G. Tortora et al., A novel MDM2 anti-sense oligonucleotide has anti-tumor activity and potentiates cytotoxic drugs acting by different mechanisms in human colon cancer, INT J CANC, 88(5), 2000, pp. 804-809
MDM2 is over-expressed in several human tumors. Its product is a negative-f
eedback regulator of p53, which interferes with the control of cell prolife
ration and apoptosis, interacting not only with p53 but also with retinobla
stoma (Rb) and E2F. Moreover, mutations in the ARF-Ink4a locus may also all
ow MDM2 to override p53 functions. In this study, we have used a novel olig
onucleotide anti-sense MDM2, with mixed-backbone structure and demonstrate
that it causes inhibition of MDM2 expression, induction of both p53 and p21
/WAF1 expression and a dose-dependent, growth-inhibitory effect in human GE
O colon-cancer cells. We also show that anti-sense MDM2 has a co-operative
growth-inhibitory effect with different classes of cytotoxic drugs acting b
y different mechanisms. Moreover, anti-sense MDM2 induces apoptosis and mar
kedly enhances the apoptotic activity of different cytotoxic drugs. Finally
, we show that anti-sense MDM2 has anti-tumor activity in vivo in nude mice
bearing GEO xenografts and potentiates the anti-tumor effect of cytotoxic
drugs. Indeed, despite the short treatment period, the combination of anti-
sense MDM2 and cytotoxic drugs causes a marked delay in tumor growth and pr
olongation of mice survival, lasting several months after treatment cessati
on. The anti-tumor effect is associated with inhibition of MDM2 expression
in tumor specimens of animals treated with anti-sense MDM2, alone or in com
bination with a cytotoxic drug. Our results provide the rationale for devel
opment of a novel mixed-backbone anti-sense MDM2 into a clinical setting in
therapeutic combination strategies with conventional cytotoxic drugs. (C)
2000 Wiley-Liss, Inc.