Hypoxia targeted bifunctional suicide gene expression enhances radiotherapy in vitro and in vivo Journal Article


Authors: Sun, X.; Xing, L.; Deng, X.; Hsiao, H. T.; Minami, A.; Koutcher, J. A.; Clifton Ling, C.; Li, G. C.
Article Title: Hypoxia targeted bifunctional suicide gene expression enhances radiotherapy in vitro and in vivo
Abstract: Purpose: To investigate whether hypoxia targeted bifunctional suicide gene expression-cytosine deaminase (CD) and uracil phosphoribosyltransferase (UPRT) with 5-FC treatments can enhance radiotherapy. Materials and methods: Stable transfectants of R3327-AT cells were established which express a triple-fusion-gene: CD, UPRT and monomoric DsRed (mDsRed) controlled by a hypoxia inducible promoter. Hypoxia-induced expression/function of CDUPRTmDsRed was verified by western blot, flow cytometry, fluorescent microscopy, and cytotoxicity assay of 5-FU and 5-FC. Tumor-bearing mice were treated with 5-FC and local radiation. Tumor volume was monitored and compared with those treated with 5-FC or radiation alone. In addition, the CDUPRTmDsRed distribution in hypoxic regions of tumor sections was visualized with fluorescent microscopy. Results: Hypoxic induction of CDUPRTmDsRed protein correlated with increased sensitivity to 5-FC and 5-FU. Significant radiosensitization effects were detected after 5-FC treatments under hypoxic conditions. In the tumor xenografts, the distribution of CDUPRTmDsRed expression visualized with fluorescence microscopy was co-localized with the hypoxia marker pimonidazole positive staining cells. Furthermore, administration of 5-FC to mice in combination with local irradiation resulted in significant tumor regression, as in comparison with 5-FC or radiation treatments alone. Conclusions: Our data suggest that the hypoxia-inducible CDUPRT/5-FC gene therapy strategy has the ability to specifically target hypoxic cancer cells and significantly improve the tumor control in combination with radiotherapy. © 2011 Elsevier Ireland Ltd. All rights reserved.
Keywords: hypoxia; radiosensitization; cytosine deaminase; uracil phosphoribosyltransferase; 5-flurocytosine
Journal Title: Radiotherapy and Oncology
Volume: 105
Issue: 1
ISSN: 0167-8140
Publisher: Elsevier Inc.  
Date Published: 2012-10-01
Start Page: 57
End Page: 63
Language: English
DOI: 10.1016/j.radonc.2012.07.011
PROVIDER: scopus
PUBMED: 22938726
PMCID: PMC3747309
DOI/URL:
Notes: --- - "Export Date: 3 December 2012" - "CODEN: RAOND" - "Source: Scopus"
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MSK Authors
  1. Gloria C Li
    132 Li
  2. Ligang Xing
    15 Xing
  3. Xiaorong Sun
    19 Sun
  4. Xuelong Deng
    14 Deng
  5. Jason A Koutcher
    278 Koutcher
  6. Hung- Tsung Hsiao
    6 Hsiao
  7. Akiko Minami
    8 Minami
  8. C Clifton Ling
    331 Ling