intraprostatic injection of a recombinant adenovirus containing the herpes simplex virus thymidine kinase gene and ganciclovir therapy in mice. Cancer Gene Ther 1998; 5: 74–82.
Ebara S, Shimura S, Nasu Y, Kaku K, Kumon K, Yang G et al. Gene therapy for prostate cancer: toxicological profile of four HSV-tk transducing adenoviral vectors regulated by different promoters. Prostate Cancer Prostatic Dis 2002; 5: 316–325.
Ayala G, Satoh T, Li R, Shalev M, Gdor Y, Aguilar-Cordova E et al. Biological response determinants in HSV-tk+Ganciclovir gene therapy for prostate cancer. Mol Ther 2006; 13: 716–728.
Saika T, Satoh T, Kusaka N, Ebara S, Mouraviev VB, Timme TL et al. Route of administration influences the antitumor effects of bone marrow-derived dendritic cells engineered to produce interleukin-12 in a metastatic mouse prostate cancer model. Cancer Gene Ther 2004; 11: 317–324.
Satoh T, Saika T, Ebara S, Kusaka N, Timme TL, Yang G et al. Macrophages transduced with an adenoviral vector expressing interleukin 12 suppress tumor growth and metastasis in a preclinical metastatic prostate cancer model. Cancer Res 2003; 63: 7853–7860.
Sangro B, Mazzolini G, Ruiz J, Herraiz M, Quiroga J, Herrero I et al. Phase I trial of intratumoral injection of an adenovirus encoding interleukin-12 for advanced digestive tumors. J Clin Oncol 2004; 22: 1389–1397.
Chhikara M, Huang H, Vlachaki MT, Zhu X, Teh B, Chiu KJ et al. Enhanced therapeutic effect of hsv-tk+gcv gene therapy and ionizing radiation for prostate cancer. Mol Ther 2001; 3: 536–542.
Hall SJ, Sanford MA, Atkinson G, Chen SH . Induction of potent antitumor natural killer cell activity by herpes simplex virus-thymidine kinase and ganciclovir therapy in an orthotopic mouse model of prostate cancer. Cancer Res 1998; 58: 3221–3225.
Zhang S, Zeng G, Kao C, Gardner T, Sweeney C, Yang NS et al. Fas-Fas ligand signaling pathway mediates an interleukin-12-induced rejection of a murine prostate tumor system. Prostate 2002; 53: 69–76.
Lafleur EA, Jia SF, Worth LL, Zhou Z, Owen-Schaub LB, Kleinerman ES . Interleukin (IL)-12 and IL-12 gene transfer up-regulate Fas expression in human osteosarcoma and breast cancer cells. Cancer Res 2001; 61: 4066–4071.
Kufe D, Weichselbaum R . Radiation therapy: activation for gene transcription and the development of genetic radiotherapy-therapeutic strategies in oncology. Cancer Biol Ther 2003; 2: 326–329.
Sheard MA, Vojtesek B, Janakova L, Kovarik J, Zaloudik J . Up-regulation of Fas (CD95) in human p53wild-type cancer cells treated with ionizing radiation. Int J Cancer 1997; 73: 757–762.
Sheard MA, Uldrijan S, Vojtesek B . Role of p53 in regulating constitutive and X-radiation-inducible CD95 expression and function in carcinoma cells. Cancer Res 2003; 63: 7176–7184.
Chakraborty M, Abrams SI, Camphausen K, Liu K, Scott T, Coleman CN et al. Irradiation of tumor cells up-regulates Fas and enhances CTL lytic activity and CTL adoptive immunotherapy. J Immunol 2003; 170: 6338–6347.
Teicher BA, Ara G, Menon K, Schaub RG . In vivo studies with interleukin-12 alone and in combination with monocyte colony-stimulating factor and/or fractionated radiation treatment. Int J Cancer 1996; 65: 80–84.
Teicher BA, Ara G, Buxton D, Leonard J, Schaub RG . Optimal scheduling of interleukin 12 and chemotherapy in the murine MB-49 bladder carcinoma and B16 melanoma. Clin Cancer Res 1997; 3: 1661–1667.
Teicher BA, Ara G, Buxton D, Leonard J, Schaub RG . Optimal scheduling of interleukin-12 and fractionated radiation therapy in the murine Lewis lung carcinoma. Radiat Oncol Investig 1998; 6: 71–80.
Seetharam S, Staba MJ, Schumm LP, Schreiber K, Schreiber H, Kufe DW et al. Enhanced eradication of local and distant tumors by genetically produced interleukin-12 and radiation. Int J Oncol 1999; 15: 769–773.
Lohr F, Hu K, Huang Q, Zhang L, Samulski TV, Dewhirst MW et al. Enhancement of radiotherapy by hyperthermia-regulated gene therapy. Int J Radiat Oncol Biol Phys 2000; 48: 1513–1518.
Lohr F, Hu K, Haroon Z, Samulski TV, Huang Q, Beaty J et al. Combination treatment of murine tumors by adenovirus-mediated local B7/IL12 immunotherapy and radiotherapy. Mol Ther 2000; 2: 195–203.
Thompson TC, Southgate J, Kitchener G, Land H . Multistage carcinogenesis induced by ras and myc oncogenes in a reconstituted organ. Cell 1989; 56: 917–930.
Eastham JA, Chen SH, Sehgal I, Yang G, Timme TL, Hall SJ et al. Prostate cancer gene therapy: herpes simplex virus thymidine kinase gene transduction followed by ganciclovir in mouse and human prostate cancer models. Hum Gene Ther 1996; 7: 515–523.
Timme TL, Goltsov A, Tahir S, Li L, Wang J, Ren C et al. Caveolin-1 is regulated by c-myc and suppresses c-myc-induced apoptosis. Oncogene 2000; 19: 3256–3265.
Ren C, Li L, Yang G, Timme TL, Goltsov A, Ji X et al. RTVP-1, a tumor suppressor inactivated by methylation in prostate cancer. Cancer Res 2004; 64: 969–976.
Vlachaki MT, Chhikara M, Aguilar L, Zhu X, Chiu KJ, Woo S et al. Enhanced therapeutic effect of mutiple injections of HSV-TK+GCV gene therapy in combination with ionizing radiation in a mouse mammary tumor model. Int J Radiat Oncol Biol Phys 2001; 51: 1008–1017.
Janik P, Briand P, Hartmann NR . The effect of estrone-progesterone treatment on cell proliferation kinetics of hormone-dependent GR mouse mammary tumors. Cancer Res 1975; 35: 3698–3704.
Gavrieli Y, Sherman Y, Ben-Sasson SA . Identification of programmed cell death in situ via specific labeling of nuclear DNA fragmentation. J Cell Biol 1992; 119: 493–501.
Hall SJ, Mutchnik SE, Yang G, Timme TL, Nasu Y, Bangma CH et al. Cooperative therapeutic effects of androgen ablation and adenovirus- mediated herpes simplex virus thymidine kinase gene and ganciclovir therapy in experimental prostate cancer. Cancer Gene Ther 1999; 6: 54–63.
Satoh T, Timme TL, Saika T, Ebara S, Yang G, Wang J et al. Adenoviral vector-mediated mRTVP-1 gene therapy for prostate cancer. Hum Gene Ther 2003; 14: 91–101.
Acknowledgements
This work was supported by a grant from the National Cancer Institute P50-58204 Specialized Program for Research Excellence (SPORE). Portions of this work were conducted in facilities provided by the Michael E DeBakey VA Medical Center.
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Fujita, T., Timme, T., Tabata, K. et al. Cooperative effects of adenoviral vector-mediated interleukin 12 gene therapy with radiotherapy in a preclinical model of metastatic prostate cancer. Gene Ther 14, 227–236 (2007). https://doi.org/10.1038/sj.gt.3302788
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DOI: https://doi.org/10.1038/sj.gt.3302788
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