Mesothelioma And Cancer Gene Therapy
One interesting study is called, “Adenovirus-mediated wild-type p53
overexpression reverts tumourigenicity of human mesothelioma cells.” By
Giuliano M, Catalano A, Strizzi L, Vianale G, Capogrossi M, Procopio A.
Int J Mol Med. 2000 Jun;5(6):591-6. Department of Oncology and
Neuroscience, Clinical Pathology Section, Gabriele D'Annunzio
University, 66013 Chieti, Italy. Here is an excerpt: “Abstract - Pleural
malignant mesothelioma (MM) shows poor survival, regardless of tumour
stage at diagnosis. MM is unresponsive to present treatment regimens and
new protocols are desperately needed. The localised nature, the
potential accessibility, and the relative lack of distant metastases
make MM a particularly attractive candidate for somatic gene therapy. A
common target for cancer gene therapy is the tumour suppressor protein
p53. p53 does not seem to be mutated or deleted in MM, but it can be
inactivated by binding to other proteins, like mdm2 and SV40 large T
antigen. We tested the effects of a replication-deficient adenoviral
vector carrying wild-type p53 cDNA in human MM cells. Our results show
that >95% of MM cells were efficiently infected with 25 multiplicity
of infection (MOI) of vector. Wild-type p53 was effectively expressed
resulting in >80% inhibition of proliferation in MM cells. AdCMV.p53
infection induced apoptosis while controls did not show any evident
morphological alterations. Ex vivo p53 gene transfer experiments
inhibited tumourigenesis in nude mice. In vivo, direct intratumour
injection of AdCMV.p53 arrested tumour growth and prolonged survival of
treated mice. These results indicate that p53-gene therapy should be
strongly exploited for clinical trials in MM patients.”
Another study is called, “Congenital polycystic tumor of the
atrioventricular node (endodermal heterotopia, mesothelioma): A
histogenetic appraisal with evidence for its endodermal origin” - Human
Pathology Volume 18, Issue 8, August 1987, Pages 791-795 by MD Gerald
Fine and MD Usha Raju. Here is an excerpt: “The small, variously
designated, primary atrioventricular node tumor has been considered to
be of endothelial, endodermal, or mesothelial origin. To identify its
derivation, we studied seven tumors using silver staining and
immunocytochemical labeling with a variety of antibodies. Cytoplasmic
argyrophil granules but not argentaffin granules were found in isolated
cells among the more numerous bubule-lining cells in four tumors.
Serotonin and calcitonin were demonstrable in seven and six tumors,
respectively, in a similar distribution to that of the argyrophil cells.
A positive reaction of different distribution from that of the
argyrophil cells was noted in a varying number of tubule-lining cells
for carcinoembryonic antigen, epithelial membrane antigen, and blood
group antigen in seven, four, and seven tumors, respectively. No
activity was noted in the tumor cells for factor VIII-related antigen or
a number of peptides. An endodermal rather than mesothelial or
epithelial origin for the tumor is substantiated by the presence of
neuroendocrine cells in the midst of the more numerous
carcinoembryonic-antigen-positive lining cells of the tumor tubules.”
Another study is called, “SV40 expression in human neoplastic and
non-neoplastic tissues: perspectives on diagnosis, prognosis and therapy
of human malignant mesothelioma.” By Procopio A, Marinacci R, Marinetti
MR, Strizzi L, Paludi D, Iezzi T, Tassi G, Casalini A, Modesti A. Dev
Biol Stand. 1998;94:361-7. Department of Oncology and Neuroscience,
Gabriele D'Annunzio University, Chieti, Italy. Here is an excerpt:
“Abstract - We have recently demonstrated the association of SV40 and
human pleural malignant mesothelioma. Here, we have investigated whether
SV40 viral sequences may be associated with other human tumours or
other non-neoplastic pathology and whether SV40 DNA or protein
expression may be of diagnostic, prognostic or therapeutic relevance.
DNA was extracted from paraffin embedded tissues. SV40, JC and BK viral
sequences were detected by the polymerase chain reaction and molecular
hybridization with specific probes. The screening with three different
sets of SV40-related primers demonstrated that 7/18 (38.8%) mesothelioma
specimens were SV40 positive as well as 5/18 (27.7%) tubercular pleural
lesions. None of the 18 lung cancers, nor the 20 pleural non-specific
inflammatory specimens tested were positive. Twenty-five blood samples
and 18 urinary sediments from MM patients were also negative. We have
also found that SV40 Tag proteins are present in mesothelioma cells and
tumours. Tag proteins may interfere with tumour suppressor gene
products, such as p53. Preliminary results suggest that wild type p53
transgene expression, obtained after infection with recombinant
adenovirus (AdCMV.p53), inhibited in vitro and in vivo proliferation,
inducing apoptosis of mesothelioma cells. Infections with control
viruses were ineffective. Thus, SV40 DNA and Tag expression in
mesothelioma tumour cells, though probably not relevant for diagnostic
or prognostic purposes, may be crucial for innovative gene therapy
strategies.”
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