PMID- 27123081 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1792-1074 (Print) IS - 1792-1082 (Electronic) IS - 1792-1074 (Linking) VI - 11 IP - 5 DP - 2016 May TI - A double suicide gene system driven by vascular endothelial growth factor promoter selectively kills human hepatocellular carcinoma cells. PG - 3152-3160 AB - The aim of the present study was to investigate the selective killing effect on hepatocellular carcinoma (HCC) cells of an adenovirus (Ad)-mediated cytosine deaminase (CD) in combination with thymidine kinase (TK) suicide gene system, driven by the vascular endothelial growth factor promoter (VEGFp), in vitro and in vivo. A double suicide gene system with VEGFp, named Ad-VEGFp-CDglyTK, was constructed and transfected into human HCC cells (BEL-7402 or HepG2; the latter cell type is deficient in VEGF) and human umbilical vein vascular endothelial cells (HUVEC). Green fluorescent protein expression was detected by fluoroscopy to verify transfection efficiency, and CDglyTK gene expression was detected by reverse transcription-polymerase chain reaction (PCR). The selective killing effect of Ad-VEGFp-CDglyTK was measured by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay and flow cytometry (FCM) in vitro and by xenograft studies in vivo. PCR revealed that the transgenic CDglyTK gene was expressed in BEL-7402 cells and HUVEC, but not in HepG2 cells. The cell survival rate significantly decreased in line with increasing concentrations of the prodrugs, ganciclovir (GCV) alone, 5-fluorocytosine (5-FC) alone or a combination of the two, in HUVEC and BEL-7402 cells with the transfected CDglyTK gene, but not in untransfected HUVEC or BEL-7402 cells, or in transfected or untransfected HepG2 cells. This result was additionally confirmed by FCM. GCV and 5-FC inhibited the HUVEC and BEL-7402 cells containing the transfected CDglyTK gene and also inhibited adjacent unmodified cells via the 'bystander effect'. No similar results were observed in HepG2 cells. Compared with the control group, tumors with the transfected CDglyTK gene were smaller and the microvessel density of the tumor tissue was significantly decreased. It was concluded that a combination TK/GCV and CD/5-FC suicide gene system driven by VEGFp may provide a promising treatment strategy for HCC. FAU - Wu, Kai AU - Wu K AD - Department of Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, P.R. China. FAU - Yang, Liucheng AU - Yang L AD - Department of Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, P.R. China. FAU - Huang, Zonghai AU - Huang Z AD - Department of Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, P.R. China. FAU - Zhao, Haijun AU - Zhao H AD - Department of Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, P.R. China. FAU - Wang, Jianjun AU - Wang J AD - Department of Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, P.R. China. FAU - Xu, Shuai AU - Xu S AD - Department of Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, P.R. China. LA - eng PT - Journal Article DEP - 20160322 PL - Greece TA - Oncol Lett JT - Oncology letters JID - 101531236 PMC - PMC4841088 OTO - NOTNLM OT - cytosine deaminase/ganciclovir OT - hepatocellular carcinoma OT - suicide gene OT - thymidine kinase/5-fluorocytosine OT - vascular endothelial growth factor EDAT- 2016/04/29 06:00 MHDA- 2016/04/29 06:01 PMCR- 2016/03/22 CRDT- 2016/04/29 06:00 PHST- 2015/01/19 00:00 [received] PHST- 2016/02/16 00:00 [accepted] PHST- 2016/04/29 06:00 [entrez] PHST- 2016/04/29 06:00 [pubmed] PHST- 2016/04/29 06:01 [medline] PHST- 2016/03/22 00:00 [pmc-release] AID - OL-0-0-4360 [pii] AID - 10.3892/ol.2016.4360 [doi] PST - ppublish SO - Oncol Lett. 2016 May;11(5):3152-3160. doi: 10.3892/ol.2016.4360. Epub 2016 Mar 22.