Gene therapy was initially envisaged as a potential treatment for genetical
ly inherited, monogenic disorders. The applications of gene therapy have no
w become wider, however, and include cardiovascular diseases, vaccination a
nd cancers in which conventional therapies have failed. With regard to onco
logy, various gene therapy approaches have been developed. Among them, the
use of genetic toxins to kill cancer cells selectively is emerging. Two dif
ferent types of genetic toxins have been developed so far: the metabolic to
xins and the dominant-negative class of toxins. This review describes these
two different approaches, and discusses their potential applications in ca
ncer gene therapy.