Mammary epithelial cells constitutively expressing Id-1 protein are unable to differentiate, acquire the ability to proliferate, and invade the extracellular matrix. In addition, Id-1 is aberrantly over-expressed in aggressive and metastatic breast cancer cells, as well as in human breast tumor biopsies from infiltrating carcinomas, suggesting Id-1 might be an important regulator of breast cancer progression. We show that human metastatic breast cancer cells become significantly less invasive in vitro and less metastatic in vivo when Id-1 is downregulated by stable transduction with antisense Id-1. Expression of the matrix metalloproteinase MT1-MMP is decreased in proportion to the decrease in Id-1 protein levels, representing a potential mechanism for the reduction of invasiveness. Further, to more accurately recapitulate the biology of and potential therapeutic approaches to tumor metastasis, we targeted Id-1 expression systemically in tumorbearing mice by using a nonviral approach. We demonstrate significant reduction of both Id-1 and MT1-MMP expressions as well as the metastatic spread of 4T1 breast cancer cells in syngeneic BALB͞c mice. In conclusion, our studies have identified Id-1 as a critical regulator of breast cancer progression and suggest the feasibility of developing novel therapeutic approaches to target Id-1 expression to reduce breast cancer metastasis in humans.T he Id (inhibitor of DNA binding) genes were originally identified in murine myoblasts, where they prevented myogenic basic helix-loop-helix (bHLH) transcription factors from binding muscle-specific regulatory elements (1). These transcription factors are key regulators of tissue-specific gene expression in a number of mammalian and nonmammalian organisms, and constitutive expression of Id proteins has been shown to inhibit the differentiation of various tissues (2). bHLH proteins act as obligate dimers, dimerizing through HLH domains, and bind to DNA through the composite basic domains to activate the transcription of target genes containing E-boxes (CANNTG) in their promoters. Id proteins dimerize with bHLH proteins, but the Id-bHLH heterodimers fail to bind to DNA because Id proteins lack the basic domains necessary for DNA interaction.Four members of the Id gene family have been described to date: Id-1, . The different family members localize to different chromosomes and show marked differences in their pattern of expression and function (3, 4). Although the family members are similar in the HLH sequence, the regions outside the HLH domain are distinct for each member and may determine the tissue specificity of Id function, as well as the binding specificity for particular bHLH proteins.We previously developed a line of murine mammary epithelial cells (MEC), SCp2 cells, which originated from a midpregnant mouse mammary gland (5, 6). A role for HLH Id proteins in the differentiation of SCp2 cells was suggested by our finding that Id-1 expression declined to undetectable levels when the cells were induced to differentiate in culture ...

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Hemophilia A is an X-linked bleeding disorder caused by mutations in the gene encoding the factor VIII (FVIII) coagulation protein. Bleeding episodes in patients are reduced by prophylactic therapy or treated acutely using recombinant or plasma-derived FVIII. We have made an adeno-associated virus 5 vector containing a B domain-deleted (BDD) FVIII gene (BMN 270) with a liver-specific promoter. BMN 270 injected into hemophilic mice resulted in a dose-dependent expression of BDD FVIII protein and a corresponding correction of bleeding time and blood loss. At the highest dose tested, complete correction was achieved. Similar corrections in bleeding were observed at approximately the same plasma levels of FVIII protein produced either endogenously by BMN 270 or following exogenous administration of recombinant BDD FVIII. No evidence of liver dysfunction or hepatocyte endoplasmic reticulum stress was observed. Comparable doses in primates produced similar levels of circulating FVIII. These preclinical data support evaluation of BMN 270 in hemophilia A patients.

Recent studies have demonstrated a role for telomerase in driving tumor progression, but its mechanism of action remains unclear. Here we show that stable, ribozyme-mediated suppression of mouse telomerase RNA reduced telomerase RNA expression, telomerase activity, and telomere length, which significantly reduced tumor invasion and metastatic potential. Our studies reveal that previously unidentified effects of telomerase may mediate its tumor-promoting effects. First, reducing telomerase activity induced a more dendritic morphology, accompanied by increased melanin content and increased expression of tyrosinase, a key enzyme in melanin biosynthesis. Second, gene expression profiling revealed that telomerase targeting down-regulated expression of several glycolytic pathway genes, with a corresponding decrease in glucose consumption and lactate production. Thus, telomerase activity controls the glycolytic pathway, potentially altering the energy state of tumor cells and thereby modulating tyrosinase activity and melanin production. These studies have important implications for understanding the mechanisms by which telomerase promotes tumor invasion and metastasis.differentiation ͉ glycolysis T elomerase is a ribonucleoprotein complex composed of core protein (telomerase reverse transcriptase) and RNA (telomerase RNA or TER) moieties. The most extensively characterized function of telomerase is to maintain the telomeric repeats capping the ends of eukaryotic chromosomes and thereby preserve their integrity by preventing end-to-end fusions (1-4). Whereas normal somatic cells have diminished telomerase activity, Ͼ90% of human cancers overexpress telomerase (5, 6). The well established roles for telomerase in tumor initiation and cellular immortalization (7,8) have led to the identification of telomerase as a potentially important molecular target in cancer therapeutics (9-11). To date, multiple studies have examined the utility of targeting telomerase to inhibit tumor cell proliferation (12-16).Although the importance of telomerase for tumor cell proliferation is well documented, its impact on tumor invasion and metastasis has been studied less. In our recent study, we used a systemic injection model of an effective anti-telomerase ribozyme to reveal that inhibiting telomerase activity in tumorbearing mice significantly reduces metastatic progression (16). Here, we examine the direct role played by telomerase in the metastatic potential of murine melanoma and characterize cellular pathways altered by telomerase suppression in tumor cells. We show that stable, ribozyme-mediated suppression of TER levels in melanoma cells results in a more dendritic phenotype, accompanied by increased tyrosinase expression and pigment production. Furthermore, we show that TER suppression results in down-regulation of glycolytic pathway genes and significantly reduces glucose metabolism, providing a mechanistic basis for the reduced metastatic capacity and increased pigment production observed. ResultsTo directly examine the role of te...