The
melanoma differentiation associated gene-7 (mda-7)
cDNA was isolated by virtue of being induced during
melanoma differentiation. Initial gene transfer studies convincingly demonstrated potent antitumor effects of mda-7. Further studies showed that the mechanism of antitumor activity was due to induction of apoptosis. Most striking was the
tumor-selective killing by mda-7 gene transfer--normal cells were unaffected by Adenoviral delivery of mda-7 (Ad-mda7). A variety of molecules implicated in apoptosis and intracellular signaling are regulated by Ad-mda7 transduction. Different apoptosis effector
proteins are regulated in different
tumor types, suggesting that Ad-mda7 may regulate various signaling pathways. mda-7 encodes a secreted
protein, MDA-7, which has now been designated as IL-24, and is a novel member of the
IL-10 cytokine family. MDA-7/IL-24
protein is actively secreted from cells after mda-7 gene transfer. In human peripheral blood mononuclear cells (PBMC), STAT3 activation by MDA-7/IL-24 is followed by elaboration of secondary Th1
cytokines, demonstrating that MDA-7/IL-24 is a pro-Th1
cytokine. Furthermore, MDA-7/IL-24 is antagonized by the prototypic Th2
cytokine IL-10. MDA-7/IL-24
protein is endogenously expressed in cultured NK and B-cells and is also expressed in dendritic cells in tissues. MDA-7/IL-24
protein is expressed in
nevi and
melanoma primary
tumors, to varying degrees, but is rarely expressed in
malignant melanoma or other human
tumors evaluated. Indeed, loss of MDA-7/IL-24
protein expression correlates strongly with
melanoma tumor invasion and
disease progression. The "bystander" effects proposed for MDA-7/IL-24
protein include immune stimulation, antiangiogenesis and receptor-mediated cytotoxicity. Thus, mda-7 is a unique multifunctional
cytokine in the
IL-10 family and may have potent antitumor utility in a clinical setting.