Abstract:Hepatocyte growth factor (HGF) affects tumor growth/invasion and tumor neovascularization. A proposed HGF antagonist, NK4 (an amino-terminal kringle-domain peptide of HGF), inhibits tumor growth/invasion through the competition of HGF binding to its receptor, c-Met, and acts as an angiogenesis inhibitor. To investigate the in vivo effect of NK4 gene transfer, we constructed an adenovirus vector expressing human NK4 (AdCMV.NK4). Human lung cancer cell lines (A549 and H358) infected in vitro with AdCMV.NK4 yield… Show more
“…20 In brief, the vector was generated by homologous recombination of the pJM17 plasmid 21 and shuttle plasmid vector pSV2 þ 22 containing an expression cassette with the cytomegalovirus early promoter/enhancer, followed by human NK4 cDNA 17 and a polyadenylation signal. A control vector expressing bacterial b-galactosidase (LacZ) was constructed by the same procedure with pJM17 and pCA17 containing the LacZ gene.…”
Section: Construction Of Recombinant Adenovirusmentioning
NK4 or adenovirus vector expressing NK4 (Ad-NK4) can act bifunctionally as a hepatocyte growth factor antagonist and angiogenesis inhibitor and has potential value in cancer therapy. The aim of this study was to evaluate the therapeutic efficacy of Ad-NK4 in combination with gemcitabine (GEM) against pancreatic cancer. In vitro study showed a strong antiproliferative effect of GEM and a potent anti-invasive effect of Ad-NK4 against pancreatic cancer cells. In in vivo experiments, SUIT-2 human pancreatic cancer cells were implanted into the pancreas of nude mice. Mice were treated with Ad-NK4 by injection into the peritumoral region of the pancreas on day 5 after implantation followed by weekly i.p. injections of GEM. On day 28 after implantation, pancreatic tumor volume was significantly smaller than that in mice treated with Ad-LacZ, Ad-NK4 alone, or GEM alone. Furthermore, combination therapy completely suppressed peritoneal dissemination and liver metastases, leading to significantly increased survival. Histologic and immunohistochemical assays of primary tumors indicated that combination therapy prohibited both cell proliferation and angiogenesis, resulting in high levels of apoptosis. These results suggest that peritumoral injection of Ad-NK4 plus GEM is a potent combination therapy for pancreatic cancer.
“…20 In brief, the vector was generated by homologous recombination of the pJM17 plasmid 21 and shuttle plasmid vector pSV2 þ 22 containing an expression cassette with the cytomegalovirus early promoter/enhancer, followed by human NK4 cDNA 17 and a polyadenylation signal. A control vector expressing bacterial b-galactosidase (LacZ) was constructed by the same procedure with pJM17 and pCA17 containing the LacZ gene.…”
Section: Construction Of Recombinant Adenovirusmentioning
NK4 or adenovirus vector expressing NK4 (Ad-NK4) can act bifunctionally as a hepatocyte growth factor antagonist and angiogenesis inhibitor and has potential value in cancer therapy. The aim of this study was to evaluate the therapeutic efficacy of Ad-NK4 in combination with gemcitabine (GEM) against pancreatic cancer. In vitro study showed a strong antiproliferative effect of GEM and a potent anti-invasive effect of Ad-NK4 against pancreatic cancer cells. In in vivo experiments, SUIT-2 human pancreatic cancer cells were implanted into the pancreas of nude mice. Mice were treated with Ad-NK4 by injection into the peritumoral region of the pancreas on day 5 after implantation followed by weekly i.p. injections of GEM. On day 28 after implantation, pancreatic tumor volume was significantly smaller than that in mice treated with Ad-LacZ, Ad-NK4 alone, or GEM alone. Furthermore, combination therapy completely suppressed peritoneal dissemination and liver metastases, leading to significantly increased survival. Histologic and immunohistochemical assays of primary tumors indicated that combination therapy prohibited both cell proliferation and angiogenesis, resulting in high levels of apoptosis. These results suggest that peritumoral injection of Ad-NK4 plus GEM is a potent combination therapy for pancreatic cancer.
“…20 Briefly, Ad-NK4 was generated by homologous recombination of the pJM17 plasmid 21 and the shuttle plasmid vector pSV21 22 containing an expression cassette and the cytomegalovirus early promoter/ enhancer followed by human NK4 cDNA 11 and a polyadenylation signal. A control vector with expressing the bacterial b-galactosidase enzyme (LacZ) was constructed by the same procedure with pJM17 and pCA17 containing the LacZ gene.…”
Section: Construction Of Recombinant Adenovirusmentioning
NK4, a 4-kringle fragment of hepatocyte growth factor (HGF), is an HGF antagonist that also acts as an angiogenesis inhibitor. NK4 strongly inhibits the infiltration, metastasis, and tumor growth of pancreatic cancer. The aim of our study was to evaluate the antitumor effect of adenovirus-mediated NK4 gene transfer to the liver on hepatic metastasis of pancreatic cancer in vivo. We constructed recombinant adenoviral NK4 (Ad-NK4), which encodes a secreted form of human NK4. Intrasplenic injection of Ad-NK4 induced high and relatively maintained expression of NK4 protein in the liver and suppressed the number and growth of metastatic foci in the liver in a nude mouse model. Microscopically, central necrosis was found even in small metastatic foci in Ad-NK4 treated mice. Immunohistochemical analysis of metastatic tumors showed a remarkable decrease in microvessel density and an increase in the number of apoptotic tumor cells after treatment with Ad-NK4. These results indicate that intraportal injection of Ad-NK4 may be a useful therapeutic modality for the clinical control of hepatic metastasis in pancreatic cancer. ' 2005 Wiley-Liss, Inc.Key words: gene therapy; NK4; HGF antagonist; angiogenesis inhibitor; pancreatic cancer; hepatic metastasis; recombinant adenovirus Pancreatic cancer remains one of the most malignant neoplasms. The disease is diagnosed frequently at an advanced stage, and only 3% of patients survive 5 years. 1 Pancreatic cancer has a high rate of local and systemic recurrence, including liver metastasis, peritoneal dissemination and retroperitoneal recurrence. 2 There is no effective treatment for this disease. Radical resection has only a limited effect for the disease, 3 but even after curative resection of the primary tumor, liver metastasis occurs frequently and constitutes a major course of this disease. 2,4 Generally, micrometastasis to the liver seems to have already occurred in most patients when pancreatic cancer is diagnosed. 5 Pancreatic cancer is highly resistant to the chemotherapy and radiation protocols available currently. Even gemcitabine, which has become the standard drug used for metastatic disease, does not improve median survival. One factor underlying the aggressive local and early systemic tumor growth may be rapid tumor neoangiogenesis, which results in an abundant blood supply. Tumor-induced neoangiogenesis is a common phenomenon during growth, particularly in tumors larger than 1-2 mm in diameter. 6,7 We showed previously that pancreatic cancer cells frequently overexpress c-Met/hepatocyte growth factor (HGF) receptor and that HGF plays important roles in the mitogenic, motogenic and morphogenic activities of these cells. We also identified and prepared NK4 as an antagonist of HGF. 8,9 NK4 is composed of the N-terminal hairpin and 4 kringle domains of HGF. NK4 binds c-Met/HGF receptor but does not induce tyrosine phosphorylation of c-Met. NK4 is a potent antiangiogenic agent and antagonizes not only HGF-induced angiogenesis but also that of other angiogenic factors suc...
“…NK4 has inhibitory effect of angiogenesis driven by basic fibroblast growth factor ( bFGF ), vascular endothelial growth factor ( VEGF ), as well as HGF. 21,24,30 Considering these two-way inhibitory effects, gene therapy using NK4 seems to be an ideal potential therapy for treatment of patients with advanced gastric cancer. Basic research toward gene therapy using anti-angiogenic substances such as angiostatin and endostatin has been widely reported.…”
Hepatocyte growth factor ( HGF ) is involved in malignant behavior of cancers as a mediator of tumor-stromal interactions, facilitating tumor invasion and metastasis. We have investigated whether a blockade of HGF using recombinant NK4, an HGF antagonist, would lead to growth inhibition of the human gastric carcinoma cell line, TMK1. To evaluate the function of endogenous NK4 and investigate its potential inhibitory effect, TMK1 cells were transfected with NK4 plasmid. After selection, NK4-expressing cells ( T11 ) were obtained, and cell growth was evaluated. Significant growth inhibition was observed in the T11-group compared to the control both in vitro and in vivo. Moreover, we investigated the effect of exogenous NK4 transferred by an adenovirus vector ( AdCMV.NK4 ). Cell proliferation of AdCMV.NK4 infected TMK1 cells was significantly inhibited compared with the control group. We also assessed the in vivo tumor suppression effect of AdCMV.NK4. The tumor volume following treatment with AdCMV.NK4 was significantly inhibited compared to that of the control group. These findings indicate that NK4 gene expression has a potential role in controlling proliferation of cancer cells. In conclusion, NK4 is a promising therapeutic agent and its gene delivery may be a new approach to treating patients with advanced gastric cancer.
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