
[Cancer Research 61, 370-375, January 1, 2001]
© 2001 American Association for Cancer Research
Specifically Targeted Killing of Carcinoembryonic Antigen (CEA)-expressing Cells by a Retroviral Vector Displaying Single-Chain Variable Fragmented Antibody to CEA and Carrying the Gene for Inducible Nitric Oxide Synthase1
Pranay D. Khare,
Liao Shao-Xi,
Motomu Kuroki,
Yumiko Hirose,
Fumiko Arakawa,
Ken Nakamura,
Yoshihiro Tomita and
Masahide Kuroki2
Molecular Oncology Center [P. D. K., Y. H., Ma. K.] and First Department of Biochemistry [L. S-X., Mo. K., F. A., K. N., Y. T., Ma. K.], School of Medicine, Fukuoka University, Fukuoka 814-0180, Japan
 |
ABSTRACT
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The generation of retroviral vectors that infect specific cell types
through recognition of cell surface antigens is a promising and
effective approach to targeted gene therapy of cancer. Carcinoembryonic
antigen (CEA), a highly characterized, cell surface glycoprotein
overexpressed by various tumor cells, provides a specific tool for
tumor tissue-specific targeting by retroviral vectors. The conventional
suicidal gene delivery systems need additional drugs other than their
gene products. The inducible nitric oxide synthase (iNOS) gene product
yields nitric oxide (NO), which directly induces autocytotoxicity and
cytolysis of bystander cells. In the present study, we have developed a
novel bifunctional Moloney murine leukemia virus-based recombinant
retroviral vector that displays a chimeric envelope protein containing
a single-chain variable fragmented (scFv) antibody to CEA and carries
the iNOS gene in the genome. The resultant bifunctional
retroviral vector showed a specific delivery of the
iNOS gene to human CEA-expressing carcinoma cells,
resulting in the direct and efficient killing of CEA-expressing
carcinoma cells by induction of apoptosis. This is the first report of
successful killing of CEA-expressing cells by specific targeting of the
iNOS gene. This approach may offer a one-step procedure
for effective gene therapy of CEA-expressing tumors.
 |
INTRODUCTION
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Most experimental and clinical trials for gene therapy have
adopted retroviral vectors originated from murine leukemia virus to
transfer specific genes into target cells. To establish gene therapy as
a feasible treatment of cancer, more emphasis will be required on the
development of optimal gene delivery systems with greater tumor tissue
specificity. One of the efforts of tissue-specific targeting is based
on attempts to engineer the normal retroviral envelope protein. Recent
advances in the genetic engineering field provide a concept for target
cell specificity by changing the tropism of normal envelope retroviral
receptor-binding domain with a ligand or a
scFv3
that recognizes a specific cell surface receptor or antigen
(1, 2, 3, 4, 5, 6)
.
CEA is a highly glycosylated protein of about
Mr 180,000 and is widely
expressed on the surface of tumor cells of various human tissues as
well as on the epithelial cells of normal gastrointestinal tissues and
fetal intestine (7)
. In normal adult human colon tissues,
however, CEA is localized on the luminal surface of the single layer of
columnar epithelial cells lining the upper parts of the crypts
(8)
, so that normal CEA is not directly in contact
with blood flow or tissue fluid. On the other hand, in tumor tissues
that no longer conform to the single-layer organization by invading
through the basement membrane in multicellular arrays, CEA is usually
localized at all sides of the cell membranes and is directly facing
blood flow or tissue fluid (8)
. Hence, tumor CEA can be a
useful target molecule for gene therapy using anti-CEA antibody. We
have previously prepared an monoclonal antibody clone F1139,
which shows a high affinity to CEA and discriminates CEA in tumor
tissues from the other CEA gene family antigens in the normal tissues
(9)
. A mouse-human chimeric antibody (Ch F1139)
generated from F1139 has retained the same affinity with that of the
parental monoclonal antibody and suppressed tumor growth both in
vitro and in vivo when administered with
lymphokine-activated killer cells (10
, 11) . Thus, the scFv
form of this antibody seems to be applicable to the targeting of
retroviral vectors to CEA-expressing tumor cells by expression in the
envelope proteins of the virus particles that contain a certain killing
or suicidal gene.
The second important issue in this approach is the selection of the
gene used for cell killing. NO, one of the smallest biologically active
molecules, is a potential toxin for immunological self-defense. The
formation of NO from L-arginine in mammalian cells is
catalyzed by NOSs including iNOS, endothelial NOS, and brain NOS
(12
, 13) . Under physiological conditions, iNOS is absent
from mammalian cells, but when cells are activated, it is induced and
causes a long-lasting generation of NO, which is associated with a
cytotoxic reaction against pathogens and tumor cells (13
, 14)
. Previous studies have shown that iNOS
transfected into mouse melanoma cells suppressed their tumorigenicity
(15)
and also lysed bystander murine cells under in
vitro and in vivo conditions, which suggested that
NO-mediated cell killing does not require transfection of every cell
(16)
. However, there is no report thus far on the
specific-targeted delivery of the iNOS gene against tumor
cells.
In the present study, we have generated a bifunctional Moloney murine
leukemia virus-based retroviral vector that displays a chimeric
envelope protein including an anti-CEA scFv antibody derived from Ch
F1139 and carries the iNOS gene in the genome. The
recombinant retrovirus showed a specific delivery of the
iNOS gene to human CEA-expressing carcinoma cells and
directly killed the infected cells by induction of apoptosis without
any additional drugs.
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MATERIALS AND METHODS
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Cell Lines and Culture Conditions.
The mouse fibroblast cell line NIH3T3, the NIH3T3-derived ecotropic
retroviral packaging cells GP+E-86, and the amphotropic retroviral
packaging cells PA317 were obtained from American Type Culture
Collection (Rockville, MD). The human gastric carcinoma cell lines
MKN-45, KATO-III, and MKN-74 were obtained from the Japanese Cancer
Research Resources (Tokyo). All of the above cells were cultured in
DMEM (Nissui, Tokyo, Japan) supplemented with 10% heat-inactivated
fetal bovine serum (Bio-Whittaker, Walkersville, MD), 100 units/ml
penicillin and 100 µg/ml streptomycin. A CEA-expressing CHO clone
(CHO-CEA) and its parent CHO cell line were described previously
(17)
and maintained in
-MEM (Life Technologies, Inc.,
Gaithersburg, MD) supplemented with 10% heat-inactivated fetal bovine
serum, 2 mM glutamine, and penicillin and
streptomycin. The cell cultures were maintained at 37°C in a
humidified atmosphere with 5% CO2.
Plasmid Construction.
The VH and V
cDNA genes were
obtained from the transfectoma Ch F1139 (10)
by RT-PCR
using oligonucleotide primers corresponding to the 5' and 3' consensus
amino acid sequences of immunoglobulin variable regions, and joined
together using the flexible 14-amino-acid long 212 linker
(18)
by the overlap extension PCR method. The PCR products
thus obtained were cloned into the pT7 blue vector (Novagen, Novagen,
WI). This scFv cDNA was modified at its 5' and 3' ends with
the following PCR primers introducing the unique XhoI and
BstEII sites, respectively (underlined):
5'-TCTCGAGGACATCCAGATGACTCAGTCT-3' and
5'-TGGTGACCTCAGCAGAGACAGTGACCAGA-3'. The modified
scFv cDNA (728 bp, 242 amino acids) was inserted into the
XhoI and BstEII restriction sites of the envelope
expression vector pEnv 20.22 (kindly given by Dr. N. V. Somia,
Salk Institute, La Jolla, CA), which contains a strong
cytomegalovirus immediate-early promoter (19)
, which
yielded the plasmid pscFv-env (Fig. 1)
. This resulted in insertion of the scFv between the sixth and seventh
amino acid of the ecotropic envelope.

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Fig. 1. Schematic illustration of the plasmid construct for the
expression of a chimeric envelope protein containing anti-CEA scFv. The
anti-CEA VH and V genes
were prepared from the transfectoma Ch F1139 (10)
,
assembled, and cloned into the envelope expression vector pEnv 20.22 to
generate pscFv-env.
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Mouse iNOS cDNA was inserted into the pLNCX retroviral
vector with the cytomegalovirus promoter and a neomycin resistance gene
(Clontech, Palo Alto, CA). Briefly, an adapter containing a
HincII and an SspI site was inserted into the
multiple cloning site of pLNCX. The piNOSL8 construct (Oxford Biomed.
Res. Inc., Rochester Hills, MI) was digested with HincII and
SspI, and the resulting 3.9-kb iNOS fragment was
cloned into the HincII/SspI site of pLNCX,
yielding the plasmid pLNC-iNOS.
The nucleotide sequences of all of the inserts were confirmed with the
ABI Prism 377 DNA sequencing system (PE Applied Biosystem,
Foster City, CA).
Reconstruction of Packaging Cells.
To establish a permanent clone of ecotropic packaging cells for
expression of the chimeric envelope displaying anti-CEA scFv antibody,
5 x 105 GP+E-86 cells were
cotransfected with 12 µg of the plasmid pscFv-env and 2 µg of the
hygromycin-B phosphotransferase expression vector pcDNA3.1/Hygro (+)
(Invitrogen, Carlsbad, CA) by the calcium phosphate method. Clones were
selected in the presence of hygromycin B (200 µg/ml; Wako Pure
Chemical, Osaka, Japan) for 1012 days. The positive clones were
screened by RT-PCR using the primers for anti-CEA scFv (see above) and
by an EPICS flow cytometer (Coulter, Miami, FL) using biotinylated CEA
(20
, 21)
and FITC-conjugated avidin (Vector Laboratories,
Burlingame, CA). The highest positive permanent packaging cell clone
thus obtained was named GPEscFv-env. For control, the GP+E-86 cells
were transfected only with the hygromycin-B phoshphotransferase gene,
selected and designated GPE-hgB.
Production of Viruses.
Retrovirus carrying the iNOS gene was obtained by
transfection of the PA317 packaging cells with pLNC-iNOS using the
calcium phosphate method. After 48 h, the GPEscFv-env or GPE-hgB
packaging cells were infected with the culture supernatant of the
transfected PA317 cells in the presence of Polybrene (4 µg/ml; Sigma
Chemical Co., St. Louis, MO) by spin infection at 2000 rpm for 2 h
at 32°C. After washing, the successfully iNOS-infected
cells were selected for 14 days in the medium containing 2
mM of the specific iNOS inhibitor NMA (Sigma;
Ref. 15
) and 600 µg/ml of G418 (Calbiochem-Novabiochem,
San Diego, CA). For virus production, medium was harvested from
confluent monolayers of the virus-producing cells 1820 h after a
medium change. The supernatant was filtered through a 0.45-µm pore
filter (Millipore, MA) and used immediately for infection or stored at
-80°C. The clones showing the highest virus titer for the NIH3T3
cells were chosen as virus-producing cells. The resultant recombinant
retrovirus displaying anti-CEA scFv and carrying the iNOS
gene was termed GPEscFv-env/iNOS and the retrovirus only carrying the
iNOS gene as GPE/iNOS. To increase the virus titer, the viral
supernatants were concentrated by centrifugation at 6000 rpm for
18 h at 4°C (5)
.
Immunoblotting.
For detection of envelope proteins, 6 ml of viral supernatants were
centrifuged as described above, and the pellet was dissolved in 100
µl of SDS-PAGE sample buffer. Proteins were then separated by
SDS-PAGE on 8% gel and electroblotted onto nitrocellulose membranes
(Amersham Pharmacia Biotech, Buckinghamshire, United Kingdom). After
blocking, the membrane was reacted successively with anti-RLV gp70
antiserum (goat anti-Rouscher leukemia murine envelope gp69/71; Quality
Biotech, Camden, NJ), biotinylated antigoat IgG, and horseradish
peroxidase-conjugated avidin (Vector). Proteins on the membranes were
visualized by using the ECL system and Hyperfilm-ECL (Amersham
Pharmacia Biotech) according to the manufacturers instructions.
RT-PCR.
Total RNA was isolated from virus-producing cells or infected cells
using the High Pure RNA Isolation kit (Boehringer Mannheim,
Indianapolis, IN) according to the manufacturers instructions.
Isolated RNA (5 µg) was reverse transcribed by using the Superscript
Preamplification System (Life Technologies, Rockville, MD). PCR
amplification was performed using AmpliTaq Gold (Perkin-Elmer, NJ) and
the primers were synthesized from published sequences with sense primer
5'-CTGCAAGAGAACGGAGAACGT-3' and antisense primer
5'-GATCCTCACATACTGTGGACG-3' for iNOS; 5'-TCAGCGCAGGGGCGCCCGGTTCTTT-3'
and 5'-ATCGACAAGACCGGCTTCCATCCGA-3' for neomycin;
5'-GTGGGCCGCTCTAGGCACCAA-3' and 5'-CTCTTTGATGTCACGCACGATTTC-3' for
mouse ß-actin; 5'-TCCTGACCGAGCGTGGCTACAGC-3' and
5'-CTCCTGGAAGGTGGACAGTGAGG-3' for hamster ß-actin;
5'-GGGAATTCGAGCAAGAGATG-3' and 5'-GGGAATTCATAGTCCGCCTAGAA-3' for human
ß-actin; and the above-mentioned oligonucleotides for anti-CEA scFv.
PCR products were electrophoresed on 1.5% agarose gel and stained
with ethidium bromide.
NO Analysis.
The concentration of NO in the culture supernatants of the
virus-producing cells was determined by a microplate assay as described
by Ding et al. (22)
. Briefly, 100 µl of
supernatant cultured in the absence of NMA was mixed with 100 µl of
the Griess reagent (1% sulfanilamide, 0.1% naphthylethylene diamine
dihydrochloride, and 2.5% phosphoric acid; Wako) at room temperature
for 10 min in the dark. The absorbance at 540 nm was monitored by a
microplate reader (Benchmark; Bio-Rad, Hercules, CA). NO concentration
was determined using sodium nitrite as the standard.
Virus-binding Assay.
Target cells were detached from culture flasks by incubation in
trypsin-EDTA solution and were resuspended in cold PBS supplemented
with 2% BSA and 0.1% sodium azide. The cells (1 x 106) were then incubated with the
GPEscFv-env/iNOS or GPE/iNOS retrovirus for 30 min at 4°C for
virus binding. The cells were washed with PBS and were incubated with
goat anti-RLV gp70 antiserum diluted at 1:1000 in PBS. After washed
three times, the cells were incubated with antigoat IgG-FITC conjugate
(DAKO, Glostrup, Denmark) for 30 min at 4°C and were analyzed by the
EPICS.
Virus Infection and Virus Titer Assay.
Target cells were seeded at 1 x 105 cells/well in 6-well plates (Becton
Dickinson, Franklin Lakes, NJ). After 24 h, the target cells were
infected with the GPEscFv-env/iNOS or GPE/iNOS retrovirus in the
presence of Polybrene (4 µg/ml) by spin infection at 2000 rpm for
2 h at 32°C. After washing, the cells were cultured for 12 days
in the presence of 2 mM NMA and 600 µg/ml G418, and the
virus titer was determined after counting G418-resistant colonies and
was calculated by the following formula: G418-R colony-forming
units/ml = number of colonies/virus volume
(ml) x replication factor x fraction of
infected cells plated.
In Vitro Cytotoxicity Assay.
The cytotoxicity of the GPEscFv-env/iNOS or GPE/iNOS retrovirus was
detected by in vitro cytotoxicity assay. Target cells were
infected as described above. The multiplicity of infection used was
adjusted to 0.1. After washing, the cells were cultured for 7 days at
37°C in the absence of NMA. Noninfected control target cells were
incubated for the same days in the plain medium. The remaining cells
were collected in 96-well black plates (Labsystems, Helsinki, Finland),
centrifuged, and incubated with the fluorescent dye H33342 (25 µg/ml;
Calbiochem-Novabiochem) for 1 h at 37°C. Cells were washed and
suspended in 100 µl of PBS, and their fluorescence intensity was
measured at excitation wavelength of 355 nm and emission wavelength of
460 nm by using a Fluoroskan II fluorometer (Labsystems). The results
were expressed as percentage survival, which was obtained by the
formula: (mean test - mean blank/mean control - mean blank) x 100.
Analysis of DNA Fragmentation.
Target cells were infected with the GPEscFv-env/iNOS or GPE/iNOS
retrovirus as described above. After 7-day culture in the absence of
NMA, the low-molecular-mass DNA was extracted from the infected cells
using the Apop Ladder Ex Kit (Takara Biomedicals, Tokyo, Japan)
according to the manufacturers instructions. Samples were
electrophoresed together with molecular weight markers on 2% agarose
gel. DNA was visualized by ethidium bromide staining.
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RESULTS
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Transcription of Anti-CEA scFv and
iNOS Genes in Reconstructed Packaging Cells.
The chimeric envelope expression vector pscFv-env was first transfected
to the GP+E-86 cells to generate the reconstructed GPEscFv-env
packaging cells, which can produce viral particles codisplaying an
anti-CEA scFv-envelope chimeric protein and an unmodified envelope
protein. The GPEscFv-env packaging cells were then infected with the
culture supernatant of the PA317 cells transfected with pLNC-iNOS to
produce the GPEscFv-env/iNOS retrovirus. To demonstrate that the
resultant GPEscFv-env/iNOS retrovirus producing cells contained cDNAs
for anti-CEA scFv and iNOS, the total RNA was isolated from different
packaging cells and analyzed by RT-PCR. Anti-CEA scFv
cDNA appeared as a 728-bp PCR product in two GPEscFv-env/iNOS clones
(Cl-1 and C12; Fig. 2A
, Lanes 5 and 6). The GP+E-86 cells
(Lane 2), the PA317 cells (Lane 3), and the
GPE/iNOS retrovirus producing clone (Lane 4) showed no band
for the scFv. The presence of the specific band of iNOS was
also detected in two GPEscFv-env/iNOS clones (Cl-1 and Cl-2; Fig. 2B
, Lanes 5 and 6) as well as in
GPE/iNOS cells (Lane 4) but not in the GP+E-86 and PA317
cells. The presence of neomycin gene in these three packaging cells
(Fig. 2C
, Lanes 46) was also confirmed.

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Fig. 2. Detection of anti-CEA scFv and
iNOS transcripts in the reconstructed packaging cells.
Total RNA was isolated from the GP+E-86 cells (Lane 2),
the PA317 cells (Lane 3), the GPE/iNOS retrovirus
producing cells (Lane 4), and two different
GPEscFv-env/iNOS retrovirus producing clones (Cl-1, Lane
5, and C12, Lane 6). RT-PCR was performed with
specific primers for anti-CEA scFv (A),
iNOS (B), neomycin
(C) and mouse ß-actin as an internal
control (D). Lane 1, molecular weight
markers StyI.
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Production of NO by Reconstructed Packaging Cells.
High levels of NO (range, 3238 µM) were observed in two
GPEscFv-env/iNOS retrovirus producing clones, Cl-1 and Cl-2, and the
GP+E-86, GPEscFv-env and GPE/X cells produced much lower levels of NO
in the absence of NMA (Fig. 3)
.

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Fig. 3. Production of NO by reconstructed packaging cells. The
cells tested were the GP+E-86 cells, the reconstructed GPEscFv-env
cells, the iNOS-negative GPE/X cells, and two different
GPEscFv-env/iNOS retrovirus-producing clones, Cl-1 and Cl-2. The
permanent clones were obtained by culturing in the presence of G418 and
NMA for 14 days. The concentration of NO in the supernatants was
measured after 48-h incubation in the absence of NMA using the Griess
reagent with sodium nitrite as standard. Bars, SD.
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Expression of Anti-CEA scFv Chimeric Envelope Protein in
Reconstructed Packaging Cells and Recombinant Retrovirus.
To demonstrate that the chimeric envelope protein was transported to
and correctly oriented in the cell membrane, we analyzed the
reconstructed packaging cells by flow cytometry using biotinylated CEA.
The peak was shifted on the chimeric envelope expressing clone
GPEscFv-env, whereas no shift was found on the clone GPE-hgB (Fig. 4A)
.

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Fig. 4. A, expression of anti-CEA scFv chimeric
envelope protein in reconstructed packaging cells. The reconstructed
GPEscFv-env, GPE-hgB, and GP+E-86 cells were tested for the expression
of the chimeric envelope protein by flow cytometry using biotinylated
CEA and FITC-avidin. B, expression of anti-CEA scFv
chimeric envelope protein in recombinant retrovirus. Viral particles
obtained from supernatant of the GPE/iNOS cells (Lane
1), the GPEscFv-env/iNOS cells (Lane 2), and the
GP+E-86 cells (Lane 3) were analyzed for the expression
of the chimeric envelope protein by SDS-PAGE followed by immunoblotting
using anti-RLV gp70 antiserum.
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Incorporation of the chimeric envelope protein into the recombinant
GPEscFv-env/iNOS retrovirus was confirmed by immunoblotting of the
virus particles with antienvelope antiserum. The GPE/iNOS retrovirus
contained only the normal envelope protein of about
Mr 70,000 (Fig. 4B
,
Lane 1), whereas the GPEscFv-env/iNOS retrovirus contained
the chimeric envelope protein of about
Mr 97,000 as well as the normal
envelope protein (Lane 2), which confirmed the expected size
of scFv to be about Mr 27,000. These
findings demonstrated that the chimeric envelope protein, as well as
the normal envelope protein, was incorporated into the GPEscFv-env/iNOS
retrovirus.
Specific Binding of Recombinant Retrovirus to CEA-expressing Cells.
The recombinant GPEscFv-env/iNOS retrovirus, which expresses the
anti-CEA scFv chimeric envelope protein, was examined for the binding
activity to CEA-expressing cells by flow cytometry (Fig. 5)
. The GPEscFv-env/iNOS retrovirus showed significant binding activities
to MKN-45, KATO-III, and CHO-CEA cells (Fig. 5
, A-C), all
expressing CEA on their cell surface, but did not do so to
CEA-nonexpressing MKN-74 cells (Fig. 5D)
and parent CHO
cells (Fig. 5E)
. The GPE/iNOS retrovirus, displaying only
normal envelope protein, was unable to bind to CEA-expressing nor to
CEA-nonexpressing cells (Fig. 5
, A-E). These results
indicated that the GPEscFv-env/iNOS retrovirus specifically bound to
CEA-expressing cells.

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Fig. 5. Viral binding assay of the GPEscFv-env/iNOS retrovirus to
CEA-expressing cells. Binding assay was performed for the
GPEscFv-env/iNOS and GPE/iNOS retroviruses. Three CEA-expressing
cellsMKN-45 (A), KATO-III (B), and
CHO-CEA cells (C) and CEA-nonexpressing MKN-74 cells
(D) and parent CHO cells (E) were first
incubated with viral solution at 4°C, washed, and then incubated with
anti-RLV gp70 antiserum; and fluorescence intensity was measured by
flow cytometry.
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Specific Infection of Recombinant Retrovirus to CEA-expressing
Cells.
Normally, wild-type ecotropic viruses do not infect human cells. We
tested whether the GPEscFv-env/iNOS retrovirus infects human
CEA-expressing cells. As expected, both the GPE/iNOS and
GPEscFv-env/iNOS retroviruses showed high titers against the mouse
NIH3T3 cells (Table 1)
. However, only the GPEscFv-env/iNOS retrovirus, which displayed the
anti-CEA scFv chimeric envelope protein, infected CEA-expressing
cells of human and hamster origins (Table 1)
.
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Table 1 Infectious titer of recombinant retrovirus to mouse NIH3T3
fibroblasts and CEA-expressing and -nonexpressing cells
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Transcription of iNOS Gene in Infected
CEA-expressing Cells.
To demonstrate the expression of the iNOS gene in infected
CEA-expressing cells, the total RNA was extracted from CEA-expressing
and nonexpressing cells infected with the GPEscFv-env/iNOS or GPE/iNOS
retrovirus in the presence of NMA. RT-PCR analysis was performed with
specific primers for murine iNOS. As expected, only the
GPEscFv-env/iNOS retrovirus-infected CEA-expressing cells (MKN-45,
KATO-III, and CHO-CEA) showed the specific band of iNOS (Fig. 6
, Lanes 68), whereas no band was observed in the
GPEscFv-env/iNOS retrovirus-infected CEA-nonexpressing cells (MKN-74;
Fig. 6
, Lane 5) or in the GPE/iNOS retrovirus-infected cells
(Fig. 6
, Lanes 14).

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Fig. 6. Detection of iNOS transcripts in CEA-expressing cells
infected with the GPEscFv-env/iNOS retrovirus. Total RNA was isolated
from MKN-74 (Lanes 1 and 5), MKN-45
(Lanes 2 and 6), CHO-CEA (Lanes
3 and 7), and KATO-III (Lanes 4
and 8) cells infected with the GPEscFv-env/iNOS
retrovirus (Lanes 58) and the GPE/iNOS retrovirus
(Lanes 14) in the presence of NMA. RT-PCR analysis was
performed with specific primers of iNOS and
ß-actin as an internal control.
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Targeted Killing of CEA-expressing Cells by Infection with
Recombinant Retrovirus.
To assess the cytotoxic activity of the recombinant retrovirus, we
infected CEA-expressing and nonexpressing cells for 2 h with the
GPEscFv-env/iNOS or GPE/iNOS retrovirus, and incubated them without the
iNOS inhibitor NMA. All of the cells tested did not produce endogenous
iNOS (data not shown). When the target cells were infected with the
GPEscFv-env/iNOS retrovirus, only 1825% of CEA-expressing carcinoma
cells survived after 7 days, whereas CEA-nonexpressing cells grew
normally (96% of the control; Fig. 7
) as did all of the target cells infected with the GPE/iNOS retrovirus
(data not shown). These findings indicated the specific killing of the
target cells by the GPEscFv-env/iNOS retrovirus carrying the
iNOS gene through the recognition of the cell surface
antigen with the chimeric envelope protein.

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Fig. 7. In vitro cytotoxicity assay of the
GPEscFv-env/iNOS retrovirus. Cells were infected with the
GPEscFv-env/iNOS retrovirus for 2 h and cultured for 7 days
without NMA. The viability of cells was calculated as described in
"Materials and Methods." This is one representative experiment of
three. Bars, SD.
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Apoptosis of CEA-expressing Cells Infected with Recombinant
Retrovirus.
We next examined possible induction of apoptosis in CEA-expressing
cells after infection with the recombinant retrovirus. The data shown
in Fig. 8
reveal that significant DNA fragmentation occurred in CEA-expressing
cells infected with the GPEscFv-env/iNOS retrovirus whereas neither
CEA-nonexpressing cells infected with the GPEscFv-env/iNOS retrovirus
nor CEA-expressing cells infected with the GPE/iNOS retrovirus showed
DNA fragmentation. The degree of apoptosis was positively correlated
with the amount of NO released into the culture medium from the
infected cells (data not shown).

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Fig. 8. Induction of DNA fragmentation to CEA-expressing by
infection with the GPEscFv-env/iNOS retrovirus. The cells infected with
the GPEscFv-env/iNOS retrovirus were the CEA-nonexpressing MKN-74 cells
(Lane 1) and three CEA-expressing cells: MKN-45
(Lane 2), KATO-III (Lane 3), and CHO-CEA
cells (Lane 4). MKN-45 was also infected with the
GPE/iNOS retrovirus (Lane 5). Lane 6,
molecular weight markers. This is one representative experiment of
three.
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 |
DISCUSSION
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For specific targeting to tumor cells, we have altered the tropism
of retroviral vector to infect through the recognition of the CEA
molecule on the tumor cell surface. Previous reports have stated that
the generation of retroviral vectors incorporating a chimeric envelope
protein with a scFv antibody should be fused close to the
NH2 terminus of ecotropic Moloney envelope
protein and that the ratio of normal envelope:chimeric envelope protein
in the viral membrane appeared to determine the efficiency of infection
(1
, 23
, 24) . Our anti-CEA scFv antibody was inserted
between the sixth and seventh amino acid residues from the
NH2 terminus of the ecotropic envelope protein.
The resultant GPEscFv-env/iNOS retroviral particles codisplayed the
chimeric envelope and normal envelope proteins, and their ratio was
almost the same (Fig. 4B)
. Furthermore, when tested on
murine NIH3T3 cells, the infectivity of the GPEscFv-env/iNOS
retroviruses did not decrease as compared with that of the wild-type
GPE/iNOS (Table 1)
. Consequently, the infection titer of the
GPEscFv-env/iNOS retroviruses on CEA-expressing cells was about 10
times higher than that reported by using another anti-CEA scFv gene
(5)
. The main reasons for the high virus titer might be
that our anti-CEA scFv gene was cloned from the Ch F1139
transfectoma, which produces a chimeric antibody with a very high
affinity to CEA (9
, 10)
, and that the virus was generated
from a helper virus-free ecotropic retroviral packaging cell line
(GP+E-86; 25
), although the titer obtained seems to be
still insufficient for future human gene therapy applications.
Although several gene therapy strategies using the iNOS gene
have been reported for various diseases, only a few reports described
the use of the iNOS gene in cancer gene therapy (15
, 26)
, and there seem to be no publications describing the
specific targeting of the iNOS gene to tumor cells. Our
recombinant GPEscFv-env/iNOS retroviral particles specifically
transfected the iNOS gene into CEA-expressing tumor cells
(Fig. 6)
. However, endogenous iNOS expression in human carcinoma cells
is very diverse (27)
. Some human colon cancer cell lines
(SW480, SW620, and DLD-1) express mRNA for
Ca2+-dependent endothelial NOS as well as for
Ca2+-independent iNOS, whereas a human colon
cancer cell line WiDr does not express iNOS (27)
. The
expression of endogenous iNOS in the human carcinoma and hamster cell
lines used in the present study was undetectable even by RT-PCR (data
not shown), which indicated that the iNOS gene transferred
to these cells could induce and maintain the high production of NO.
Our recombinant GPEscFv-env/iNOS retrovirus also revealed significant
cytotoxicity against CEA-expressing cells. To our knowledge, this is
the first report of successful killing of CEA-expressing tumor cells by
specific targeting of the iNOS gene. The cell death was
directly correlated with the amount of NO produced. We have also found
that the NO production was augmented with the extension of culture time
(data not shown). These findings suggest that NO-mediated cytotoxicity
is directly related to the production of NO in culture supernatants.
However, the cell survival was not completely inhibited in the present
study. The exact reasons for this are unknown, but it may reflect the
relatively low efficiency of infection. Higher multiplicities of
infection of recombinant retrovirus may lead to a higher number of
cells infected and killed. Another possibility is that expression of
CEA on the tumor cells is very heterogeneous. It is conceivable that a
small number of tumor cells, poorly expressing CEA, could escape from
the infection and cytotoxic effect.
It has been reported that the NO released by activated cells can induce
apoptosis through several mechanisms, including break of DNA strands by
NO2 (28)
or by formation of
peroxynitrite (29)
. Induction of DNA fragmentation to
CEA-expressing cells by high levels of NO productions was also
confirmed in the present study (Fig. 8)
.
Our specifically targeted killing approach has several features that
make it attractive for clinical gene delivery. First, the recombinant
retrovirus obtained specifically bound to CEA-expressing cells. This
prevents the uptake of virus by nontarget cells or CEA-nonexpressing
cells, which would result in lesser side effects. Second, the targeted
cells were directly killed by the biological product of the therapeutic
gene, which is very convenient for practical retroviral targeted
delivery, because the established suicidal gene therapy systems using,
e.g., herpes simplex virus-thymidine kinase (HSV-TK) and
cytosine deaminase (CD) need the additional drug treatments (30
, 31)
. Furthermore, the "bystander effect" of NO may overcome
the limitation of retroviral vector gene transfer efficiency
(16)
.
Although serum CEA levels vary among the cancer stages,
immunohistochemical studies have shown high positivity of CEA in almost
all gastrointestinal cancers (32)
. Therefore, our strategy
may be more useful and effective than other conventional suicidal gene
therapy approaches in clinical application. We are in the process of
performing additional studies for an in vivo approach of
targeted cell killing using a relevant animal model system.
 |
FOOTNOTES
|
|---|
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 Supported in part by Grant-in-Aid for
High-technology Research Center from the Ministry of Education,
Science, Sports and Culture and by a fund from the Sasakawa Health
Science Foundation, Japan. 
2 To whom requests for reprints should be
addressed, at First Department of Biochemistry, School of Medicine,
Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180,
Japan. Phone: 81-92-801-1011, extension 3240; Fax: 81-92-801-3600;
E-mail: kurokima{at}fukuoka-u.ac.jp 
3 The abbreviations used are: scFv, single-chain
variable fragment; CEA, carcinoembryonic antigen; NO, nitric oxide;
NOS, NO synthase; iNOS, inducible NOS; NMA,
N-methyl-L-arginine; CHO, Chinese hamster
ovary; RT-PCR, reverse transcription-PCR. 
Received 2/21/00.
Accepted 10/26/00.
 |
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