2005
DOI: 10.1038/sj.cgt.7700912
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Gene therapy with drug resistance genes

Abstract: A major side effect of cancer chemotherapy is myelosuppression. Expression of drug-resistance genes in hematopoietic stem cells (HSC) using gene transfer methodologies holds the promise of overcoming marrow toxicity in cancer chemotherapy. Adequate protection of marrow cells in cancer patients from myelotoxicity in this way would permit the use of escalating doses of chemotherapy for eradicating residual disease. A second use of drug-resistance genes is for coexpression with a therapeutic gene in HSCs to provi… Show more

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Cited by 25 publications
(18 citation statements)
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“…Likewise, pemetrexed was barely active in HMI11 (IC 50 Ͼ 50 M) but highly active in CMM (IC 50 ϭ 18 nM). Methotrexate and pemetrexed are both known to inhibit DHFR, resulting in inhibition of folate metabolism and subsequent biosynthesis of thymidine nucleotides (37). Hence, the lower activity observed in HMI11 is likely due to rescue by the high concentrations of folate in HMI11 medium compared to CMM.…”
Section: Resultsmentioning
confidence: 98%
“…Likewise, pemetrexed was barely active in HMI11 (IC 50 Ͼ 50 M) but highly active in CMM (IC 50 ϭ 18 nM). Methotrexate and pemetrexed are both known to inhibit DHFR, resulting in inhibition of folate metabolism and subsequent biosynthesis of thymidine nucleotides (37). Hence, the lower activity observed in HMI11 is likely due to rescue by the high concentrations of folate in HMI11 medium compared to CMM.…”
Section: Resultsmentioning
confidence: 98%
“…In addition to the widely publicized malignant side effects in the trials involving correction of X-linked severe combined immunodeficiency, 8 inefficient transduction, poor long-term expression, and engraftment failure of ex vivo manipulated cells have slowed the practical advancement of gene therapy. 2,[9][10][11] Newer, self-inactivating (SIN), HIV-based lentiviral vectors have recently been explored as a means to avoid some of the pitfalls noted in the previous paragraph. 12 Lentiviruses do not require cells to be in cycle, 13,14 thus allowing for transduction during relatively short-term ex vivo culture.…”
Section: Introductionmentioning
confidence: 99%
“…[9][10][11]19 Several different approaches to programmed drug resistance have been evaluated: ectopic expression of the multidrug resistance 1 gene product (MDR1), 20 cytidine deaminase (CD), 21 glutathione S-transferase (GST), 22 or cytosolic 5Ј-nucleotidase I (cN-I) 23 ; or expression of mutated forms of dihydrofolate reductase (⌬-DHFR) 24 or O 6 -methylguanine-DNA-methyltransferase (⌬-MGMT). 25 Concerns with these strategies remain, though, because of a lack of effectiveness in selecting hematopoietic stem cells (HSCs) in vivo (⌬-DHFR, cN-I), potential development of multiple-drug resistant leukemia (MDR1), 26 or the use of highly genotoxic, carcinogenic drugs for selection (GST, MDR1, ⌬-MGMT).…”
Section: Introductionmentioning
confidence: 99%
“…58,59 For this purpose, genes involved in the resistance to the drugs have been used as transgenes to protect myeloid stem cells.…”
Section: Myeloprotection With Cytidine Deaminasementioning
confidence: 99%