Human surfactant protein A (SPA) expression is considered a marker of
respiratory epithelial differentiation. Non-small cell lung cancers (N
SCLC) are respiratory epithelial derivatives, and it was previously sh
own that a minority of these cancers expressed SPA, presumably a conse
quence of their respiratory epithelial origin. In the studies reported
here, SPA-I gene transcriptional regulatory sequences were localized
to a 2.75-kb genomic 5'-flanking region fragment obtained by screening
a human genomic library. The 2.75-kb fragment was used to direct a lu
ciferase coding sequence transcriptionally within a plasmid construct.
In plasmid transduction experiments, the SPA-directed luciferase plas
mid produced significant luciferase activity in the SPA-expressing NSC
LC cell line, H441, but only background levels in the non-SPA-expressi
ng A549 cells. Because Northern blot analysis of resected NSCLC showed
that the majority expressed SPA, an SPA-transcriptional targeting str
ategy was investigated using chimeric toxin genes comprising the codin
g sequence for herpes simplex virus thymidine kinase (HSV-TK) under tr
anscriptional control of SPA or SV40 regulatory sequences. As expected
, transduction of the constitutive, SV40-directed plasmid followed by
ganciclovir treatment reduced numbers of both the A549 and H441 cells.
In contrast, the SPA-directed plasmid reduced only the SPA-expressing
H441 cells and had no significant effect on the A549 cells. The resul
ts of these in vivo experiments suggest the concept of transcriptional
ly directing toxin genes with SPA can produce targeted toxicity in NSC
LC.