title: A novel tetracycline-controlled transactivator-transrepressor system enables external control of oncolytic adenovirus replication.
abstract: The use of restricted replication-competent adenoviruses (RRCAs) inducing tumor cell-specific lysis is a promising approach in cancer gene therapy. However, the use of RRCAs in humans carries considerable risk, since after injection into the patient, further regulation or inhibition of virus replication from the outside is impossible. Therefore, we have developed a novel system allowing external pharmacological control of RRCA replication. We show here that a tumor-selective E1B-deleted RRCA can be tightly regulated by use of doxycycline (dox)-controlled adenoviral E1A gene expression, which in turn determines vector replication. RRCA replication is switched on by addition and switched off by withdrawal of dox. The system results in efficient tumor cell killing after induction by dox, whereas cells are unaffected by the uninduced system. It was also employed for efficient external control of transgene expression from cotransfected replication-deficient adenovectors. Furthermore, the use of a liver cell-specific human alpha1-antitrypsin (hAAT)-promoter driving a tetracycline-controlled transcriptional silencer allowed specific protection of cells with hAAT-promoter activity in the absence of dox in vitro and in vivo, delineating a new principle of 'tissue protective' gene therapy. The concept of external control of RRCAs may help to improve the safety of cancer gene therapy.
authors.affiliation: Department of Cardiology and Pneumology, University Medical Center Benjamin Franklin, Freie Universität, Berlin, Germany.
authors.forename: H
authors.initials: H
authors.lastname: Fechner
authors.forename: X
authors.initials: X
authors.lastname: Wang
authors.forename: M
authors.initials: M
authors.lastname: Srour
authors.forename: U
authors.initials: U
authors.lastname: Siemetzki
authors.forename: H
authors.initials: H
authors.lastname: Seltmann
authors.forename: A P
authors.initials: AP
authors.lastname: Sutter
authors.forename: H
authors.initials: H
authors.lastname: Scherübl
authors.forename: C C
authors.initials: CC
authors.lastname: Zouboulis
authors.forename: R
authors.initials: R
authors.lastname: Schwaab
authors.forename: W
authors.initials: W
authors.lastname: Hillen
authors.forename: H-P
authors.initials: HP
authors.lastname: Schultheiss
authors.forename: W
authors.initials: W
authors.lastname: Poller
mesh_terms: D000256:Adenoviridae / Q000235:genetics*; D017500:Adenovirus E1A Proteins / Q000378:metabolism; D017501:Adenovirus E1B Proteins / Q000235:genetics; D000818:Animals; D004318:Doxycycline / Q000494:pharmacology*; D017353:Gene Deletion; D015316:Genetic Therapy / Q000379:methods*; D006801:Humans; D051379:Mice; D008819:Mice, Nude; D009369:Neoplasms / Q000628:therapy*; D011500:Protein Synthesis Inhibitors / Q000494:pharmacology*; D014407:Tumor Cells, Cultured; D014779:Virus Replication / Q000187:drug effects / Q000235:genetics*
chemical_list: D017500:Adenovirus E1A Proteins; D017501:Adenovirus E1B Proteins; D011500:Protein Synthesis Inhibitors; D004318:Doxycycline