Optimal therapeutic strategy for malignant brain tumors is controversial. R
ecent studies of viral or nonviral gene therapy in rats emphasize the need
for a selective delivery system. We examined whether phosphorothioate oligo
deoxynucleotides (lacZ 2157, 5'-GTGGCGTCTGGCGGAAAACC-3') could be selective
ly delivered transvascularly into experimental brain tumors following intra
carotid infusion of bradykinin, a specific blood-tumor barrier opener. The
specificity of (3)2P-labeled complementary antisense lacZ 2157 and the stab
ility of lacZ 2157 in vivo were confirmed using slot-blotting hybridization
method and polyacrylamide gel electrophoresis. Concentrations of lacZ 2157
after intracarotid injection (2 mg/kg, 10 mu g/kg/min) with or without bra
dykinin were determined in the brain, tumor tissue, liver, kidney, and plas
ma. The transfer ratio of lacZ 2157 from the plasma to the tissues was calc
ulated and expressed as tissue content relative to plasma content of lacZ 2
157 per mg tissue (Do, mu l/mg). Delivery of lacZ 2157 to tumor tissue incr
eased 3.24 times with bradykinin over delivery in controls (0.0243 +/- 0.01
76 vs. 0.00750 +/- 0.00389; p < 0.05). Delivery of lacZ 2157 to ipsilateral
and contralateral cerebral cortex to the tumor, and delivery to the contra
lateral basal ganglia, did not increase significantly with bradykinin. Thes
e results indicate that such transvascular delivery with bradykinin can del
iver a relatively large amount of oligodeoxynucleotide selectively to brain
tumors without affecting normal brain.