A TRANSGENIC STRATEGY FOR ANALYZING THE REGULATORY REGIONS OF THE HUMAN PROSTATE-SPECIFIC ANTIGEN GENE - POTENTIAL APPLICATIONS FOR THE TREATMENT OF PROSTATE-CANCER (REVIEW)
Ra. Willis et al., A TRANSGENIC STRATEGY FOR ANALYZING THE REGULATORY REGIONS OF THE HUMAN PROSTATE-SPECIFIC ANTIGEN GENE - POTENTIAL APPLICATIONS FOR THE TREATMENT OF PROSTATE-CANCER (REVIEW), INTERNATIONAL JOURNAL OF MOLECULAR MEDICINE, 1(2), 1998, pp. 379-386
Prostate-specific antigen (PSA) has been used clinically as a marker f
or the diagnosis and staging of prostate cancer due to its specific ex
pression in prostate epithelial cells. In addition to its medical impo
rtance, its complex hormonal and tissue-specific regulation makes it a
n attractive model to study gene regulation. Two approaches have been
applied to the identification of regulatory regions which confer this
specific expression pattern. In vitro analysis of the regulatory regio
ns of the human PSA gene using promoter reporter constructs and tumor
cell lines has revealed a number of the DNA sequences involved in the
hormone-dependent expression of PSA. We have pursued an alternative in
vivo approach using transgenic animal technology, which is the focus
of this review. Using this second approach, a transgenic mouse was gen
erated using a 14 kilobase (kb) region of the human PSA gene encompass
ing the coding region and intervening sequences as well as 6 kb of ups
tream sequence and 2 kb of downstream sequence. This genomic DNA clone
confers a PSA expression pattern in mice which appears to be very sim
ilar if not identical to that of humans, allowing us to investigate ti
ssue-specificity and developmental regulation of PSA expression. In ad
dition, these mice, for which PSA is a self-antigen, provide a model t
o test the feasibility and efficacy of PSA-directed immunotherapy for
prostate cancer. The further identification of the PSA regulatory regi
ons important for tissue-specificity may ultimately allow the design o
f new therapeutics for the treatment of prostate cancer.