Stromal-epithelial interaction has been shown to promote local
tumor growth and distant
metastasis. We sought to create a promising gene therapy approach that co-targets
cancer and its supporting stromal cells for combating
castration-resistant prostate
tumors. Herein, we demonstrated that human
osteonectin is overexpressed in the
prostate cancer epithelium and
tumor stroma in comparison with their normal counterpart. We designed a novel human
osteonectin promoter (hON-522E) containing positive transcriptional regulatory elements identified in both the promoter and exon 1 region of the human
osteonectin gene. In vitro reporter assays revealed that the hON-522E promoter is highly active in
androgen receptor negative and metastatic
prostate cancer and bone stromal cells compared to
androgen receptor-positive
prostate cancer cells. Moreover, in vivo prostate-
tumor-promoting activity of the hON-522E promoter was confirmed by
intravenous administration of an adenoviral vector containing the hON-522E promoter-driven
luciferase gene (Ad-522E-Luc) into mice bearing orthotopic human prostate
tumor xenografts. In addition, an adenoviral vector with the hON-522E-promoter-driven herpes simplex virus
thymidine kinase gene (Ad-522E-TK) was highly effective against the growth of
androgen-independent human
prostate cancer PC3M and bone stromal cell line in vitro and in pre-established PC3M
tumors in vivo upon addition of the
prodrug ganciclovir. Because of the heterogeneity of human prostate
tumors, hON-522E promoter-mediated gene therapy has the potential for the treatment of
hormone refractory and bone metastatic
prostate cancers.