Abstract. Human telomerase reverse transcriptase (hTERT) and survivin (BIRC5) gene promoters are frequently used for transcriptional targeting of tumor cells, yet there is no comprehensive comparative analysis allowing rational choice of a promoter for a particular therapy. In the current study, the transcriptional activity of hTERT, human BIRC5 and mouse Birc5 promoters and their modifications were compared in 10 human cancer cell lines using the luciferase reporter gene activity assay. The results revealed that BIRC5-and hTERT-based promoters had strikingly different cell specificities with comparable activities in only 40% of cell lines. Importantly, relative hTERT and BIRC5 transcript abundance cannot be used to predict the most potent promoter. Among the hTERT-based promoters that were assessed, modification with the minimal cytomegalovirus promoter generally resulted in the most potent activity. Mouse Birc5 and modified human BIRC5 promoters were superior to the unmodified human survivin promoter; however, their tumor specificities must be investigated further. In summary, the present results emphasize the desirability for construction of more universal tumor-specific promoters to efficiently target a wide spectrum of tumor cells.
IntroductionTranscriptional targeting in gene therapy is an approach based on the use of tissue-specific or tumor-specific promoters (TSPs) to direct the expression of therapeutic genes specifically to a tumor (1). It is assumed that it must meet the requirements of transgene expression in tumor tissues but not in normal tissues. This combination of 'tumor on' and 'normal tissue off' profile can result in an increase in the therapeutic index and limit the toxicity of vectors and transgenes in vivo. Numerous promoters have already been evaluated for transcriptional targeting in cancer gene therapy [for reviews, see (2-4)], such as the α-fetoprotein promoter for hepatic carcinoma, tyrosinase gene promoter for melanoma, prostate-specific antigen promoter for prostate cancer, cyclooxygenase-2 promoter for gastrointestinal cancer, midkine promoter for Wilms' tumor or neuroblastoma, chemokine (C-X-C motif) receptor 4 promoter for breast cancer and melanoma, hypoxia-inducible promoter for hypoxic tumor-targeting gene therapy, promoter of the carcinoembryonic antigen gene (5), and numerous others. However, many of the gene promoters used for this goal have been shown to be abundantly expressed in a variety of normal tissues (4), such that their usage also affects normal host cells, thus increasing the risk of unwanted side effects. TSPs that are expressed in a wide variety of tumors and have low expression in normal tissue are highly desirable to meet gene therapy demands. Two gene promoters frequently used for the gene therapeutic purposes appear to most completely satisfy the requirements: The human telomerase reverse transcriptase (hTERT) promoter, and the promoter driving the expression of BIRC5, encoding the apoptosis inhibitor survivin.Survivin is one of the central players of c...