BackgroundHepatocellular carcinoma (HCC) has a dismal 5-year-survival rate of 10%, so
novel strategies are warranted. IL-24 mediates anti-tumor activity reducing
STAT3 expression, which suggests that interferon (IFN) alpha may augment
tumor cell lysis and reduce angiogenesis. We investigated the antitumor
activity of treatment with IFN-α, with the oncolytic adenovirus
SG600-IL-24, or the combination of both in HCC in vitro and in
vivo.ResultsRT-PCR, ELISA assay and Western-blot confirmed that the exogenous IL-24 gene
was highly expressed in HCC cells infected with SG600-IL-24. Treatment with
combined IFN-α and SG600-IL-24 suppressed growth and promoted apoptosis
of the HepG2, MHCC97L, and HCCLM3 cell lines compared with the normal cell
line L02. The combined therapy increased STAT1 and SOCS1 and apoptosis, but
decreased the expression of the metastatic and angiogenic proteins MMP-2,
XIAP, OPN, and VEGF, which are regulated by STAT3 in HCC cells in
vitro. To assess the effects in vivo, the HCC cell line
HCCLM3 was transplanted subcutaneously into the right flanks of nude mice.
Mice in the IFN-α group, the SG600-IL-24 group, or the combined therapy
group had significantly suppressed growth of the HCC xenografted tumors
compared to the PBS control group of mice. Among the mice treated with the
combination of IFN-α and SG600-IL-24, three of those eight mice had
long-term survival and no evidence of a tumor. These mice also had decreased
expression of the metastatic and angiogenic proteins MMP-2, XIAP, OPN, and
VEGF.ConclusionsThe present study demonstrated for the first time the potential antitumor
activity of IFN-α combined with the oncolytic adenovirus SG600-IL-24 in
HCC both in vitro and in vivo, and suggests its further
development as a potential candidate for HCC cancer gene therapy.