PMID- 17245354 OWN - NLM STAT- MEDLINE DCOM- 20070925 LR - 20190608 IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 15 IP - 5 DP - 2007 May TI - Rapamycin-regulated control of antiangiogenic tumor therapy following rAAV-mediated gene transfer. PG - 912-20 AB - Regulated gene expression may be required for the clinical development of certain gene therapies. Several approaches have been developed that allow pharmacologic control of transgene expression, including the dimerizer-regulated transcriptional system in which rapamycin or its analogs function as transcriptional inducers. These compounds can also act as direct antitumor agents via inhibition of mammalian target of rapamycin (mTOR). We describe the development of an optimized recombinant adeno-associated virus (AAV) expression cassette that allows dimerizer-regulated gene expression from a single vector in vitro and in vivo. After demonstrating multiple cycles of rapamycin-dependent transgene induction following a single administration of an AAV vector in vivo, application of this regulated AAV gene expression system to the pharmacologic control of antiangiogenic therapy was evaluated in preclinical tumor models. Dimerizer-regulated vectors were constructed encoding a soluble inhibitor of the vascular endothelial growth factor (VEGF) pathway. In two subcutaneous models of glioblastoma, regulated expression of the VEGF inhibitor via recombinant AAV-mediated gene transfer, in combination with rapamycin, was shown to decrease tumor growth rate significantly. The dual properties of rapamycin--as a transcriptional inducer and mTOR inhibitor--are exploited in combination with an AAV-encoded antiangiogenic agent to provide a novel approach for the treatment of malignant diseases. FAU - Nguyen, Minh AU - Nguyen M AD - Cell Genesys Inc., South San Francisco, California, USA. minhn@cellgenesys.com FAU - Huan-Tu, Guang AU - Huan-Tu G FAU - Gonzalez-Edick, Melissa AU - Gonzalez-Edick M FAU - Rivera, Victor M AU - Rivera VM FAU - Clackson, Tim AU - Clackson T FAU - Jooss, Karin U AU - Jooss KU FAU - Harding, Thomas C AU - Harding TC LA - eng PT - Journal Article DEP - 20070123 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Immunosuppressive Agents) RN - 0 (Prealbumin) RN - 0 (Vascular Endothelial Growth Factor A) RN - 86090-08-6 (Angiostatins) RN - EC 2.7.10.1 (Receptors, Vascular Endothelial Growth Factor) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Angiostatins/genetics/metabolism MH - Animals MH - Blotting, Western MH - Cell Line MH - Cell Line, Tumor MH - Dependovirus/*genetics MH - Disease Models, Animal MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Gene Expression Regulation/drug effects MH - Gene Transfer Techniques MH - Genetic Therapy/*methods MH - Genetic Vectors/genetics MH - Glioblastoma/genetics/metabolism/therapy MH - Humans MH - Immunosuppressive Agents/pharmacology MH - Mice MH - Mice, Nude MH - Neoplasms/blood supply/genetics/*therapy MH - Prealbumin/genetics MH - Promoter Regions, Genetic/genetics MH - Receptors, Vascular Endothelial Growth Factor/genetics/metabolism MH - Sirolimus/*pharmacology MH - Vascular Endothelial Growth Factor A/antagonists & inhibitors MH - Xenograft Model Antitumor Assays EDAT- 2007/01/25 09:00 MHDA- 2007/09/26 09:00 CRDT- 2007/01/25 09:00 PHST- 2007/01/25 09:00 [pubmed] PHST- 2007/09/26 09:00 [medline] PHST- 2007/01/25 09:00 [entrez] AID - S1525-0016(16)31642-2 [pii] AID - 10.1038/mt.sj.6300079 [doi] PST - ppublish SO - Mol Ther. 2007 May;15(5):912-20. doi: 10.1038/mt.sj.6300079. Epub 2007 Jan 23.