Abstract. Gallbladder cancer (GBC) is a rare disease associated with an extremely poor patient prognosis, and occasionally, aberrant expression of p53 is present. Considering that p53 is one of the most widely studied tumor-suppressor genes, we used a cell-penetrating peptide, 11R, to enhance the transferring efficiency of the oncolytic adenovirus carrying the p53 gene by constructing SG7605-11R-p53, a gene-viral therapy system which has higher specificity, enhanced safety, and efficacy. After infection with SG7605-11R-p53 at a multiplicity of infection (MOI) of 1 PFU/cell in vitro, the survival rate of EH-GB1 cells was lower than 50%, and that of EH-GB2 cells was lower than 40%, while the survival rate was higher than 90% for BJ human fibroblast cells, demonstrating that SG7605-11R-p53 has potent specific cytotoxicity against GBC cells. The tumor growth was greatly inhibited in nude mice bearing EH-GB2 xenografts when the total dose of SG7605-11R-p53 was 1x10 9 PFU, and terminal dUTP nick end-labeling (TUNEL) revealed that the apoptotic rate of cancer cells was 66.75±6.702%. Compared with existing gene therapy with longstanding shortcomings, our new system offers an additional option for patients with advanced GBC and other cancers who may not be suitable for chemotherapy, radiotherapy or who are not indicated for surgical treatment.
IntroductionGallbladder cancer (GBC) is a rare but highly lethal disease, known to humans since 1777 (1,2). It is now recognized as one of the most common biliary tract malignancies (3). Up to 75% of such patients suffer from this unresectable disease at the time of surgical evaluation (4).Currently available treatments such as chemotherapy and radiotherapy have little effect on advanced GBC, and the 5-year survival rate is only ~5% in such cases (5). Therefore, development of new treatment modalities, such as gene therapy, merits high priority. Yet, few studies are available concerning GBCs.Gene therapy has been widely accepted as an important strategy for treating malignancies (6). Yet, the clinical application of tumor gene therapy still has some limitations, such as low gene transferring efficiency, poor transgene expression, and limited target specificity to tumors (7). Among the possible candidate genes is the gene that codes for the p53 protein, whose product is mainly enriched around the nucleoli of normal cells and can specifically bind with DNA. The protein activity is regulated by phosphorylation and is readily degraded (8,9). In contrast, the p53 protein loses its function quite readily due to its gene mutation, especially on its 393 amino acid residue (10).The wt-p53 gene has been a popular candidate for gene replacement therapy since it suppresses tumor growth in various types of solid tumors (11)(12)(13)(14)(15). Mutation in the p53 gene may cause various types of cancers. Researchers have also proven that the growth of tumors with p53 gene mutation may be inhibited even in the late stages, and the function of p53 may still be recovered by clinical therapy. As a resu...