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ISSN 0582-9879                                 
        ACTA BIOCHIMICA
et BIOPHYSICA SINICA 2003, 35(5): 430-434                              
     CN 31-1300/Q

 

Effects of
CD/5-FC Suicide Gene Therapy System on Human Malignant Glioma Cells in
Vitro

LV
Sheng-Qing
1,2*, YANG Hui2, HE Jia-Quan2,
WANG Bin2, YOSHIMURA Ichiro3, LIU
Yun-Sheng
1**

(1Department of Neurosurgery,
Xiangya Hospital, Central South University, Changsha 410008, China; 2Department
of Neurosurgery, Xinqiao Hospital, Third Military Medical University, Chongqing
400037, China; 3Department of Urology, National Defense Medical College, 3-2
Namiki, Tokorozawa, Saitama 359-8513, Japan )

Abstract    The purpose of this paper is to investigate the
antitumor effects of cytosine deaminase/5-fluorocytosine (CD/5-FC) suicide
gene therapy system on human malignant glioma cells in vitro. The pCMVCD
plasmid was constructed through the CD gene insertion in the multicloning
site of eukaryotic expression vector pcDNA3.0, and confirmed by restriction
endonuclease digestion/gene sequencing. The construct was subsequently transfected
into the U251 human malignant glioma cells by using LipofectAMINE2000-mediated
method. Resistant clones (named U251/CD cells) were isolated by screening
with G418 presence. U251/CD cells were incubated with 5-FC in different concentrations
to determine viability ratios (or cytotoxicity assay), measured by the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium
bromide (MTT) assay. The concentrations of 5-fluorouracil (5-FU) in the media
were measured by high-performance liquid chromatography (HPLC) detector. Our
results suggested that the untreated U251 cells were insensitive to 5-FC,
with the IC50 about 6500 μmol/L. After transfection, the IC50 was dramatically
reduced to about 10 μmol/L. Therefore, gene transfection made G418-resistant
clones (U251/CD cells) be highly sensitive to 5-FC. HPLC analysis showed that
5-FU was detected in U251/CD cell medium. Study on U251 cells genetically
modified by CD gene in vitro will play an essential role in glioma gene therapy
in vivo. In conclusion, our results indicated that the CD/5-FC system
was feasible to treat glioma.





Key words      cytosine deaminase; 5-fluorocytosine; gene therapy; malignant
glioma

Introducing a suicide gene into malignant tumor cells proposes an attractive
approach for human gene therapy[1]. Suicide genes typically encode for nonmammalian
enzymes that convert nontoxic prodrugs into highly toxic metabolites. Therefore,
systemic application of the nontoxic prodrug results in the production of
the active drug at the tumor site. Escherichia coli cytosine
deaminase (CD), which is expressed in yeasts and bacteria but not in mammalian
cells, converts the antifungal agent 5-fluorocytosine (5-FC) into the highly
toxic 5-fluorouracil (5-FU)–a very common antitumor drug[2]. Consequently,
mammalian cells transfected with CD gene induce growth inhibition and cell
death after 5-FC administration of lower concentration. The use of CD/5-FC
gene system in cancer therapy have been described by Huber et al.[2]
and Yoshimura et al.[3].

Glioma, especially malignant glioma (eg. glioblastoma multiform),
is the most common primary tumor in the central nervous system (CNS), carrying
a poor prognosis. In addition, malignant gliomas frequently produce profound
and progressive disability and lead to death in most cases. Fewer than 5%
of patients survive longer than 5 years after diagnosis[4]. Surgery, chemotherapy,
radiotherapy, immunotherapy, and combined treatments are common modalities
in each section[5]. With the development of molecular biology and accomplishment
of human genome project, many kinds of therapeutic methods such as gene therapy[6]
and antiangiogenesis therapy[7] are being intensively investigated in various
laboratories of worldwide. The potentials of gene therapy include: suicide
gene therapy, immunological gene therapy, synergistic gene therapies, and
so on. Significant antitumor effects have been reported in suicide gene therapy
in vitro and/or in vivo. In our laboratory, CD/5-FC suicide
gene therapy system is used to treat human malignant glioma in vitro.

1 Materials and Methods
1.1 Materials
1.1.1 Bacteria and cell line Host bacteria Escherichia coli
DH5α and U251 human glioblastoma multiform cell line (abbreviated U251 cells)
were obtained from Institute of Biochemistry and Cell Biology, the Chinese
Academy of Sciences.
1.1.2 Reagents Restriction endonucleases BamHI and NotI
were purchased from New England BioLabs Inc (USA). pcDNA3.0 was from Invitrogen
(USA). Lambda DNA / HindIII Marker was from Huamei Biological Company
(China). E.Z.N.A. plasmid miniprep kit I was from Omega (USA). LipofectAMINE2000
and G418 were from Gibco/BRL (USA). Dulbecco’s modified Eagle’s medium (DMEM)
and fetal bovine serum (FBS) were from Hyclone (USA). 5-FU, 5-FC, MTT were
from Sigma (USA). The pCMVCD plasmid was constructed by Dr. Yoshimura I.
1.2 Methods
1.2.1 Cell culture The U251 human glioblastoma multiform cells were
cultured in DMEM containing 10% FBS at 37 °C and 5% CO2, passaged weekly.
1.2.2 Plasmid construction, amplification and purification The CD gene
was subcloned into the multicloning site of eukaryotic expression vector pcDNA3.0
to generate the pCMVCD plasmid (finished by Dr. Ichiro Yoshimura, Japan).
The plasmid was amplified in Escherichia coli DH5α, and purified using
E.Z.N.A. plasmid miniprep kit I.
1.2.3 Plasmid identification and gene sequencing The pCMVCD plasmid
was cleaved by restriction endonucleases Bam HI and NotI digestion,
and identified by electrophoresis through 1% agarose-formaldehyde gels. The
1.5 kb inserted fragment was further confirmed by auto-sequencing. The primer
was: 5′-GCA ATG CCG TAA TCC TG-3′.
1.2.4 Transfection of the U251 cells The pCMVCD plasmid was used to
transfect the U251 cells in vitro using Lipofectamine2000 cationic
lipid reagent[3]. Briefly, 4 μg of DNA were mixed with 10 μL of LipofectAMINE2000
reagent and added to the medium in 6-well dishes. After gene transfection,
the U251 cells were screened by 200 mg/L with G418 presence. G418-resistant
clones (named U251/CD cells) were isolated after 2-3 weeks.
1.2.5 Cytotoxicity assay (or cells viability ratios assay) The U251/CD
and U251 cells were seeded into the 96-well dishes (2000 cells / well, 6 wells
/ group). The U251/CD and U251 cells were incubated with 5-FC or 5-FU of different
concentrations next day. Cytotoxicity assay was measured by the standard 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium
bromide (MTT) assay after 7 days of drug treatment. Absorbance at a wavelength
of 490 nm was measured to calculate the percentage of live cells against the
control group (more than 3 times of assays).
1.2.6 5-FU concentration in cell medium The U251/CD cells were seeded
into 24-well dishes (200 000 cells / well, 6 wells / group). Mediums with
5-FC of different concentrations (100, 1000, 5000 μmol/L) were added into
24-well dishes. Mediums were collected at 24, 48, 96, 192 h after 5-FC incubation.
5-FU concentrations in cell mediums were detected by high-performance liquid
chromatography (HPLC) method at a wavelength of 270 nm. Meanwhile, the U251
cells were used to be control groups.
1.3 Statistical analysis
Data were expressed as x±s. Statistical analysis was performed with
One-Way ANOVA followed by LSD’s post hoc tests, which was provided by SPSS
10.0 statistical software. Statistical significance was accepted at the level
of P<0.05.

2 Results
2.1 pCMVCD plasmid construction and identification

The eukaryotic expression plasmid pCMVCD was successfully constructed. Restriction
endonucleases BamHI and NotI digestion showed that CD gene was
correctly inserted into the multicloning site. The CD fragment and pcDNA3.0
vector were about 1.5 kb and 5.4 kb, respectively (Fig.1).

 

Fig.1 Plasmid identification by electrophoresis through 1% agarose-formaldehyde
gels

M, Lambda DNA/HindIII marker; A, pCMVCD plasmid; B, fragments by BamHI
and NotI digestion.

2.2 CD gene sequence
DNA sequencing data showed that the coding region of CD gene was 1284 bp,
which was identical to the sequence published by Austin EA[8] in GenBank(document
not shown).
2.3 Cell culture and gene transfection of U251 cells
The U251 cells were harvested in DMEM/10% FBS medium. The U251 cells could
express CD gene using LipofectAMINE2000-mediated gene transfection. G418-resistant
clones (named U251/CD cells) were obtained for later use after 2-3 weeks.

2.4 5-FC or 5-FU-induced growth inhibition and cell death in vitro

Fig.2 Effects of 5-FC administration on U251 and U251/CD cell viability
ratios

Fig.3 Effects of 5-FU administration on U251 and U251/CD cell viability
ratios

Viability of the U251 cells at the 7th day after transfection with CD gene
and administration of 5-FC were remarkably decreased from the MTT assay. As
shown in Fig.2 and Fig.3, both U251 and U251/CD cells were highly sensitive
to 5-FU, with IC50 (calculated using Bliss and Finney methods)
less than 1 μmol/L. However, the U251 cells were insensitive to 5-FC, with
the IC50 about 6500 μmol/L. After gene transfection, the IC50
was about 10 μmol/L. In addition, significantly morphological changes between
U251 and U251/CD cells were observed after 1000 μmol/L 5-FC administration
at the 7th day [Fig.4(A) and (B)]. Viability ratios of U251 and U251/CD cells
were about 78.9% and 22.8%, respectively. The typical features of U251/CD
cells were growth inhibition and cell death after 5-FC administration at lower
concentration.

 

Fig.4 Morphological analysis by phase-contrast microscope (×100)
(A) The U251 cells without CD gene expression displayed well-growth at 1000
μmol/L 5-FC incubation after 7 days. The cell viability ratio was about 78.9%(MTT
assay); (B) The U251/CD cells displayed growth inhibition and cell death at
1000 μmol/L 5-FC incubation after 7 days. The cell viability ratio was about
22.8%(MTT assay).

2.5 5-FU concentrations in cell medium

The data are listed in the Table 1. From the table, we found that 5-FU was
detected in cell medium after different concentration of 5-FC incubation by
HPLC analysis (Fig.5). The concentrations of 5-FU were correlation to the
concentrations and the incubation time. No 5-FU was detected in U251 cell
mediums after different concentration of 5-FC incubation.

Table 1 5-FU concentration in cell medium after 5-FC incubation (μmol/L
)

Group (n=6)
Concentration
  24 h 48 h 96 h 192 h
Control 0 0 0 0
100 2.3±0.2 5.3±0.5 6.9±0.8 6.5±0.2
1000 23.1±3.6 39.0±6.0 92.2±10.4 111.8±11.9
5000 86.8±12.2 172.9±22.7 552.9±50.0 1127.8±140.3

Data were expressed as x±s.

 

Fig.5 HPLC chromatogram of 5-FU concentration in the U251/CD cell medium
after 5-FC incubation

3 Discussion
It is well known that 5-FU is an antimetabolite agent for cancer therapy in
clinical trials. 5-FU exerts its toxic effect by interfering with DNA and
protein synthesis due to substitution of uracil by 5-FU in RNA and inhibition
of thymidilate synthetase by 5-fluorodeoxyuridine monophosphate, resulting
in impaired DNA biosynthesis[9]. But the side effects are also reported, such
as bone marrow inhibition and gastrointestinal effects, especially in longer
5-FU administration of high concentration. The aim of this study would be
expressed as avoiding the side effects of 5-FU using gene transferring.

Herpes simplex virus thymidine kinase (HSV-tk)/ ganciclovir (GCV) system
is widely used in suicide gene therapy[10]. The prodrug GCV is limited for
lower penetration of blood-brain-barrier (BBB). The CD gene is another example
of a
suicide gene. Mammalian cells do not produce this enzyme, whereas a variety
of bacteria and fungi do. CD enzyme has the ability to deaminate 5-FC to 5-FU.
The pharmacokinetics of 5-FC and 5-FU are very clear to us. Unlike 5-FU, 5-FC
is nontoxic to human being at therapeutic doses, and oral intake easier penetration
of BBB. In our study, CD/5-FC system is used to treat malignant glioma. Penetration
of BBB must be considered at first in CNS cancer therapy in vivo.

Many vector systems have been utilized to deliver target genes to target
cells in many laboratories. In general, vector systems are categorized into
two major groups: viral vectors and non-viral vectors[11]. The present study
was carried out using a non-viral vector, liposome-mediated transfection method.
LipofectAMINE2000 is a proprietary formulation suitable for the transfection
of nucleic acids into eukaryotic cells. The higher transfection efficiency
can appear in many cell types and formats (eg. 6-well and 24-well dishes).
DNA-LipofectAMINE2000 complexes can be added directly to cells in culture
medium in presence or absence of serum. And it is a very convenient strategy
to us to gene transfer. But it is less effective than the use of viral vectors,
such as adenovirus (document not shown). In fact, it is safer to use in clinical
applications and very rapid technical innovations in this field are occurring.

In this study, we demonstrated that transduction of CD gene into human malignant
glioma made the U251 cells highly sensitively to 5-FC at lower concentration
(10 μmol/L). The U251 cells without CD gene expression would induce growth
inhibition and cell death at highly concentration (>6500 μmol/L). It was
650 times more than the U251/CD cells. In addition, significantly morphological
changes between U251 and U251/CD cells were observed after 1000 μmol/L 5-FC
administration at the 7th day. We found that the U251/CD cells appeared growth
inhibition and cell death at 1000 μmol/L 5-FC by phase-contrast microscope.
The MTT assay showed that cell viability ratios were 78.9% and 22.8%, respectively.
But the U251 cells were harvested at the same concentration. Morphological
analysis indicated that 5-FC-induced growth inhibition and cell death of the
U251 cells should be aroused by gene transfection. In our study, bystander
effect was also observed, which represented that only approximately 10% cells
expressed CD gene could result in about 100% cells death in culture medium
(in press).

HPLC analysis, a very common assay in pharmaceutical research[12], was used
to determine the production of 5-FU in U251/CD cell medium after 5-FC incubation
at different time. We observed significant differences in 5-FU production
between U251 and U251/CD cell medium. Untransfected U251 cells were not capable
to deaminate 5-FC into 5-FU, therefore no 5-FU was detected in U251 cell medium.
Alternatively, U251 cells expressed CD gene could convert 5-FC into 5-FU.
The concentrations of 5-FU were positive correlation to the concentrations
of 5-FC and the incubation time. But their effects were limited because 5-FU
itself would induce growth inhibition and cell death.

In conclusion, liposome-mediated CD gene transfection is an effective strategy
for cancer gene therapy in vitro. We are planning to transfect the
CD gene into nude mice using LipofectAMINE2000 agent in the near future. The
relatively lower transfection efficiency of liposome and longer gene expression
in vivo will be considered completely at first.

Acknowledgements We thank Dr. LIU Shi-Jie at Tongji Medical College
(Wuhan) for his help to modify this paper.

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Received: December 24, 2002Accepted: February 14, 2003
*Corresponding author: LIU Yun-Sheng: Tel, 86-731-4328599; e-mail, [email protected];
LV Sheng-Qing: Tel, 86-23-65205590; e-mail, [email protected]