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Reversal of CPT-11 resistance of lung cancer cells by adenovirus-mediated gene transfer of the human carboxylesterase cDNA.

Abstract
To evaluate the concept that transfer of the human carboxylesterase (CE) gene will overcome the drug resistance of a solid tumor to CPT-11 (irinotecan), we used an adenovirus vector (AdCMV.CE) carrying human CE cDNA to infect CPT-11-resistant A549 human adenocarcinoma cells (A549/CPT) in vitro and in vivo and evaluated cell growth over time. The A549/CPT cells, selected by stepwise and continuous exposure of parental A549 cells to CPT-11 over 10 months, had a 6-fold resistance to CPT-11 and 42% CE activity in comparison with parental A549 cells. AdCMV.CE infection resulted in an increase in functional CE protein in resistant cells in vitro that was sufficient to convert CPT-11 to its active metabolite, SN-38, and effectively suppressed resistant cell growth in vitro in the presence of CPT-11. When AdCMV.CE was directly injected into established s.c. resistant A549-based tumors in nude mice receiving CPT-11, there was a 1.8-fold reduction in tumor size at day 20 compared to that of controls (P < 0.05). These observations suggest that adenovirus-mediated gene transfer of the human CE gene and concomitant administration of CPT-11 may have potential as a strategy for local control of acquired CPT-11 resistance of solid tumors.
AuthorsA Kojima, N R Hackett, R G Crystal
JournalCancer research (Cancer Res) Vol. 58 Issue 19 Pg. 4368-74 (Oct 01 1998) ISSN: 0008-5472 [Print] United States
PMID9766666 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antineoplastic Agents
  • Antineoplastic Agents, Phytogenic
  • DNA, Complementary
  • Recombinant Proteins
  • Irinotecan
  • Carboxylic Ester Hydrolases
  • Carboxylesterase
  • DNA Topoisomerases, Type I
  • Camptothecin
Topics
  • Adenocarcinoma
  • Adenoviruses, Human
  • Antineoplastic Agents (toxicity)
  • Antineoplastic Agents, Phytogenic (pharmacokinetics, toxicity)
  • Camptothecin (analogs & derivatives, pharmacokinetics, toxicity)
  • Carboxylesterase
  • Carboxylic Ester Hydrolases (genetics, metabolism)
  • Cell Division (drug effects)
  • Cell Survival (drug effects)
  • Clone Cells
  • DNA Topoisomerases, Type I (metabolism)
  • DNA, Complementary
  • Drug Resistance, Neoplasm
  • Genetic Vectors
  • Humans
  • Irinotecan
  • Lung Neoplasms
  • Recombinant Proteins (metabolism)
  • Transfection (methods)
  • Tumor Cells, Cultured

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