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Original Studies |
Division of Endocrinology, Metabolism, and Molecular Medicine (E.J.L., J.L.J.) and the Department of Microbiology/Immunobiology (L.M.A., B.T.), Northwestern University Medical School, Chicago, Illinois 60611
Address all correspondence and requests for reprints to: J. Larry Jameson, M.D., Ph.D., Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University Medical School, 303 East Chicago Avenue, Chicago, Illinois 60611. E-mail: ljameson{at}nwu.edu
Pituitary adenomas cause clinical manifestations because of mass
effects and excess hormone production. This group of tumors represents
a tractable target for gene therapy because they are rarely metastatic
and because reductions in tumor size and function, in addition to those
achieved after surgery, may be of clinical benefit. In this report we
describe a strategy for targeting the expression of toxic genes to
pituitary cells using adenoviral vectors. Pituitary hormone promoters
(human GH or glycoprotein hormone
-subunit) were used to express
either a marker gene [ß-galactosidase (ß-gal)] or a toxic gene
[herpes simplex virus thymidine kinase (TK)]. In GH-producing
GH3 cells and in
-subunit-producing pituitary tumor cell
lines, recombinant adenoviruses containing either the
-subunit
promoter (Ad
Gal; Ad
TK) or the GH promoter (AdGHGal; AdGHTK) were
expressed at high levels. Using histological studies and assays for
ß-gal activity, expression was shown to persist for at least 21 days,
and it was relatively selective for pituitary cell lines. Cytotoxicity
studies were performed using the TK-containing vectors and treatment
with ganciclovir. Both AdGHTK and Ad
TK caused greater than 95%
cytotoxicity of GH3 and
T3 cells, respectively, at a
viral dose (multiplicity of infection, 5 plaque-forming units/cell)
that induced minimal toxicity using control viruses. Little cellular
toxicity was seen using a nonpituitary cell line (T47D breast tumor
cells). The AdGHTK virus also caused marked reduction in the size of
GH3 cell tumors that were propagated in nude mice. These
studies suggest that adenoviral vectors carrying human pituitary gland
specific promoters may be useful for developing gene therapy strategies
for the treatment of pituitary adenomas.
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