The combination of molecular
chemotherapy with
radiation therapy has the potential to become a powerful approach for treatment of
pancreatic cancer. We have developed an adenoviral vector (AdbCD-D314A) encoding a mutant bacterial
cytosine deaminase (bCD) gene, which converts the
prodrug 5-fluorocytosine (5-FC) into the active
drug 5-fluorouracil. The aim of this study was to investigate AdbCD-D314A/5-FC-mediated cytotoxicity in vitro and therapeutic efficacy in vivo alone and in combination with radiation against human
pancreatic cancer cells and xenografts. AdbCD-D314A/5-FC-mediated cytotoxicity alone and in combination with radiation was analyzed using
crystal violet inclusion and clonogenic survival assays. CD
enzyme activity was determined by measuring conversion of [3H]5-FC to [3H]
5-fluorouracil after adenoviral
infection of
pancreatic cancer cells in vitro and pancreatic
tumor xenografts by TLC. S.c. pancreatic
tumor xenografts were used to evaluate the therapeutic efficacy of AdbCD-D314A/5-FC molecular
chemotherapy in combination with
radiation therapy. AdbCD-D314A
infection resulted in increased 5-FC-mediated
pancreatic cancer cell killing that correlated with significantly enhanced CD
enzyme activity compared with AdbCDwt encoding wild-type of bCD. Animal studies showed significant inhibition of growth of human pancreatic
tumors treated with AdbCD-D314A/5-FC in comparison with AdbCDwt/5-FC. Also, a significantly greater inhibition of growth of Panc2.03 and MIA PaCA-2
tumor xenografts was produced by the combination of AdbCD-D314A/5-FC with radiation compared with either agent alone. The results indicate that the combination of AdbCD-D314A/5-FC molecular
chemotherapy with
radiation therapy significantly enhanced cytotoxicity of
pancreatic cancer cells in vitro and increased therapeutic efficacy against human pancreatic
tumor xenografts.