“…In addition, the promoter of the CREBBP/EP300 inhibitory protein 1 (CRI1), a gene specifically expressed in malignant pleural mesothelioma, was used to drive E1a-mediated virotherapy that specifically kills malignant mesothelioma cells but not normal cells [83]. Other tumor-specific promoters used to drive E1-mediated virotherapy against various cancers include mucin-1 promoter [84], osteocalcin promoter [85], AFP promoter [55], midkine promoter [86] and COX-2 promoter [87,88]. In general, regulation of therapeutic transgene expression (such as E1a) by a tumor-specific promoter is preferred over tissue-specific promoter strategy for several reasons: i) not all tissue-specific promoters are available for every organ/tissue; ii) only a few of organs/ tissues are dispensable, such as the prostate, while most serve critical life-sustaining functions; and iii) tumorspecific promoters that express only in cancer cells, not (or express at a much lower level) in normal cells, such as telomerase and survivin, provide an ideal tumor targeting with minimal toxicity and maximal anticancer effect.…”