We presently demonstrate that
histone deacetylase inhibitors (HDACIs) enhance toxicity of
melanoma differentiation-associated gene-7/
interleukin 24 (mda-7/IL-24) in invasive primary human
glioblastoma multiforme (GBM) cells. Additionally, a method is described to augment the efficacy of adenoviral delivery of mda-7/IL-24 in these cells. HDACIs synergized with
melanoma differentiation-associated (MDA)-7/IL-24 killing GBM cells. Enhanced lethality correlated with increased autophagy that was dependent on the expression of
ceramide synthase 6. HDACIs interacted with MDA-7/IL-24 prolonging generation of
reactive oxygen species and Ca(2+). Quenching of
reactive oxygen species and Ca(2+) blocked HDACI and MDA-7/IL-24 killing. In vivo MDA-7/IL-24 prolonged the survival of animals carrying orthotopic
tumors, and HDACIs enhanced survival further. A serotype 5/3 adenovirus more effectively delivers mda-7/IL-24 to GBM
tumors than a serotype 5 virus. Hence, we constructed a serotype 5/3 adenovirus that conditionally replicates in
tumor cells expressing MDA-7/IL-24, in which the adenoviral early region 1A (E1A) gene was driven by the
cancer-specific promoter progression elevated gene-3 [
Ad.5/3 (INGN 241)-PEG-E1A-mda-7; also called
Ad.5/3-CTV (
cancer terminator virus)].
Ad.5/3-CTV increased the survival of mice carrying GBM
tumors to a significantly greater extent than did a nonreplicative virus
Ad.5/3-mda-7.
Ad.5/3-CTV exhibited no toxicity in the brains of Syrian hamsters. Collectively our data demonstrate that HDACIs enhance MDA-7/IL-24 lethality, and adenoviral delivery of mda-7/IL-24 combined with
tumor-specific viral replication is an effective preclinical GBM therapeutic.