Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Short Communication
  • Published:

Evaluation of systemic targeting of RET oncogene-based MTC with tumor-selective peptide-tagged Ad vectors in clinical mouse models

Abstract

Significant advantage of targeted antitumoral treatment consists in the possibility to restrict maximum therapeutic efficacy to the malignant cell population by reducing toxicity in healthy tissues. Using different clinical models for aggressive medullary thyroid carcinoma (MTC), we have recently identified peptide ligands that bind highly selective to tumor cells. By linking the most convincing SRESPHP peptide to an adenoviral (Ad) vector expressing the MTC-related oncogene inhibitor RETΔTK, gene transfer was specifically directed to neoplastic tissue after systemic virus administration. We show that peptide-mediated delivery of RETΔTK significantly enhanced apoptosis, resulting in a strong inhibition of orthotopic and xenograft tumor growth. Conversely, tumors treated with controls expanded their initial size without notable cell death. According to the therapeutic effect, strong virus accumulation was found exclusively in thyroid carcinomas. Strikingly, application of native tropism depleted viral vector linked to tumor-selective peptide was accompanied by a substantial reduction of Ad binding to the liver. Of note, single systemic injection of a low dose (10e8 pfu/mouse) of MTC-specific Ad.RETΔTK induced regression of multiple tumors at different sites in all treated animals. In sum, our results open up the possibility for an efficient cancer cell-specific therapy of primary MTC, their migrating populations and potentially metastases.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. Sherman SI . Thyroid carcinoma. Lancet 2003; 361: 501–511.

    Article  Google Scholar 

  2. Machens A, Lorenz K, Dralle H . Constitutive RET tyrosine kinase activation in hereditary medullary thyroid cancer: clinical opportunities. J Intern Med 2009; 266: 114–125.

    Article  CAS  Google Scholar 

  3. Massoll N, Mazzaferri EL . Diagnosis and management of medullary thyroid carcinoma. Clin Lab Med 2004; 24: 49–83.

    Article  Google Scholar 

  4. Manie S, Santoro M, Fusco A, Billaud M . The RET receptor: function in development and dysfunction in congenital malformation. Trends Genet 2001; 17: 580–589.

    Article  CAS  Google Scholar 

  5. Hansford JR, Mulligan LM . Multiple endocrine neoplasia type 2 and RET: from neoplasia to neurogenesis. J Med Genet 2000; 37: 817–827.

    Article  CAS  Google Scholar 

  6. Yip L, Cote GJ, Shapiro SE, Ayers GD, Herzog CE, Sellin RV et al. Multiple endocrine neoplasia type 2: evaluation of the genotype-phenotype relationship. Arch Surg 2003; 138: 409–416; discussion 416.

    Article  CAS  Google Scholar 

  7. Engelmann D, Koczan D, Ricken P, Rimpler U, Pahnke J, Li Z et al. Transcriptome analysis in mouse tumors induced by Ret-MEN2/FMTC mutations reveals subtype-specific role in survival and interference with immune surveillance. Endocr Relat Cancer 2009; 16: 211–224.

    Article  CAS  Google Scholar 

  8. Miše N, Drosten M, Racek T, Tannapfel A, Pützer BM . Evaluation of potential mechanisms underlying genotype-phenotype correlations in multiple endocrine neoplasia type 2. Oncogene 2006; 25: 6637–6647.

    Article  Google Scholar 

  9. Drosten M, Putzer BM . Mechanisms of disease: cancer targeting and the impact of oncogenic RET for medullary thyroid carcinoma therapy. Nat Clin Pract Oncol 2006; 3: 564–574.

    Article  CAS  Google Scholar 

  10. Carlomagno F, Vitagliano D, Guida T, Napolitano M, Vecchio G, Fusco A et al. The kinase inhibitor PP1 blocks tumorigenesis induced by RET oncogenes. Cancer Res 2002; 62: 1077–1082.

    CAS  PubMed  Google Scholar 

  11. Cuccuru G, Lanzi C, Cassinelli G, Pratesi G, Tortoreto M, Petrangolini G et al. Cellular effects and antitumor activity of RET inhibitor RPI-1 on MEN2A-associated medullary thyroid carcinoma. J Natl Cancer Inst 2004; 96: 1006–1014.

    Article  CAS  Google Scholar 

  12. Lanzi C, Cassinelli G, Pensa T, Cassinis M, Gambetta RA, Borrello MG et al. Inhibition of transforming activity of the ret/ptc1 oncoprotein by a 2-indolinone derivative. Int J Cancer 2000; 85: 384–390.

    Article  CAS  Google Scholar 

  13. Cerchia L, Ducongé F, Pestourie C, Boulay J, Aissouni Y, Gombert K et al. Neutralizing aptamers from whole-cell SELEX inhibit the RET receptor tyrosine kinase. PLoS Biol 2005; 3: e123.

    Article  Google Scholar 

  14. Cerchia L, Libri D, Carlomagno MS, de Franciscis V . The soluble ectodomain of RetC634Y inhibits both the wild-type and the constitutively active Ret. Biochem J 2003; 372: 897–903.

    Article  CAS  Google Scholar 

  15. Drosten M, Frilling A, Stiewe T, Putzer BM . A new therapeutic approach in medullary thyroid cancer treatment: inhibition of oncogenic RET signaling by adenoviral vector-mediated expression of a dominant-negative RET mutant. Surgery 2002; 132: 991–997; discussion 997.

    Article  Google Scholar 

  16. Drosten M, Putzer BM . Gene therapeutic approaches for medullary thyroid carcinoma treatment. J Mol Med 2003; 81: 411–419.

    Article  CAS  Google Scholar 

  17. Böckmann M, Drosten M, Putzer BM . Discovery of targeting peptides for selective therapy of medullary thyroid carcinoma. J Gene Med 2005; 7: 179–188.

    Article  Google Scholar 

  18. Böckmann M, Hilken G, Schmidt A, Cranston AN, Tannapfel A, Drosten M et al. Novel SRESPHP peptide mediates specific binding to primary medullary thyroid carcinoma after systemic injection. Hum Gene Ther 2005; 16: 1267–1275.

    Article  Google Scholar 

  19. Alemany R, Curiel DT . CAR-binding ablation does not change biodistribution and toxicity of adenoviral vectors. Gene Therapy 2001; 8: 1347–1353.

    Article  CAS  Google Scholar 

  20. Drosten M, Hilken G, Böckmann M, Rödicker F, Misê N, Cranston AN et al. Role of MEN2A-derived RET in maintenance and proliferation of medullary thyroid carcinoma. J Natl Cancer Inst 2004; 96: 1231–1239.

    Article  CAS  Google Scholar 

  21. Cranston AN, Ponder BA . Modulation of medullary thyroid carcinoma penetrance suggests the presence of modifier genes in a RET transgenic mouse model. Cancer Res 2003; 63: 4777–4780.

    CAS  PubMed  Google Scholar 

  22. Reynolds L, Jones K, Winton DJ, Cranston A, Houghton C, Howard L et al. C-cell and thyroid epithelial tumours and altered follicular development in transgenic mice expressing the long isoform of MEN 2A RET. Oncogene 2001; 20: 3986–3994.

    Article  CAS  Google Scholar 

  23. Bangari DS, Mittal SK . Current strategies and future directions for eluding adenoviral vector immunity. Curr Gene Ther 2006; 6: 215–226.

    Article  CAS  Google Scholar 

  24. Vitale G, Caraglia M, Ciccarelli A, Lupoli G, Abbruzzese A, Tagliaferri P et al. Current approaches and perspectives in the therapy of medullary thyroid carcinoma. Cancer 2001; 91: 1797–1808.

    Article  CAS  Google Scholar 

  25. Boulay A, Breuleux M, Stephan C, Fux C, Brisken C, Fiche M et al. The ret receptor tyrosine kinase pathway functionally interacts with the era pathway in breast cancer. Cancer Res 2008; 68: 3743–3751.

    Article  CAS  Google Scholar 

  26. Plaza-Menacho I, Morandi A, Robertson D, Pancholi S, Drury S, Dowsett M et al. Targeting the receptor tyrosine kinase RET sensitizes breast cancer cells to tamoxifen treatment and reveals a role for RET in endocrine resistance. Oncogene 2010; 29: 4648–4657.

    Article  CAS  Google Scholar 

  27. Boikos SA, Stratakis CA . Molecular mechanisms of medullary thyroid carcinoma: current approaches in diagnosis and treatment. Histol Histopathol 2008; 23: 109–116.

    CAS  PubMed  Google Scholar 

  28. Ramaswamy S, Ross KN, Lander ES, Golub TR . A molecular signature of metastasis in primary solid tumors. Nat Genet 2003; 33: 49–54.

    Article  CAS  Google Scholar 

  29. Yamada H, Hasegawa Y, Mitsudomi T, Nakashima T, Yatabe Y . Neuroendocrine tumor metastasis to the thyroid gland. Int J Clin Oncol 2007; 12: 63–67.

    Article  Google Scholar 

Download references

Acknowledgements

We thank Anja Stoll for excellent technical assistance, Kathrin Sievert-Küchenmeister for expert support in animal surgery and Thomas Brüning for immunohistochemistry. This work was supported by DFG Grants PU 188/5-1/5-2, PU 188/5-3 and the FORUN program (Grant 889017) of Rostock University Medical Faculty.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to B M Pützer.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schmidt, A., Eipel, C., Fürst, K. et al. Evaluation of systemic targeting of RET oncogene-based MTC with tumor-selective peptide-tagged Ad vectors in clinical mouse models. Gene Ther 18, 418–423 (2011). https://doi.org/10.1038/gt.2010.165

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/gt.2010.165

Keywords

Search

Quick links