Local recurrence of squamous cell cancer (SCC) causes high morbidity and is
often readily accessible, making such patients potential candidates for ge
ne therapy. Cyclin Df (CD1), critical in the G(1)-S transition in the cell
cycle, is amplified in 20-50% and overexpressed in up to 80% of head and ne
ck SCC, Our earlier studies indicated that CD1 expression increased with pr
ogression from low grade to high grade dysplasia, and that treatment of est
ablished tumors Kith antisense cyclin D1 (AS-cyclin D1) led to tumor regres
sion during a one week evaluation period. We hypothesized that: I) CD1 expr
ession increases with disease progression to advanced SCC, and 2) AS-cyclin
Df therapy would lead to prolonged tumor regression in a xenograft model o
f human SCC, CD1 expression, evaluated by immunostain in 30 stage III/IV he
ad and neck SCC, increased in the basal layer from normal-dysplasia (P = 0.
06) and from dysplasia-carcinoma (P = 0.004), In the germinative layer CD1
expression increased from dysplasia-carcinoma (P = 0.002) but not from norm
al-dysplasia, Western blotting of eight SCC and two transformed keratinocyt
e cell lines demonstrated CD1 overexpression in 8/10 (80%) Lines. An 11th c
ell Line (A431) had previously been shown to overexpress cyclin D1, 8/9 (89
%) cell lines overexpressing CD1 formed tumors in immunodeficient mice, whe
reas 0/2 cell lines without CD1 overexpression formed a tumor, Three establ
ished SCCs, one fast growing, one with moderate growth rate with CD1 overex
pression and one slow growing (without increased CD1), shrank significantly
for 2-4 weeks after AS-cyclin D1 treatment, while tumors transduced with c
ontrol vector grew. Cyclin D1 expression increases in frequency with diseas
e progression, and antisense cyclin Df was effective In a xenograft model o
f human cancer, independent of tumor growth rate.