Gene therapy is being examined as a potential strategy for treating
prostate cancer. Serotype 5 adenovirus (
Ad.5) is routinely used as a vector for transgene delivery. However, the infectivity of
Ad.5 is dependent on Coxsackie-
adenovirus receptors (CARs); many
tumor types show a reduction in this receptor in vivo, thereby limiting therapeutic gene transduction. Serotype chimerism is one approach to circumvent CAR deficiency; this strategy is used to generate an
Ad.5/3-recombinant Ad that infects
cancer cells through Ad.3 receptors in a CAR-independent manner. In this report, the enhanced transgene delivery and efficacy of
Ad.5/3-recombinant virus was evaluated using an effective wide-spectrum anticancer therapeutic
melanoma differentiation-associated gene-7/
interleukin-24 (mda-7/IL-24). Our data show that in low CAR human
prostate cancer cells (PC-3), a recombinant
Ad.5/3 virus delivering mda-7/IL-24 (
Ad.5/3-mda-7) is more efficacious than an
Ad.5 virus encoding mda-7/IL-24 (Ad.5-mda-7) in infecting
tumor cells, expressing MDA-7/IL-24
protein, inducing
cancer-specific apoptosis, inhibiting in vivo
tumor growth and exerting an antitumor 'bystander' effect in a nude mouse xenograft model. Considering the fact that Ad.5-mda-7 has shown significant objective responses in a phase I clinical trial for solid
tumors,
Ad.5/3-mda-7 is predicted to exert enhanced therapeutic benefit in patients with
prostate cancer.