THE POOR PROGNOSIS associated with malignant primary brain tumors has
led investigators to seek and develop new, innovative treatment modali
ties. Current adjuvant therapies lack tumor specificity, which can lea
d to toxic central nervous system side effects. Advances in molecular
biology now allow specific gene sequences to be inserted or targeted i
n the malignant cell genome. Antisense oligodeoxynucleotides represent
complementary nucleic acid sequences that can recognize and bind to t
arget genes, resulting in the arrest of deoxyribonucleic acid transcri
ption or the translation of messenger ribonucleic acid. Although the u
se of antisense oligodeoxynucleotides is still in the experimental sta
ges, these molecules enter cells in tissue culture by simple diffusion
or active endocytosis and temporarily inhibit cell proliferation in a
time- and dose-dependent fashion. The ability of antisense oligodeoxy
nucleotides to recognize specific gene sequences and to down-regulate
gene expression make them ideal agents for use in targeting oncogenes,
such as c-myb, that are expressed in central nervous system neoplasms
.