Background: The p53 tumor suppressor gene is altered in up to 70% of c
olorectal cancers. Materials and Methods: We infected the colorectal c
ancer cell lines SW620 and KM12L4, in which p53 is mutated, with the r
eplication-defective adenovirus Ad5/CMV/p53 to evaluate the effects of
adenovirus-mediated wild-type p53 gene transfer: Gene transduction wa
s measured by cytochemical staining of cells infected with the Ad5/CMV
/beta-gal virus and expression of the wildtype p53 protein in these ce
lls was demonstrated by immunoblotting. Results: Significant suppressi
on of in vitro cell proliferation and induction of apoptosis (as measu
red by TUNEL assay labeling) were observed following Ad5/CMV/p53 infec
tion. Mole importantly, similar effects were observed in vivo in an es
tablished nude mouse subcutaneous tumor model; significant suppression
of tumor growth (60% - 70%) and induction of apoptosis were observed
following intratumoral injections of AdS/CMV/p53. Conclusion: This for
m of therapy may provide a novel approach to colorectal cancer.